Diagnostic utility of saline infusion doppler sonohysterography in endometrial mass lesions

Objective: to evaluate the importance of saline infusion doppler sonohysterography (sis-d) in the assessment of transvaginal ultrasound (tvusg)-suspected intrauterine mass lesions in women complaining about abnormal uterine bleeding with respect to hysteroscopy (h/s) and pathologic diagnosis. methods: this study was conducted on patients,who visited to our clinic with abnormal uterine bleeding and whose tvusgs indicated intrauterine masses. the study covered a total of 100 patients. sis-d and hysteroscopy were performed on those 100 patients. sis-d results were compared with hysteroscopy results. the relation between sis-d findings and pathology results were evaluated. results: for sis; specificity was 96%,sensitivity was 60%,positive predictive value (ppv) was 87.8%,negative predictive value (npv) was 83.3%,and the accuracy rate was 87%. for tvusg; ppv was 75%. according to sis-d,92.2% of the lesions that had single-vessel feeding patterns were endometrial polyps,and this was statistically significant (p<0.0001). 57.1% of the lesions that had multiple-vessel feeding patterns were submucous myomas,and this was statistically significant (p<0.0001). conclusion: sis should be performed in patients before hysteroscopy because it will protect a considerable number of patients from unnecessary invasive procedures. sis-d gives an idea on the histopathology of the mass. © 2016,professional medical publications. all rights reserved.