Seng Thipphavong MD, Presenter: Nothing to Disclose

Dilkash Kajal MD, Abstract Co-Author: Nothing to Disclose

3D US is most useful in diagnosing arcuate and differentiating septate from bicornuate uterus. 3D US can be considered alternate adjunct to MR considering lower cost, reproducibility and patient acceptability.

The uterine anomalies affect up to 5% of women. These women can have fertility/obstetrical issues such as spontaneous abortion and preterm labor. The widely accepted classification system of uterine anomalies by the American Fertility Association (AFS) based not only on embryology but other clinical factors such as presentation and treatment. These anomalies are classified into seven groups : Class I: Uterine hypoplasia/ agenesis Class II: Unicornuate uterus Class III: Uterine didelphys Class IV: Bicornuate uterus Class V: Septate/sub septate Class VI: Arcuate uterus Class VII: Diethylstilbestrol (DES) MR revolutionized the imaging scene with its non-invasiveness, safety and accuracy of near 100%..The 3 D US, like MRI has the advantage of assessing the endometrial cavity and the uterine fundus in virtually any plane. Many studies have shown more than 90% sensitivity/specificity, efficacy and positive predictive value of 3 D US.

http://abstract.rsna.org/uploads/2014/14011284/14011284_evtx.pdf

Thipphavong, S, Kajal, D, Role of 3D Ultrasound In Uterine Anomalies.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011284.html