Journal of Clinical Ultrasound

Comparison of the Diagnostic Performance of Ovarian Adnexal Reporting Data System (O‐RADS) With IOTA Simple Rules and ADNEX Model for Classifying Adnexal Masses: A Head‐To‐Head Meta‐Analysis

ABSTRACTObjectiveTo compare the diagnostic accuracy of O‐RADS (Ovarian Reporting and Data System) and IOTA (international Ovarian Tumor Analysis group) simple rules (SR) and ADNEX (Assessment of Different NEoplasias in the adnexa) model for discriminating benign from malignant adnexal masses using meta‐analysis.MethodsA systematic search of studies comparing O‐RADS with SR and/or ADNEX in the same set of patients with an adnexal mass was performed in Medline, Web of Science, and Scopus databases from January 2020 to September 2023. Quality was assessed using the QUADAS‐2 tool. Quantitative meta‐analysis was performed.ResultsNine articles comprising 3924 women (3979 adnexal masses) were ultimately included after exclusions. Three studies compared O‐RADS versus SR, three studies compared O‐RADS versus ADNEX, and three studies compared all three methods. The risk of bias was high for patient selection in QUADAS‐2 in all studies. Six studies compared O‐RADS versus SR; no significant differences were found (pooled sensitivity and specificity of O‐RADS and IOTA SR were 94.0% and 77.0%, and 91.0% and 87.0%, respectively. p = 0.2204). Six studies compared O‐RADS versus ADNEX; no significant differences were found (pooled sensitivity and specificity of O‐RADS classification system and ADNEX were 95.0% and 79.0%, and 91.0% and 88.0%, respectively. p = 0.2307).ConclusionO‐RADS classification has a similar diagnostic performance to IOTA SR and ADNEX for discriminating benign and malignant adnexal masses.

Preliminary Study on the Value of Contrast‐Enhanced Ultrasound in Enhancing Early Vascular Architecture for the Differential Diagnosis of Benign and Malignant Endometrial Lesions

ABSTRACT Objective To investigate the diagnostic value of contrast‐enhanced ultrasound (CEUS) in differentiating benign and malignant endometrial diseases by analyzing the early arterial vascular architecture on CEUS images. Methods A prospective study was conducted at the Sichuan Integrative Medicine Hospital to enroll 70 suspected endometrial lesion patients with a mean age of 42.5 ± 8.2 years (range 27–69 years). The patients underwent conventional ultrasound and CEUS examinations, and pathological examinations were obtained through surgery or curettage. They were divided into the benign group and malignant group according to their pathological types. The CEUS image features were analyzed, and the sensitivity, specificity, positive predictive value, and other parameters were compared between the two groups by carefully observing the early enhancement images and comparing the differences in the vascular architecture, including the shape of the vessels, the number of vessels, and the vessel diameter. Results There were significant differences in vascular shape, number, and diameter between the two groups. The difference in vascular morphology was highly statistically significant ( p  < 0.001). The “vascular supply” was used for the diagnosis of malignant diseases of the endometrium with a high sensitivity of 95.8%, specificity of 77.5%, positive predictive value of 71.8%, and accuracy of 84.4%. When the maximum inner diameter exceeded 1.5 mm, the sensitivity and specificity for the diagnosis of malignant lesions were 95.8% and 82.5%, respectively, with a positive predictive value of 76.6% and an accuracy of 87.5%. When the average inner diameter exceeded 1.22 mm, the sensitivity for the diagnosis of malignant endometrial lesions was 87.5%, the specificity was 80%, and the accuracy was 82.8%. Conclusions The utilization of CEUS vascular architecture holds significant clinical value in the diagnosis of both benign and malignant endometrial diseases, thereby warranting further comprehensive investigation.

Transvaginal ultrasound versus magnetic resonance imaging for preoperative assessment of myometrial infiltration in patients with low‐grade endometrioid endometrial cancer: A systematic review and head‐to‐head meta‐analysis

AbstractPurposeWe aimed to compare the diagnostic performance of magnetic resonance imaging (MRI) and transvaginal ultrasound (TVS) for detecting myometrial invasion (MI) in patients with low‐grade endometrioid endometrial carcinoma.MethodsA comprehensive search of MEDLINE (Pubmed), Web of Science, Embase and Scopus (from January 1990 to December 2022) was performed for articles comparing TVS and MRI in the evaluation of myometrial infiltration in low‐grade (grade 1 or 2) endometrioid endometrial carcinoma in the same group of patients. We used QUADAS‐2 tool for assessing the risk of bias of studies.ResultsWe found 104 citations in our extensive research. Four articles were ultimately included in the meta‐analysis, after excluding 100 reports. All articles were considered low risk of bias in most of the domains assessed in QUADAS‐2. We observed that pooled sensitivity and specificity for detecting deep MI were 65% (95% confidence interval [CI] = 54%–75%) and 85% (95% CI = 79%–89%) for MRI, and 71% (95% CI = 63%–78%) and 76% (95% CI = 67%–83%) for TVS, respectively. No statistical differences were found between both imaging techniques (p > 0.05). We observed low heterogeneity for sensitivity and high for specificity regarding TVS; and moderate for both sensitivity and specificity in case of MRI.ConclusionsThe diagnostic performance of TVS and MRI for the evaluation of deep MI in women with low‐grade endometrioid endometrial cancer is similar. However, further research is needed as the number of studies is scanty.

Transvaginal ultrasound versus magnetic resonance imaging in local staging of endometrial cancer

Initial Evaluation of Lymphosonography to Identify Sentinel Lymph Nodes in Cervical and Vulvar Cancer Patients

ABSTRACT The objective of this pilot study was to identify sentinel lymph nodes (SLN) in cervical or vulvar cancer subjects scheduled for surgery using lymphosonography, comparing the findings with pathology. The contrast agent Sonazoid was administered subcutaneously around the tumor, and real‐time contrast‐enhanced ultrasound was performed to identify SLNs. Eleven SLNs were surgically excised, while lymphosonography identified 17 SLNs in 5 subjects. Comparing surgically excised SLNs and those identified by lymphosonography showed that 10 out of 11 SLNs (or 91%) were identified by lymphosonography. Lymphosonography identified all the benign SLNs and 2 out of the 3 malignant SLNs.

Transabdominal Ultrasound‐Guided Transcervical Submucosal Uterine Leiomyoma Resection: A Case Report

ABSTRACT Hysteroscopic resection is considered the gold standard treatment for the removal of submucous uterine leiomyoma (SMLs). However, when hysteroscopic equipment is unavailable, alternative treatment approaches must be explored. In this case report, we present a video demonstrating the transcervical resection of an SML performed under transabdominal ultrasonography guidance on a patient with persistent abnormal uterine bleeding. A 37 mm Type 0 leiomyoma was successfully removed in 9 min without any complications. Six months postoperatively, the patient conceived spontaneously and delivered a healthy infant at term. This case suggests that, in the absence of hysteroscopic access, transcervical removal of SMLs using ring forceps under ultrasound guidance may serve as a safe and feasible alternative.

Assessing the Clinical Characteristics and the Role of Imaging Modalities in Uterine Sarcoma: A Single‐Center Retrospective Study From Vietnam

ABSTRACTBackgroundThis study aims to describe the clinical and imaging characteristics of uterine sarcomas and the role of imaging modalities in assessing them.Materials and MethodsThis retrospective study enrolled all patients diagnosed with uterine sarcoma at Tu Du Hospital, Vietnam between January 2020 and December 2023. The findings of ultrasound (US) and magnetic resonance imaging (MRI) were compared to histology as the reference.ResultsAmong 78 patients, 46.2% of cases were menopause. Abnormal vaginal bleeding was the most common symptom. Three common types of uterine sarcoma were leiomyosarcoma (50.0%), low‐grade endometrial stromal sarcoma (23.1%), and carcinosarcoma (19.2%). Some imaging features of uterine sarcomas were found including nontypical lesion of fibroid (89.7%), solitary mass (84.6%), inhomogeneous structure (76.9%), invisible endometrium (67.9%), moderate‐rich vascularization on Doppler signal (57.7%), irregular border of tumor (48.7%), classification of FIGO 0 (44.9%), cystic area within tumor (42.3%), acoustic shadowing (34.6%), “cooked” appearance (9.0%), and calcification image in tumor (6.4%). The sensitivity of standard US, consultant US, and MRI was 56.4%, 88.4%, and 87.5%, respectively.ConclusionsBesides clinical presentations, uterine sarcomas present some specific features on US. Consultant US and MRI could be added to standard US to increase the accuracy and help in surgical decision making where applicable.

Ultrasound Findings in a Case of Early‐Stage Endometrial Cancer With Atypical Lung Metastasis

ABSTRACTWe present a unique case of early‐stage endometrial cancer in a 61‐year‐old woman. The patient initially presented with an isolated endometrial plaque on imaging, which over time developed into a hump‐like projection extending inward to the uterine cavity and developing a tongue‐like penetration. After gynecologic staging surgery, pathology showed no residual tumor, pelvic lymphadenopathy, adnexal and omental involvement, and negative abdominal washing cytology. Two years later, the patient developed a rare and intriguing event: lung metastasis without extrapulmonary involvement. This case underscores the importance of transvaginal ultrasonography in understanding the risk factors of distant metastasis in early endometrial cancer.

Vaginal leiomyoma: Advantages of clinical sonovaginography and ultrasound dynamic evaluation of uterine cervix‐related lesions

Abstract Evaluation of vaginal leiomyoma by dynamic transvaginal ultrasound improves the diagnosis, with the impact on surgical planning, and surgical outcomes. Sonovaginography using three‐dimensional ultrasound allows the assessment of spatial relationship between the cervix and the tumor.

Analysis of complete hydatidiform mole in one twin using traditional and molecular techniques

AbstractA pregnant woman with hydatidiform mole in one twin was misdiagnosed as one of the twins with embryonic arrest. She chose to terminate the pregnancy and developed distant lung metastasis. After chemotherapy, she eventually recovered. This article systematically analyzes the diagnosis and treatment of hydatidiform mole in one twin to increase the awareness and reduce misdiagnosis of the disease.

Diagnostic Value of Ultrasound in Primary Cervical Ewing's Sarcoma: Two Case Reports and Literature Review

ABSTRACT Primary cervical Ewing's sarcoma (ES) is a rare malignant small round cell tumor that develops outside the bone, with a generally poor prognosis. Clinical symptoms are nonspecific, posing challenges for early diagnosis. In this report, we present two cases of middle‐aged women presenting with abnormal vaginal bleeding. Neither human papillomavirus typing nor blood tests showed specific abnormalities. Ultrasound examination identified uneven hypoechoic lesions with well‐defined borders in the cervix, and color Doppler imaging showed punctate linear blood flow signals within the lesions. Histopathological biopsies confirmed the diagnosis of primary ES of the uterine cervix. Both patients achieved favorable prognoses following a combined treatment of surgery and chemotherapy. This study highlights the value of ultrasound imaging in aiding the timely diagnosis of this rare malignancy.

Imaging appearance of ovarian mature teratoma with gliomatosis peritonei

AbstractGliomatosis peritonei (GP), almost exclusively linked to mature or immature ovarian teratoma, is a very rare disease. To the best of our knowledge, reports on the complete clinical course and imaging features of ovarian mature teratoma with GP are extremely rare. We present a case of ovarian mature teratoma with GP in a 9‐year‐old girl admitted to the emergency department for a 2‐month history of a large abdominal mass found accidentally. Carcinoembryonic antigen and cancer antigen 125 levels were elevated. CT scans suggested a large mass with mild enhancement, and an immature teratoma derived from the left ovary with ascites was diagnosed by ultrasound. Subsequently, left ovarian tumor resection and omentectomy were performed, and a solid cystic mass accompanied by massive ascites and numerous white to grayish nodules was identified on the left ovary. The pathology results revealed a mature teratoma with GP. The patient had good postoperative recovery, and her serum tumor marker levels decreased to normal at the 3‐month follow‐up.

Primary vaginal malignant melanoma: A case report

Malignant melanoma is a rare malignant tumor that can occur in many parts of the body. Primary vaginal malignant melanoma (PVMM) in women accounts for only 3%-7% of all malignant melanomas. PVMM is extremely rare, aggressive, and has a poor prognosis. We report a case of primary vaginal malignant melanoma in order to improve our understanding of the disease.

Ovarian mucinous cystadenoma causing acute urinary retention

AbstractAcute urinary retention rarely occurs in women, and is only infrequently caused by a pelvic mass. We describe a case of acute urinary retention caused by a large ovarian mucinous cystadenoma. Point of care ultrasound characterized and localized the lesion, while computerized tomography demonstrated the anatomic distortions resulting in urinary retention. The patient's symptoms resolved immediately following a laparoscopic right salpingo‐oophorectomy with complete tumor removal.

Elastographic and vascular findings of uterine myomas assessed by ultrasound

AbstractObjectiveThe objectives of this study were to evaluate the vascularization pattern of uterine myoma (UM) by ultrasonography using Superb Microvascular Imaging (SMI) and tissue stiffness elastography.MethodA prospective and cross‐sectional study was carried out between March 2020 and December 2022 among women with clinical and ultrasound diagnosis of UM who would subsequently undergo radiofrequency ablation. Ultrasound examination was performed using both transvaginal and transabdominal routes. UM vascularization pattern was assessed by power Doppler (PD) and SMI, while elastographic pattern was assessed by shear wave (SWE) and strain (STE). FIGO classification, location, and measurement of the largest UM were also described.ResultsA total of 21 women diagnosed with UM were evaluated. There was a predominance of nulliparous women and 20 women (95.2%) reported desire for pregnancy. Of the 18 women with abnormal uterine bleeding, 15 (83.3%) had abdominal cramping. As far as previous treatment, 7 (33.3%) had undergone myomectomy for other UM. The mean uterine and UM volumes were 341.9 cm3 (90–730) and 126.52 cm3 (6.0–430), respectively. There was a predominance of hypoechogenic lesions (90.5%). There was also preponderance of UM in the FIGO 2–5 classification (n = 9; 42.9%). Vascularization patter was mostly moderate (score 2) in 9 cases (42.9%). The majority of UM were considered to have intermediate stiffness (n = 10; 47.6%).ConclusionThe majority of UM showed vascularization and moderate stiffness. A relationship was observed between the stiffness of the UM assessed by elastography and its FIGO classification.

Ultrasonic features of hidradenoma papilliferum: An unexpected mass in the vulvar

Hidradenoma papilliferum is a rare superficial mass with distinct ultrasonic features. It originates from mammary structures and is commonly observed in the anogenital region of women. We report a hidradenoma papilliferum with clear ultrasound images which have never be described before.

Ultrasound is helpful to diagnose and identify aggressive angiomyxoma: A case report

Abstract Aggressive angiomyxoma (AAM) is a rare kind of neoplasm derived from mesenchyma, which is easily confused with other superficial masses. Here, we present a 21‐year‐old young female with a 2‐year history of a mass in the right vulva. The patient's laboratory analysis yielded unremarkable results. Ultrasound examination revealed the presence of a heterogeneous solid mass in the right vulva with blood flow. Enhanced computed tomography imagines showed a capsular neoplasm in the posterior the perineal region without obvious enhancement. The patient received surgery. Biopsy after surgery revealed that the tumor was AAM. The patient was followed up regularly. In this article, we will describe sonographic and computed tomography imagines, histologic features of AAM, and review the related literature.

Differences in Imaging Findings Between Benign and Borderline Ovarian Serous/Mucous Tumors

ABSTRACT Objectives To retrospectively analyze the differences in imaging findings between benign and borderline ovarian serous/mucous tumors. Methods Imaging features of benign and borderline ovarian tumors were analyzed, including the tumor maximum diameter, laterality, tumor morphology, proportion of solid components, and the number of papillary processes in cystic solid tumors. Results A total of 189 tumors were evaluated, including 117 benign tumors and 72 borderline tumors. The mean maximum diameter of borderline tumors was higher than that of benign tumors (14.32 ± 9.93 vs. 8.62 ± 6.69 , p  < 0.05). Borderline tumors with solid components accounted for more than benign tumors (41.67% vs. 8.55%). The proportion of solid component volume/tumor volume > 15% in both benign and borderline tumors was very small (1.71%, 4.71%). In unilocular cysts and multilocular cysts, borderline tumors with diameters > 10 cm accounted for more than benign tumors. The sensitivity and specificity in distinguishing benign and borderline tumors of ultrasonography O‐RADS are slightly lower than those of SR of IOTA (86.1% vs. 91.7%, 81.2% vs. 82.1%). Conclusions In conclusion, the borderline tumors are larger and have more solid components than the benign tumors. The sensitivity and specificity in distinguishing benign and borderline tumors of ultrasonography O‐RADS are slightly lower than those of SR of IOTA.

A Rare Case of Trousseau Syndrome‐Related Nonbacterial Thrombotic Endocarditis Caused by Mucinous Ovarian Carcinoma

ABSTRACT Background Trousseau syndrome (TS)–related nonbacterial thrombotic endocarditis (NBTE) caused by ovarian cancer has rarely been reported. Although primary tumors and cardiac lesions can be treated surgically, there has been a rising concern regarding the use of anticoagulants in the treatment of TS. Method The clinical data and course of Trousseau syndrome‐related NBTE in a case of mucinous ovarian carcinoma treated in Shenzhen People's Hospital in 2023 were retrospectively analyzed, and the relevant literature was reviewed. Conclusions We report a rare case of Trousseau syndrome‐related nonbacterial thrombotic endocarditis attributable to mucinous ovarian carcinoma. Timely and accurate diagnosis and treatment can improve the prognosis.

Prenatal Ultrasound Diagnosis of Congenital Granular Cell Epulis: A Rare Case Description

ABSTRACTCongenital granulosa cell epulis is a rare benign tumor that occurs in the oral cavity of newborns. It is extremely rare during the fetal period. The incidence of this disease is 6 per million. The lesion often occurs in the maxillary alveolar ridge, and the incidence in women is 8–10 times that of men. This article describes a case of congenital granulosa cell epulis occurring in the fetal mandibular alveolar ridge discovered by prenatal ultrasound. Postpartum surgical intervention was performed, and the pathological results confirmed the ultrasound findings. Prenatal diagnosis of CGCE is of great significance to the clinical management of the disease.

Ultrasound Characteristics of a Very Small Steroid Cell Tumors, NOS Associated With Virilization Symptoms: A Case Report

ABSTRACTSex Cord Stromal Tumors are rare ovarian tumors, including Steroid Cell tumors, NOS, almost all benign, associated with hirsutism and virilization, with elevated serum testosterone levels, commonly unilateral and with small diameter compared to others. A 43‐year‐old woman was referred to our center with secondary amenorrhea, hirsutism, balding and clitoromegaly, high serum level of testosterone and free testosterone. Ultrasound examination showed a unilateral small solid rounded hypoechoic lesion, with regular margins, moderately to richly vascularized at power Doppler examination (CS 3/4). A laparoscopic right salpingo‐oophorectomy was performed. Final pathology diagnosed a steroid cell tumor, NOS.

Diagnostic challenges in primary ovarian carcinoid: Insights from radiological imaging—A case study

AbstractPrimary ovarian carcinoid (POC) is a very rare subset of ovarian tumors, presenting diagnostic challenges due to its inconclusive radiological imaging. In this case study, we present a 30‐year‐old nulliparous female with subfertility complaints and irregular menstrual cycles, who was initially misdiagnosed with an ovarian cyst. Subsequent comprehensive imaging, including Color Doppler, revealed high vascularity, and prompting suspicion of malignancy. Surgical resection and histopathological evaluation ultimately confirmed the presence of a rare Carcinoid tumor, insular type. This case emphasizes a multidisciplinary approach to the early detection and accurate diagnosis of POCs.

Uterine tumor resembling ovarian sex cord tumor: A case report

We report a case of a 65-year-old postmenopausal female patient who presented with 1 day of vaginal bleeding. Imaging studies diagnosed a uterine tumor lesion, and the patient underwent a total hysterectomy and bilateral salpingo-oophorectomy. The excised specimen was sent for pathological examination, and based on immunohistochemical analysis, the patient was ultimately diagnosed with Uterine tumor resembling ovarian sex cord tumor (UTROSCT). Postoperative adjuvant chemotherapy was administered, and the patient has been in good condition during the follow-up period.

Diagnostic utility of Magnetic Resonance Imaging in discriminating immature teratoma: Insights from a case series

AbstractImmature teratomas (IT) are rare germ cell tumors with malignant behavior, distinct from the benign mature teratomas. Clinical differentiation poses challenges, demanding a comprehensive, multidisciplinary diagnostic approach. This case series delves into the detailed radiological imaging findings of ITs. Pelvic MRI was conducted on five cases with adnexal masses, all of which were histopathologically confirmed as ITs. Radiologically, larger tumor size and scattered fatty components were key diagnostic indicators. This study underlines the importance of comprehensive evaluation in IT diagnosis and management, with MRI as an essential tool in the clinical workflow.

Ultrasound‐Guided Endometrial Aspiration and Immunohistochemistry for Detecting Focal Metastatic Cancer

ABSTRACT At our institution, we offer a one‐step office endometrial evaluation using the simultaneous endometrial aspiration and sonohysterography (SEAS) method. This involves pelvic ultrasound and sonohysterography, followed by ultrasound‐guided endometrial aspiration with the same catheter. The aspirated specimens are sent for histological analysis, and in difficult or inconclusive cases, immunohistochemistry (IHC) is performed to refine the diagnosis. In this manuscript, we present a case demonstrating the utility of ultrasound‐guided endometrial aspiration supported by IHC. This method should be considered in the evaluation of focal endometrial lesions and/or persistent endometrial bleeding.

Diagnostic value of endoscopic ultrasound‐guided tissue fine needle biopsy for rectal metastasis of endometrial cancer in negative endoscopic forceps biopsy results

Correlation between preoperative imaging biomarkers and histological prognostic factors in endometrial cancer: A prospective study

AbstractPurposeWe compared transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) for detecting myometrial infiltration, cervical involvement, and for measuring tumor volume in endometrial cancer patients. We also correlated tumor volume to worse histological prognostic factors.MethodsWe recruited women with a histological diagnosis of endometrial cancer between March 2019 and March 2021. Inclusion criteria were: age ≥ 18 years, written informed consent, biopsy‐proven endometrial cancer, absence of previous neoadjuvant chemo‐ or radiotherapy treatment, patient suitable for primary surgery. Exclusion criteria were: advanced disease stage and other coexisting malignant tumors. TVUS and MRI were used, in the absence of any contraindication. We compared the preoperative imaging results with final histopathology.ResultsThe accuracy of TVUS and MRI in evaluating myometrial infiltration, cervical invasion and tumor volume were comparable. A tumor volume ≥2 ml showed a positive correlation with worse histological prognostic factors, such as high tumor grade, diffuse lymphvascular space involvement (LVSI) and deep myometrial invasion (p < 0.05).ConclusionTVUS should be used as first‐line imaging modality, being more available, cost‐effective, and more acceptable by patients. A careful local staging of endometrial cancer patients before surgery is fundamental in order to improve tailored treatment and minimize costs.

New insight on etiology: A chorionic bump with partial mole pregnancy case report from Syria

Abstract This case report presents the association of a chorionic bump with a partial mole pregnancy in a 37‐year‐old G3P2 woman. The differential diagnosis of a partial mole was considered after transvaginal ultrasonography revealed a chorionic bump. Subsequent pathological analysis confirmed the diagnosis. While the etiology of the chorionic bump remains dubious, we hypothesize an alternative explanation for chorionic bump formation based on the presence of three unique pathological features: necrosis, edema, and hemorrhage.

Right heart masses in a patient with endometrial stromal sarcoma

AbstractWe present the case of a 61‐year‐old woman with a large tumoral infiltration extending from the pelvis throughout the inferior vena cava inferior to the right atrium, protruding into the right ventricle and right ventricular outflow tract. She had been treated 10 years before for low‐grade endometrial stromal sarcoma by hysterectomy and adnexectomy followed by hormone‐ and radio‐therapy. Due to cancer recurrence, she underwent peritonectomy, appendectomy, and resection of terminal ileum.

Mayer–Rokitansky–Küster–Hauser Syndrome With Concurrent Adenomyosis and Leiomyoma in Rudimentary Uterus: A Case Report

ABSTRACT We report a rare case of Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome accompanied by simultaneous adenomyosis and leiomyoma in rudimentary uterine remnants. A 35‐year‐old woman presented with progressive lower abdominal pain and underwent diagnostic imaging. The initial ultrasound erroneously suggested an adnexal mass, but subsequent imaging revealed bilateral uterine remnants—one with adenomyotic changes and the other harboring a leiomyoma. Laparoscopic excision confirmed these pathological findings. This case suggests the importance of regular gynecological imaging examinations for MRKH patients and challenges the conventional belief in the non‐functional nature of Müllerian remnants. Furthermore, our findings underscore the diagnostic utility of transabdominal ultrasound in accurately identifying complex uterine anomalies.

Accuracy of Transvaginal Ultrasonography for Staging of Cervical Cancer Patients: A Meta‐Analysis

ABSTRACTThis review aimed to evaluate accuracy of transvaginal ultrasonography (TVUS) in detecting parametrial invasion, stromal invasion, and metastasis of lymph nodes in patients with cervical cancer. We performed bivariate meta‐analysis using STATA 14.2, calculating pooled sensitivity, specificity, diagnostic odds ratio (DOR), and likelihood ratios (LR+ and LR−). In total, 18 studies were included. TVUS showed pooled sensitivities of 82%, 82%, and 75% and specificities of 92%, 78%, and 96% for detecting parametrial invasion, stromal invasion, and lymph node metastasis, respectively. TVUS is reliable tool for confirming parametrial invasion and lymph node metastasis in cervical cancer, particularly, in resource‐limited settings.

A lightweight hybrid model for the automatic recognition of uterine fibroid ultrasound images based on deep learning

AbstractPurposeUterine fibroids (UF) are the most frequent tumors in ladies and can pose an enormous threat to complications, such as miscarriage. The accuracy of prognosis may also be affected by way of doctor inexperience and fatigue, underscoring the want for automatic classification fashions that can analyze UF from a giant wide variety of images.MethodsA hybrid model has been proposed that combines the MobileNetV2 community and deep convolutional generative adversarial networks (DCGAN) into useful resources for medical practitioners in figuring out UF and evaluating its characteristics. Real‐time automated classification of UF can aid in diagnosing the circumstance and minimizing subjective errors. The DCGAN science is utilized for superior statistics augmentation to create first‐rate UF images, which are labeled into UF and non‐uterine‐fibroid (NUF) classes. The MobileNetV2 model then precisely classifies the photos based totally on this data.ResultsThe overall performance of the hybrid model contrasts with different models. The hybrid model achieves a real‐time classification velocity of 40 frames per second (FPS), an accuracy of 97.45%, and an F1 rating of 0.9741.ConclusionBy using this deep learning hybrid approach, we address the shortcomings of the current classification methods of uterine fibroid.

A rare case of ovarian hemangioma

We report a case of a 55-year-old woman who was accidentally discovered an ovarian mass during physical examination, which was eventually proved as hemangioma of the right ovarian by pathological findings.

Changes in left ventricular function induced by carboplatin combined with paclitaxel in patients with ovarian cancer identified using three‐dimensional spot tracking imaging technology

AbstractObjectiveTo investigate the clinical value of three‐dimensional speckle tracking imaging (3D‐STI) in evaluating left ventricular (LV) systolic function in patients with ovarian cancer (OC) treated with paclitaxel and carboplatin.MethodWe studied 30 patients with OC treated with paclitaxel combined with carboplatin chemotherapy. Two‐dimensional echocardiography and 3D‐STI were performed in the patients before they underwent 2‐ and 6‐cycle chemotherapies, and in 30 normal control subjects. Were measured LV end‐diastolic volume (EDV), end‐systolic volume (ESV), three‐dimensional LV ejection fraction (3D‐LVEF), stroke volume (SV), spherical index (SPI), LV end‐diastolic mass (LV EDmass), LV end‐systolic mass (LV ESmass), LV global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), global area strain (GAS) and cardiac troponin T(cTnT). At the end of chemotherapy, magnetic resonance imaging (MRI) was also performed.ResultThe 3D conventional strain values (3D‐LVEF, SV, LV EDV) after the 2‐ and 6‐cycle chemotherapy were lower than before chemotherapy. LV Edmass, LV ESmass and cTnT were higher while LV GLS, GCS, GRS, GAS were lower after 2‐ and after 6‐cycle chemotherapy than before chemotherapy. There was no significant difference in ESV and EDV between the 3D‐STI and MRI parameters. GAS showed a significant negative correlation with cTnT. MRI and 3D‐STI variables were significantly correlated, and the receiver operating characteristic curves showed the greater area under the curve for GAS after 2‐ and after 6‐cycle chemotherapy. After 2‐cycle chemotherapy, the highest specificity for GAS was 93.3%, and the highest sensitivity for GLS was 70.0%. After 6‐cycle chemotherapy, the highest specificity for GAS was 96.7%, and the highest sensitivity for GLS was 96.7%.ConclusionThe LV systolic function decreased in OC patients treated with paclitaxel and carboplatin, showing that 3D‐STI may detect early LV systolic dysfunction.

“Follow the Fallopian tube”: A technique to improve sonographic identification of ovaries in children

AbstractOvary detection is the first step in confirming ovarian lesions. The daughter cyst sign is widely used for this purpose; however, it is not always applicable. Recent improvements in image resolution allow Fallopian tube delineation, which can serve as a guide to identify the ovary. This anatomical approach (“follow the Fallopian tube” technique) comprises three steps: (1) confirm the uterus; (2) follow the Fallopian tube; and (3) find the ovary. Other applications of this approach include the differentiation between nonovarian and ovarian masses and ruling out ovarian torsion and an auto‐amputated ovary.