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Yang T, Pandya A, Marcal L, Bude RO, Platt JF, Bedi DG, Elsayes KM. Sonohysterography: Principles, technique and role in diagnosis of endometrial pathology. World J Radiol 2013; 5(3): 81-87 [PMID: 23671744 DOI: 10.4329/wjr.v5.i3.81]
World J Radiol. Mar 28, 2013; 5(3): 81-87 Published online Mar 28, 2013. doi: 10.4329/wjr.v5.i3.81
Sonohysterography: Principles, technique and role in diagnosis of endometrial pathology
Thomas Yang, Amit Pandya, Leonardo Marcal, Ronald O Bude, Joel F Platt, Deepak G Bedi, Khaled M Elsayes
Thomas Yang, Leonardo Marcal, Deepak G Bedi, Khaled M Elsayes, Department of Radiology, University of Texas, MD Anderson Cancer Center, Houston, TX 77030, United States
Amit Pandya, Ronald O Bude, Joel F Platt, Department of Radiology, University of Michigan, Ann Arbor, MI 48109, United States
Author contributions: Yang T and Elsayes KM designed, wrote and researched the paper; Pandya A, Marcal L and Bude RO searched the literature and edited the images; Platt JF and Bedi DG checked and edited the paper
Correspondence to: Khaled M Elsayes, MD, Department of Radiology, University of Texas, MD Anderson Cancer Center, Houston, TX 77030, United States. kmelsayes@mdanderson.org
Telephone: +1-713-7941191 Fax: +1-713-7944379
Received: May 22, 2012 Revised: August 21, 2012 Accepted: January 31, 2013 Published online: March 28, 2013
Abstract
Sonohysterography (SHG), which provides enhanced endometrial visualization during standard transvaginal ultrasonography, is a relatively safe procedure for the evaluation of endometrial pathology. It can be used to evaluate patients with abnormal vaginal bleeding or infertility. This modality offers real time imaging of the endometrium without exposure to ionizing radiation. SHG is typically used in patients for whom standard transvaginal ultrasonography does not show the endometrium well, show a potential abnormality for which further imaging is required, or in patients without endometrial pathology defined on routine transvaginal imaging but in whom there is a strong clinical suspicion of an abnormality. This article will discuss the utility of the sonohysterogram in evaluation of various endometrial pathologies. Imaging examples of these pathological entities will be illustrated as well.
