What is the appropriate diagnostic evaluation of uterine fibroids?
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What is the appropriate diagnostic evaluation of uterine fibroids? Evidence-Based Answer: Both saline-infusion sonohysterography (SHG) and transvaginal sonography (TVS) are effective imaging modalities for diagnosing uterine pathology (SOR: B, based on cohort studies). Magnetic resonance imaging (MRI) evaluation appears to have a higher sensitivity compared with TVS (SOR: B, based on a cohort study). However, due to its noninvasive nature and relative cost efficiency, TVS is the preferred primary imaging modality to evaluate for fibroid disease (SOR: C, guideline based on opinion).
Evidence Based Practice 16(11): 09