By Davor Jurkovic, Lil Valentin, Sanjay Vyas
Using ultrasound imaging in gynaecology is going well past uncomplicated photograph popularity. A skilful gynaecological sonographer will compile experiment findings and the scientific situation to augment sufferer care. This results in particular investigations and, simply as importantly, to suggestions for non-intervention. This booklet covers all elements of using ultrasound and in addition comprises chapters on scientific gynaecology, to aid in making the absolute best use of the expertise.
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Extra info for Gynaecological Ultrasound in Clinical Practice: Ultrasound Imaging in the Management of Gynaecological Conditions
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It follows that the study therefore almost certainly overestimated the sensitivity of the Pipelle device for the detection of endometrial cancers. In another study of similar design,13 the sensitivity of Pipelle to detect endometrial cancer was lower with 11 of 65 (17%) patients having false negative results. Of these, five (8%) had tumours confined to an endometrial polyp and three (5%) had disease localised to less than 5% of the surface area of the endometrium. The Pipelle missed none of the tumours in which more than 50% of the endometrium was involved (30 of 65 patients or 46%).
J Ultrasound Med 2001; 20: 1025–36. 21. Smith-Bindman R, Kerlikowske K, Feldstein V A, Subak L, Scheidler J, Segal M, et al. Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. JAMA 1998; 280: 1510–17. 22. Epstein E, Valentin L. Rebleeding and endometrial growth in women with postmenopausal bleeding and endometrial thickness < 5mm managed by dilatation and curettage or ultrasound follow-up: a randomized controlled study. Ultrasound Obstet Gynecol 2001; 18: 499–504.