COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH

Objective: To evaluate the diagnostic accuracy of transperineal ultrasonography in assessing the accurate cervical length at 24-32 weeks of gestation in comparison with the TVS as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Department of Radiology, CMH M...

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Autores principales:	Arooba Usman, Mobeen Shafique, Jawad Jalil, Umar Amin, Saerah Iffat Zafar, Khadija Qamar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	ultrasonography short cervical length Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d65190da3e034d2d9a32e883d2e760c4
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spelling	oai:doaj.org-article:d65190da3e034d2d9a32e883d2e760c42021-11-16T04:51:41ZCOMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH0030-96482411-8842https://doaj.org/article/d65190da3e034d2d9a32e883d2e760c42019-02-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2511/2066https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate the diagnostic accuracy of transperineal ultrasonography in assessing the accurate cervical length at 24-32 weeks of gestation in comparison with the TVS as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Department of Radiology, CMH Multan, from 12th Apr 2014 to 11th Dec 2014. Material and Methods: A total of 157 patients of 20-35 years of age with singleton pregnancy of gestational age 24 to 32 weeks were included in the study. Patients with premature rupture of membrane, cervical incompetence, cervical injury, multiparity and h/o co-morbid conditions were excluded. Cervical length was measured first by transperineal ultrasound followed by trans-vaginal ultrasound. Results: Of the total 157 patients assessed, 96 were true positive, 4 were false positive, 13 were false negative and 44 were true negative. Among 57 transperineal ultrasound negative patients, 13 (False Negative) had short cervical length on trans-vaginal sonography where as 44 (True Negative) had normal length. So, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of transperineal sonography in assessing accurate cervical length are 88.07%, 91.67%, 96.0%, 77.19% and 89.17% respectively. Conclusion: This study concluded that transperineal sonography is a reliable, easily available and cost effective method with high diagnostic accuracy for assessing the cervical length at 24-32 weeks of gestation which nearly approaches the value of trans-vaginal sonography.Arooba UsmanMobeen ShafiqueJawad JalilUmar AminSaerah Iffat ZafarKhadija QamarArmy Medical College Rawalpindiarticleultrasonographyshort cervical lengthMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 1, Pp 136-141 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	ultrasonography short cervical length Medicine R Medicine (General) R5-920
spellingShingle	ultrasonography short cervical length Medicine R Medicine (General) R5-920 Arooba Usman Mobeen Shafique Jawad Jalil Umar Amin Saerah Iffat Zafar Khadija Qamar COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
description	Objective: To evaluate the diagnostic accuracy of transperineal ultrasonography in assessing the accurate cervical length at 24-32 weeks of gestation in comparison with the TVS as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Department of Radiology, CMH Multan, from 12th Apr 2014 to 11th Dec 2014. Material and Methods: A total of 157 patients of 20-35 years of age with singleton pregnancy of gestational age 24 to 32 weeks were included in the study. Patients with premature rupture of membrane, cervical incompetence, cervical injury, multiparity and h/o co-morbid conditions were excluded. Cervical length was measured first by transperineal ultrasound followed by trans-vaginal ultrasound. Results: Of the total 157 patients assessed, 96 were true positive, 4 were false positive, 13 were false negative and 44 were true negative. Among 57 transperineal ultrasound negative patients, 13 (False Negative) had short cervical length on trans-vaginal sonography where as 44 (True Negative) had normal length. So, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of transperineal sonography in assessing accurate cervical length are 88.07%, 91.67%, 96.0%, 77.19% and 89.17% respectively. Conclusion: This study concluded that transperineal sonography is a reliable, easily available and cost effective method with high diagnostic accuracy for assessing the cervical length at 24-32 weeks of gestation which nearly approaches the value of trans-vaginal sonography.
format	article
author	Arooba Usman Mobeen Shafique Jawad Jalil Umar Amin Saerah Iffat Zafar Khadija Qamar
author_facet	Arooba Usman Mobeen Shafique Jawad Jalil Umar Amin Saerah Iffat Zafar Khadija Qamar
author_sort	Arooba Usman
title	COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
title_short	COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
title_full	COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
title_fullStr	COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
title_full_unstemmed	COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH
title_sort	comparison of diagnostic accuracy of transperineal sonography with the transvaginal ultrasonography in determining accurate cervical length
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/d65190da3e034d2d9a32e883d2e760c4
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COMPARISON OF DIAGNOSTIC ACCURACY OF TRANSPERINEAL SONOGRAPHY WITH THE TRANSVAGINAL ULTRASONOGRAPHY IN DETERMINING ACCURATE CERVICAL LENGTH

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