To study the degree of interobserver agreement for already known two-dimensional (2D) and three-dimensional (3D) sonography criteria of adenomyosis.
Fifty cases (25 adenomyosis cases, 25 non-adenomyosis cases) were studied by four expert observers and a less-experienced researcher. Each sonographic adenomyosis criterion was separately studied. Interobserver agreement was analysed by the kappa index with 95% confidence interval (CI).
The degree of agreement about diagnosing adenomyosis was high or very high in all pair-wise comparisons (kappa values of 0.58-0-92).
The agreement on identifying intra-myometrial cysts (kappa values of 0.46-0.79) and evaluating the junctional zone (JZ) by 3D-transvaginal ultrasound (3D-TVS) (kappa index of 0.46-0.88) was good. The agreements reached when evaluating the other criteria varied, but good agreement was generally reached.
Both the 2D-TVS and 3D-TVS criteria employed in diagnosing adenomyosis were reproducible parameters in adenomyosis diagnostics. The results were reproducible, even by a less experienced observer.
J Endometr Pelvic Pain Disord 2017; 9(3): 211 - 215
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsJosé M. Puente, Juan L. Alcázar, Pilar Martinez-Ten, Carmina Bermejo, María T. Troncoso, Juan A. García-Velasco
- • Accepted on 19/06/2017
- • Available online on 05/07/2017
- • Published in print on 13/09/2017
This article is available as full text PDF.
- Puente, José M. [PubMed] [Google Scholar] 1, * Corresponding Author (JoseManuel.Puente@ivi.es)
- Alcázar, Juan L. [PubMed] [Google Scholar] 2
- Martinez-Ten, Pilar [PubMed] [Google Scholar] 3
- Bermejo, Carmina [PubMed] [Google Scholar] 3
- Troncoso, María T. [PubMed] [Google Scholar] 4
- García-Velasco, Juan A. [PubMed] [Google Scholar] 5
Department of Obstetrics and Gynecology, Hospital Universitario “12 de Octubre”, Madrid, Instituto Valenciano de Infertilidad (IVI) Madrid, Madrid - Spain
Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, University of Navarra, Pamplona - Spain
Delta-Ultrasound Diagnostic Center for Obstetrics and Gynecology, Madrid - Spain
Department of Obstetrics and Gynecology, Clínica Dávila, Santiago - Chile
Department of Reproductive Endocrinology and Infertility, Instituto Valenciano de Infertilidad (IVI) Madrid, Rey Juan Carlos University, Madrid - Spain