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CT and ultrasound equally valuable in diagnosing pelvic pain in women
May 01, 2006CT and ultrasound are both valuable first-line cross-sectional imaging tools to detect the cause of acute pelvic pain in non-pregnant women and the need for surgery in these patients, according to a new study by researchers from the University of Washington Harborview Medical Center in Seattle, WA.
For the study, the researchers analyzed 157 women who were recommended for imaging because of acute pelvic pain. In 71 and 86 cases, respectively, an abdomen/pelvis CT or a pelvic ultrasound was performed first. The researchers found that abnormal findings were described in 70% and 65% of the initial CTs and ultrasounds, respectively. The final diagnosis was obtained through CT or ultrasound in 80% of cases. In predicting the need for surgery, the sensitivity and positive predictive value for both CT and US were above 0.80. The specificity and negative predictive value were greater than 0.97.
According to the researchers, the two main purposes of the study were to determine if one imaging method was better and if CT and ultrasound were helpful in the diagnosis of acute pelvic pain for those patients that the clinical staff referred for imaging. "If a study has a low yield of positive findings, then some radiologists feel that too many patients are being imaged and that the clinical threshold for ordering has been lowered too much," said Dawn Hastreiter, MD, PhD, lead author of the study.
"Our findings show that patients presenting to our institution are probably not being over-imaged with our current imaging referral protocols. Our positivity rate could be used as a comparison standard for other institutions to determine if they are overusing imaging. In addition, one might conclude from our study that pelvic ultrasound and CT are nearly equally effective in aiding in the diagnosis of acute pelvic pain and that performing both imaging techniques in an emergency setting could be reserved for unclear cases," said Dr. Hastreiter.
American Roentgen Ray Society
"Our findings show that patients presenting to our institution are probably not being over-imaged with our current imaging referral protocols. Our positivity rate could be used as a comparison standard for other institutions to determine if they are overusing imaging. In addition, one might conclude from our study that pelvic ultrasound and CT are nearly equally effective in aiding in the diagnosis of acute pelvic pain and that performing both imaging techniques in an emergency setting could be reserved for unclear cases," said Dr. Hastreiter.
American Roentgen Ray Society
Pelvic Pain Current Events and Pelvic Pain News RSSTeen girls diagnosed with STI more likely to seek treatment for partners after watching video
A study at Johns Hopkins Children's Center found that girls diagnosed with pelvic inflammatory disease (PID) who watched a short educational video were three times more likely to discuss their condition with their partners and to ensure partner treatment than girls diagnosed and treated without seeing the film.
At last -- a quick and accurate way of diagnosing endometriosis
A quick and accurate test for endometriosis that does not require surgery has been developed by researchers from Australia, Jordan and Belgium, according to new research published online today (Wednesday 19 August) in Europe's leading reproductive medicine journal Human Reproduction.
Interventional radiology treatment for uterine fibroids: Safe, nonsurgical option
Uterine fibroid embolization-a minimally invasive interventional radiology treatment for women that cuts off blood flow to painful fibroids to kill the tumors-is highlighted as an appropriate treatment for women in a Clinical Therapeutics article in the Aug. 13 issue of the New England Journal of Medicine.
New chlamydia test offers rapid, pain-free test for men
A new urine test developed with funding from the Wellcome Trust will allow doctors to diagnose Chlamydia infection in men within the hour, improving the ability to successfully treat the infection on the spot and prevent re-transmission.
MRI accurately depicts deep endometriosis
Using magnetic resonance imaging (MRI), radiologists may be able to diagnose deep endometriosis and accurately locate lesions prior to surgery, according to a new study published in the online edition of Radiology.
Women with endometriosis need special care during pregnancy to avoid risk of premature birth
The largest study to date of endometriosis in pregnant women has found that the condition is a major risk factor for premature birth.
New MR Sequence Helps Radiologists More Accurately Evaluate Abnormalities of the Uterus and Ovaries
A new MR imaging sequence, T2-weighted BLADE, used to image the female pelvis improves image quality and helps radiologists make a more accurate diagnosis, according to a study performed at the University of Maryland School of Medicine in Baltimore, MD.
Sonohysterography is an Alternative Diagnostic Tool for Women with Adenomyosis Suffering from Dysmenorrhea, Abnormal Vaginal Bleeding and Pelvic Pain
Sonohysterography (SHG), a simple ultrasound technique commonly used to evaluate the uterine cavity, improves the diagnostic capability of transvaginal ultrasound in detecting adenomyosis (a common benign condition of the uterus that causes dysmenorrhea, abnormal vaginal bleeding and pelvic pain), according to a study performed at the Thomas Jefferson University Hospital in Philadelphia, PA.
Progress made in understanding causes and treatment of endometriosis
Endometriosis is a poorly understood chronic disease characterized by infertility and chronic pelvic pain during intercourse. It affects between 5 to 10 million women in the U.S.
Common Treatment for Chronic Prostatitis Fails to Reduce Symptoms
Alfuzosin, a drug commonly prescribed for men with chronic prostatitis, a painful disorder of the prostate and surrounding pelvic area, failed to significantly reduce symptoms in recently diagnosed men who had not been previously treated with this drug.
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