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dc.contributor.authorGriffin, Kyle W.eng
dc.contributor.authorEllis, Mark R.eng
dc.contributor.authorWilder, Lauraeng
dc.date.issued2005eng
dc.description.abstractAlthough transvaginal sonography (TVS) has inconsistent sensitivity (0.21-1.00) and specificity (0.53-1.00), its cost-efficiency and noninvasiveness make it the best initial test for ruling in fibroid disease (strength of recommendation [SOR]: B, based on expert opinion, a systematic review, and prospective studies). Sonohysterography (SHG) and hysteroscopy have superior sensitivity, specificity, and more discriminating positive and negative likelihood ratios for diagnosing fibroids than does TVS (SOR: B, systematic review). SHG is less painful, less invasive, and more cost-effective than hysteroscopy (SOR: B; single, prospective comparative study and cost comparison). Magnetic resonance imaging (MRI) had comparable precision to TVS in a single study, but it is too expensive to be a good initial test for fibroids (SOR: C, expert opinion and an uncontrolled prospective study). One study reported a strong correlation between ultrasound and bimanual examination (SOR: C, retrospective case review).eng
dc.identifier.urihttp://hdl.handle.net/10355/3328eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofcollectionClinical Inquiries, 2005 (MU)eng
dc.relation.ispartofcommunityUniversity of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Networkeng
dc.relation.ispartofseriesJournal of family practice, 54, no. 05 (May 2005): 458+eng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.subjectsonohysterography (SHG)eng
dc.subjectcost-efficiencyeng
dc.subjecttransvaginal sonography (TVS)eng
dc.subjectbimanual examinationeng
dc.subject.lcshUterine fibroidseng
dc.subject.lcshDiagnostic ultrasonic imagingeng
dc.subject.lcshGenerative organs, Female -- Ultrasonic imagingeng
dc.subject.lcshTransvaginal ultrasonographyeng
dc.subject.lcshGenerative organs, Female -- Magnetic resonance imagingeng
dc.subject.lcshGenerative organs, Female -- Diseases -- Diagnosiseng
dc.titleWhat is the appropriate diagnostic evaluation of fibroids?eng
dc.typeArticleeng


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