Abstract
This study aimed to explore the diagnosis of endometrial polyps (EMP) by ultrasound imaging based on multi-operator algorithms combined with hysteroscopy. This study is the first to investigate the resolution of the ultrasound adaptive beamforming algorithm (MOAD), after which the proposed algorithm was applied to ultrasound diagnosis of 102 patients with EMP and pathologically diagnosed with vaginal irregular bleeding, and the evaluation efficacy of the MOAD algorithm based on EMP was compared. The resolution of the MOAD-based imaging algorithm (0.0645) was significantly lower than that of the diagonal loading operator (0.1475), the symbol coherence coefficient operator (0.1342), and the generalized coherence factor operator (0.1234), with significant differences ( P < 0.05 ). The proportion of patients with EMP aged 46–55 years was the largest (55.9%). There were 64 cases of EMP that produced complications, of which the proportion of patients with uterine fibroids (41.52%), abnormal uterine bleeding (76.24%), and menstrual changes (42.57%) was relatively large. Patients with nonfunctioning polyps accounted for the largest proportion (84.46%), followed by those with basal polyps (76.24%), and the difference was statistically significant ( P < 0.05 ). The positive cases of EMP detected by ultrasound imaging (38 cases) were significantly lower than those with pathological diagnosis (94 cases), and the difference was statistically significant ( P < 0.05 ). The SE, SP, FNR, and FPR of EMP diagnosed by ultrasound imaging combined with hysteroscopy were 64.45%, 84.67%, 35.48%, and 13.36%, respectively. It has high diagnostic value compared with single ultrasound imaging diagnosis, and the difference was statistically significant ( P < 0.05 ). In conclusion, the imaging based on the MOAD algorithm is obvious and the pixel resolution can be successfully improved. The diagnostic value of ultrasound combined with hysteroscopy for EMP was better than that of ultrasound alone ( P < 0.05 ), and it had a high diagnostic value.
Highlights
EMP is a very common disease in gynecology, with an incidence rate of 10% to 35%, and women of reproductive age and elderly women can be affected. It is mainly caused by the excessive sensitivity of some endometrial cells in the endometrium to estrogen, which is a benign lesion of the endometrium [1]
The imaging resolution based on the multioperator algorithm was first studied, and the results found that the imaging resolution based on the MOAD algorithm (0.0645) was significantly lower than that of the diagonal loading operator (0.1475) and the symbolic coherence coefficient calculation. e resolution of the sub (0.1342) and the generalized coherence factor operator (0.1234) can successfully improve the pixel resolution, and the difference is very large (P < 0.05)
A multioperator-based algorithm was applied to the ultrasound diagnosis of 102 EMPs admitted to our hospital and pathologically diagnosed with vaginal irregular bleeding patients, and the evaluation effects of EMPs were compared between the ultrasound adaptive beamforming algorithm based on multioperator optimization. e results showed that the proportion of patients aged 46–55 years was the largest (55.9%), indicating that 46–55 years was the peak of EMP. ere were 46 (45.15%) patients who had no history of abortion. is is consistent with van Hanegem et al.’s [13] study, which stated that the peak of EMP was about 40 years old
Summary
EMP is a very common disease in gynecology, with an incidence rate of 10% to 35%, and women of reproductive age and elderly women can be affected. It is mainly caused by the excessive sensitivity of some endometrial cells in the endometrium to estrogen, which is a benign lesion of the endometrium [1]. Most patients have no obvious symptoms, so it is difficult to get timely diagnosis and treatment at an early stage. For those with longer polyp pedicles, laser
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