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Publicatie
Diagnosis of congenital uterine anomalies
Tijdschriftbijdrage - Tijdschriftartikel
To classify congenital anomalies, a large number of classification systems have been proposed, of which the classification of the American Fertility Society (AFS) is most commonly used. The new classification of AciƩn takes the etiopathology, the anatomical anomalies and the clinic into account. Several modalities may be used to diagnose uterine anomalies, but an ultrasound (3D if possible) and an MRI are most accurate and objective. A laparoscopy in combination with a hysteroscopy is more subjective, but can also be therapeutic. An MRI is superior to an ultrasound to diagnose cervical or vaginal anomalies. A recent study shows that an assessment of three-dimensional ultrasound images of congenital uterine anomalies has a substantial interobserver variability. The largest variability was found between the bicornuate uterus, the septate uterus and the uterus didelphys. The diagnoses, however, also differed between an arcuate and a normal uterus. Therefore, better definitions are needed to distinguish between the different types of uteri.
Tijdschrift: Tijdschrift voor Geneeskunde
ISSN: 0371-683X
Issue: 4
Volume: 70
Pagina's: 203 - 205
Jaar van publicatie:2014