Intraluminal ultrasound imaging of the fallopian tube wall: results of standardized in vitro investigations of pig and human tubal specimens
Objective: To investigate to what extent anatomic structures of the tubal wall can be identified reproducibly and whether altered areas can be detected and delimited by intraluminal ultrasound. Design: Standardized in vitro experiment with descriptive evaluation of findings, comparative analysis of...
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| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
13 November 1998
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| In: |
Fertility and sterility
Year: 1998, Jahrgang: 70, Heft: 1, Pages: 161-164 |
| ISSN: | 1556-5653 |
| DOI: | 10.1016/S0015-0282(98)00124-1 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S0015-0282(98)00124-1 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0015028298001241 
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| Verfasserangaben: | Stefan Rimbach, Diethelm Wallwiener, Christoph Barth, Raffi Bekeredjian, Stefan Hardt, Gunther Bastert |
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| 520 | |a Objective: To investigate to what extent anatomic structures of the tubal wall can be identified reproducibly and whether altered areas can be detected and delimited by intraluminal ultrasound. Design: Standardized in vitro experiment with descriptive evaluation of findings, comparative analysis of apparative and morphologic data, and determination of interobserver variability (video documentation, blinded reviewer). Setting: Department of Gynecology and Obstetrics, University of Heidelberg, Germany. Specimen(s): Seventy-two human and pig fallopian tubes. Intervention(s): Catheterization with a 2.9F or 3.2F ultrasound catheter and sonographic depiction of the fallopian tube, with either simultaneous manual and sonographic wall-thickness measurement or coagulation of the tubal wall. Main Outcome Measure(s): A correlation coefficient of r = 0.76 for manual and sonographic tubal wall measurements and κ = 0.88 (with 95% confidence interval of 0.74-1.0) for interobserver variability in recognizing coagulated areas. Result(s): Tubal wall anatomy and artificially altered (coagulated) areas were displayed reproducibly with intraluminal ultrasound, thus giving a characteristic, recognizable pattern of the tubal wall. Conclusion(s): These in vitro experiments provide evidence that intraluminal ultrasound may expand the current diagnostic possibilities in cases of tubal pathology, providing nonsurgical access to the tubal wall. | ||
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