Intraluminal ultrasound imaging of the fallopian tube wall

• Verfasst von: Rimbach, Stefan [VerfasserIn]
• Verfasst von: Wallwiener, Diethelm [VerfasserIn]
• Verfasst von: Barth, Christoph [VerfasserIn]
• Verfasst von: Bekeredjian, Raffi [VerfasserIn]
• Verfasst von: Hardt, Stefan [VerfasserIn]
• Verfasst von: Bastert, Gunther [VerfasserIn]
• Titel: Intraluminal ultrasound imaging of the fallopian tube wall
• Titelzusatz: results of standardized in vitro investigations of pig and human tubal specimens
• Verf.angabe: Stefan Rimbach, Diethelm Wallwiener, Christoph Barth, Raffi Bekeredjian, Stefan Hardt, Gunther Bastert
• E-Jahr: 1998
• Jahr: 13 November 1998
• Umfang: 4 S.
• Fussnoten: Gesehen am 12.04.2024
• Titel Quelle: Enthalten in: Fertility and sterility
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1950
• Jahr Quelle: 1998
• Band/Heft Quelle: 70(1998), 1, Seite 161-164
• ISSN Quelle: 1556-5653
• DOI: doi:10.1016/S0015-0282(98)00124-1
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: fallopian tube
• Sach-SW: Intraluminal ultrasound
• Sach-SW: tubal wall pathology
• K10plus-PPN: 1883199549

Abstract

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.