Classification of uterine anomalies by three-dimensional ultrasonography using ESHRE/ESGE criteria: inter-observer variability.
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2017
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Reproductive sciences
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Abstract
Objective: To evaluate the interobserver repeatability of the coronal view measurements and classification of the uterine malformations (UM) according to the ESHRE/ESGE consensus by transvaginal three-dimensional ultrasound (3D US).
Methods: 89 transvaginal 3D volumes acquired during the last two years at Delta Ecografía in Madrid, Spain, were selected from our archive by convenience sampling. Two expert operators blinded from each other, performed post-hoc analysis using render mode and multiplanar-VCI navigation. Uterine wall thickness at the fundus, indentation of the cavity and indentation of the fundus were measured, classified and sub-classified following the recommendations of the ESHRE/ESGE consensus. The reproducibility of interobserver measurements and classification was examined by calculating intraclass correlation coefficients (ICC) and their 95% confidence intervals (CI) and kappa statistic (k).
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Keywords
Uterine anomalies, Inter-observer variability, Three-dimensional imaging, Ultrasonography