Background:Hysteroscopy is the most accurate method for diagnosing intrauterine pathologies related to abnormal bleeding and infertility. The accuracy of three-dimensional (3D) ultrasonography and hysteroscopy were compared in identifying uterine cavity abnormalities.
Aim of the study :To compare the sensitivity of three-dimensional ultrasonography to a gold standard in detecting uterine abnormalities (hysteroscopy).
Patients and methods;This wasprospective comparative study, was carried out on 100patients at Obstetrics and Gynecology department, at Al-Hussein University Hospital From December 2020 to Jun 2021.
Result: As regard fibroid diagnosis, there were 35 patients (35%) true positive, 57 patients (57%) true negative, 5 patients (5%) false positive and 3 patients (3%) false negative. Thus 3D-U/S had the sensitivity of 92.1%, specificity of 91.9%, PPV of 87.5%, NPV of 95% and accuracy of 92% in diagnosis of fibroid cases.
Conclusion: Before resorting to invasive treatments like diagnostic hysteroscopy, three-dimensional transvaginal ultrasonography is a sensitive approach for examining endometrial cavity lesions or anomalies. Hysteroscopy, on the other hand, allows for direct visualization of the uterine cavity and may identify minor intrauterine lesions that may be missed by vaginal ultrasonography.