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Original Research Article

Year: 2014 | Month: February | Volume: 4 | Issue: 2 | Pages: 109-115

Role of Three Dimensional Transvaginal Scan in the Evaluation of Female Pelvic Lesions

Anitha B¹, H. T. Narayana², Satish Tumbal³, Vishal N.S⁴

¹Senior Resident, Department of Radiodiagnosis, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Mandya, Karnataka, India.
²Professor & HOD, Department of Radiodiagnosis, Sapthagiri Institute of Medical Sciences, Karnataka.
³Senior Resident, Department of Radiodiagnosis, S.Nijalingappa Medical College, Bagalkote.
⁴Senior Resident, Department of Radiodiagnosis, BLDE Medical College, Bijapur.

Corresponding Author: Anitha B

ABSTRACT

Introduction: Traditional transabdominal approach is still recommended as initial approach though it is associated with limitations, such as patient obesity, bowel gas, an over distended bladder, multipath reflection, pseudo masses, or a retroverted or calcified fibroid uterus; large adnexal masses, masses higher in the pelvis, and uterine fibroids may not be seen adequately during transvaginal scanning, either because they are larger than or outside the probe’s more restricted field of view, which is usually seen with transabdominal approach.
Aims and Objectives:

Detection of uterine abnormalities.

Congenital uterine anomalies (Septate, subseptate, bicornuate, arcuate uterus).

Accurate localization of leiomyomas (Submucosal, intramural and subserosal type).

Endometrial polyps.

To estimate the volume measurements (ovarian volume).

In imaging of adnexal lesions to distinguish tubal from ovarian lesions and uterine from ovarian lesions.
Materials and Methods: 1086 patients attended Sagar Hospitals, Obstetrics and Gynaecology Outpatient Department from August 2006 to October 2007. Out of 1086, 490 patients were advised ultrasound pelvis. 335 patients underwent only two-dimensional transabdominal ultrasound due to exclusion criteria. 55 were selected randomly for three-dimensional transvaginal scan and it is a prospective study.
Observation and Results: A Prospective correlation study with 55 patients with pelvic pathology is undertaken to evaluate the correlation of clinical diagnosis, 3D-TVS, with final diagnosis based on postoperative findings/HSG/Histopathology.
Conclusion: Based on the result analysis and observations, we conclude that:

Three-dimensional TVS is accurate in giving the preoperative details to the gynaecologists.

Three-dimensional TVS findings correlated with operative findings and histopathological diagnosis.

Performance of three-dimensional TVS was significant in terms of ovarian lesions followed by ectopic pregnancy, non-neoplastic lesions of uterus and congenital abnormalities of uterus.

Key words: Transvaginal Scan, Female Pelvic Lesions.

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