P30.19: Application of quantification elastography in patients suspected of endometrial hyperplasia

Abstract

Endometrial pathologies are common ultrasound findings in group of peri and postmenopausal women and are an indication for further diagnostics including biopsy, curettage, hysteroscopy. This study assessed whether a new elastography application with quantification possibility can differentiate normal and abnormal endometrium and to be a helpful tool to establish further management. The study included a group of 47 patients with endometrial thickness more than 5 mm. Elastographic images of the uterus were achived in all patient, due to pressure applied by operator of transvaginal probe. Mid-saggital view of endometrium was delineated and assessed, according to EITA scale and with the use of elastography index (EI). Subsequently pathological analysis was performed. Correlation between elastography indices, presented in numbers and pathologic results was analyzed. Pathologies of endometrium (7 cases of carcinoma, 12 polyps, 5 hyperplasia) had higher elastography index - above 3. 22 out of 23 patients with normal and atrophic endometrium had EI less than 3. The values of EI for endometrial pathologies were in range from 3 to 8, the highest values were in hyperlasia and cancer. The corellation was significant, p < 0,0001. We did not find any changes in elastograms and EI, depending on the amount of pressure applied during examination. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.