Usefulness of transabdominal ultrasonography in excluding adnexal disease

Objectives To investigate the final diagnoses and examine the rate of detection of normal ovaries in patients with negative results for adnexa on transabdominal ultrasonography (TAUS) using current machines. Methods Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were...

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Veröffentlicht in:Journal of medical ultrasonics (2001) 2016-01, Vol.43 (1), p.63-70
Hauptverfasser: Kameda, Toru, Kawai, Fukiko, Taniguchi, Nobuyuki, Kobori, Yasuyuki
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creator Kameda, Toru
Kawai, Fukiko
Taniguchi, Nobuyuki
Kobori, Yasuyuki
description Objectives To investigate the final diagnoses and examine the rate of detection of normal ovaries in patients with negative results for adnexa on transabdominal ultrasonography (TAUS) using current machines. Methods Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were subsequently evaluated using other imaging modalities, surgical procedures, follow-up, or questionnaire data. Of these patients, 135 patients with negative results for adnexa on TAUS were included in the investigation of the final diagnoses. The rate of detection of normal ovaries on TAUS was calculated on a per-ovary basis in these patients. Results One hundred thirty-three (98.5 %) and two (1.5 %) patients were finally diagnosed with non-adnexal diseases and adnexitis, respectively. The rate of detection of 270 ovaries in 135 patients was 38.9 %, while that of 148 ovaries in 74 patients between 16 and 45 years of age was 66.2 % and that of 122 ovaries in 61 patients over 45 years of age was 5.7 % ( P  
doi_str_mv 10.1007/s10396-015-0666-9
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Methods Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were subsequently evaluated using other imaging modalities, surgical procedures, follow-up, or questionnaire data. Of these patients, 135 patients with negative results for adnexa on TAUS were included in the investigation of the final diagnoses. The rate of detection of normal ovaries on TAUS was calculated on a per-ovary basis in these patients. Results One hundred thirty-three (98.5 %) and two (1.5 %) patients were finally diagnosed with non-adnexal diseases and adnexitis, respectively. The rate of detection of 270 ovaries in 135 patients was 38.9 %, while that of 148 ovaries in 74 patients between 16 and 45 years of age was 66.2 % and that of 122 ovaries in 61 patients over 45 years of age was 5.7 % ( P  &lt; 0.001). Conclusions TAUS appears to be the first step for ruling out adnexal disease in patients with lower abdominal pain. The rate of detection of normal ovaries is good in younger patients.</description><identifier>ISSN: 1346-4523</identifier><identifier>EISSN: 1613-2254</identifier><identifier>DOI: 10.1007/s10396-015-0666-9</identifier><identifier>PMID: 26703168</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdomen ; Abdominal Pain - diagnosis ; Abdominal Pain - diagnostic imaging ; Abdominal Pain - etiology ; Adnexal Diseases - complications ; Adnexal Diseases - diagnosis ; Adnexal Diseases - diagnostic imaging ; Adolescent ; Adult ; Age groups ; Aged ; Aged, 80 and over ; Antibiotics ; Binomial distribution ; Bladder ; Body mass index ; Cysts ; Diagnosis, Differential ; Diagnostic imaging ; Female ; Follow-Up Studies ; Gynecology ; Health aspects ; Humans ; Imaging ; Magnetic resonance imaging ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Middle Aged ; Original Article ; Ovaries ; Pain ; Patients ; Prospective Studies ; Questionnaires ; Radiology ; Ultrasonic imaging ; Ultrasonography ; Ultrasound ; Ultrasound imaging ; Uterus ; Young Adult</subject><ispartof>Journal of medical ultrasonics (2001), 2016-01, Vol.43 (1), p.63-70</ispartof><rights>The Japan Society of Ultrasonics in Medicine 2015</rights><rights>COPYRIGHT 2016 Springer</rights><rights>The Japan Society of Ultrasonics in Medicine 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-b2befaf1f081dd8466b525e6c53b361d1c9c5ee64d2337dcc4ca50cf0f2ecaba3</citedby><cites>FETCH-LOGICAL-c533t-b2befaf1f081dd8466b525e6c53b361d1c9c5ee64d2337dcc4ca50cf0f2ecaba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10396-015-0666-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918185516?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26703168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kameda, Toru</creatorcontrib><creatorcontrib>Kawai, Fukiko</creatorcontrib><creatorcontrib>Taniguchi, Nobuyuki</creatorcontrib><creatorcontrib>Kobori, Yasuyuki</creatorcontrib><title>Usefulness of transabdominal ultrasonography in excluding adnexal disease</title><title>Journal of medical ultrasonics (2001)</title><addtitle>J Med Ultrasonics</addtitle><addtitle>J Med Ultrason (2001)</addtitle><description>Objectives To investigate the final diagnoses and examine the rate of detection of normal ovaries in patients with negative results for adnexa on transabdominal ultrasonography (TAUS) using current machines. Methods Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were subsequently evaluated using other imaging modalities, surgical procedures, follow-up, or questionnaire data. Of these patients, 135 patients with negative results for adnexa on TAUS were included in the investigation of the final diagnoses. The rate of detection of normal ovaries on TAUS was calculated on a per-ovary basis in these patients. Results One hundred thirty-three (98.5 %) and two (1.5 %) patients were finally diagnosed with non-adnexal diseases and adnexitis, respectively. The rate of detection of 270 ovaries in 135 patients was 38.9 %, while that of 148 ovaries in 74 patients between 16 and 45 years of age was 66.2 % and that of 122 ovaries in 61 patients over 45 years of age was 5.7 % ( P  &lt; 0.001). Conclusions TAUS appears to be the first step for ruling out adnexal disease in patients with lower abdominal pain. 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Kawai, Fukiko ; Taniguchi, Nobuyuki ; Kobori, Yasuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-b2befaf1f081dd8466b525e6c53b361d1c9c5ee64d2337dcc4ca50cf0f2ecaba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - diagnostic imaging</topic><topic>Abdominal Pain - etiology</topic><topic>Adnexal Diseases - complications</topic><topic>Adnexal Diseases - diagnosis</topic><topic>Adnexal Diseases - diagnostic imaging</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age groups</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibiotics</topic><topic>Binomial distribution</topic><topic>Bladder</topic><topic>Body mass index</topic><topic>Cysts</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic imaging</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine &amp; 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Methods Of 188 eligible patients who underwent TAUS to assess lower abdominal pain, 158 were subsequently evaluated using other imaging modalities, surgical procedures, follow-up, or questionnaire data. Of these patients, 135 patients with negative results for adnexa on TAUS were included in the investigation of the final diagnoses. The rate of detection of normal ovaries on TAUS was calculated on a per-ovary basis in these patients. Results One hundred thirty-three (98.5 %) and two (1.5 %) patients were finally diagnosed with non-adnexal diseases and adnexitis, respectively. The rate of detection of 270 ovaries in 135 patients was 38.9 %, while that of 148 ovaries in 74 patients between 16 and 45 years of age was 66.2 % and that of 122 ovaries in 61 patients over 45 years of age was 5.7 % ( P  &lt; 0.001). Conclusions TAUS appears to be the first step for ruling out adnexal disease in patients with lower abdominal pain. The rate of detection of normal ovaries is good in younger patients.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>26703168</pmid><doi>10.1007/s10396-015-0666-9</doi><tpages>8</tpages></addata></record>
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subjects Abdomen
Abdominal Pain - diagnosis
Abdominal Pain - diagnostic imaging
Abdominal Pain - etiology
Adnexal Diseases - complications
Adnexal Diseases - diagnosis
Adnexal Diseases - diagnostic imaging
Adolescent
Adult
Age groups
Aged
Aged, 80 and over
Antibiotics
Binomial distribution
Bladder
Body mass index
Cysts
Diagnosis, Differential
Diagnostic imaging
Female
Follow-Up Studies
Gynecology
Health aspects
Humans
Imaging
Magnetic resonance imaging
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Original Article
Ovaries
Pain
Patients
Prospective Studies
Questionnaires
Radiology
Ultrasonic imaging
Ultrasonography
Ultrasound
Ultrasound imaging
Uterus
Young Adult
title Usefulness of transabdominal ultrasonography in excluding adnexal disease
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