Sensitivity of Ultrasonography in Diagnosing Uterine Leiomyoma in Females Presenting with Menorrhagia Taking MRI As Gold Standard
DOI:
https://doi.org/10.70749/ijbr.v3i4.2599Keywords:
Imaging, Ultrasonography, Uterine Leiomyoma.Abstract
Objectives: To determine the diagnostic accuracy of ultrasonography in diagnosing uterine leiomyoma in females presenting with menorrhagia taking MRI as gold standard. Study type: cross-sectional validation. Settings: Department of Radiology, CMH, Gujranwala. Study duration: January 2023 to December 2023. Materials & Methods: A total of 108 patients of 18-70 years of age with menorrhagia were included. Women with gynecological conditions like adenomyosis, endometrial polyps, endometriosis, h/o hypersensitivity to contrast agents, and contraindication to magnetic resonance imaging were excluded from the study, as were patients with chronic renal failure, use of IUCDs, or a history of bleeding disorders or PID. First, all the patients underwent trans-abdominal sonography and then magnetic resonance imaging for uterine leiomyoma. Ultrasonography and MRI results were correlated. Results: MRI results showed that 54 patients (True Positive) had uterine leiomyoma, but six patients (False Positive) did not. Of the 48 patients with negative USG results, 6 (False Negative) had uterine leiomyoma on MRI, but 42 (True Negative) did not (p=0.0001). With a sensitivity of 90.0%, specificity of 87.50%, PPV of 90.0%, NPV of 87.50%, and diagnostic accuracy of 88.89%, USG was able to identify the uterine leiomyoma. Conclusion: According to the study's findings, ultrasonography is a straightforward, affordable, and easily accessible modality with a fairly high diagnostic accuracy for uterine leiomyoma.
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