Keywords
Three-dimensional ultrasound volume imaging
Free anatomy section
Submitted : 2025-08-13
Accepted : 2025-08-28
Published : 2025-09-12
Abstract
Objective: To study the clinical value of three-dimensional ultrasound volume contrast imaging combined with free anatomy section in the diagnosis of intrauterine adhesions. Methods: 321 patients with suspected intrauterine adhesions admitted to Suzhou High-tech Zone People’s Hospital from July 2024 to July 2025 were selected. 94 cases were confirmed by hysteroscopy gold standard. All patients underwent separate examination of three-dimensional ultrasound volume contrast imaging (single examination) and a combined diagnosis scheme with free anatomy section (hereinafter referred to as combined diagnosis). The detection situation was analyzed, the diagnostic efficacy was calculated, and the results were compared with the gold standard to evaluate the advantages of combined diagnosis in disease classification. Results: The sensitivity and accuracy of the combined diagnosis were better than those of the single examination (P < 0.05). However, there was no significant difference in the detection rate of disease types between the two schemes (P > 0.05). Conclusion: The combination of three-dimensional ultrasound volume contrast imaging and free anatomy section can play a significant role in the diagnosis and classification of intrauterine adhesions, greatly improving the clinical detection rate.
References
Bu D, Lai G, Chen M, et al., 2025, Diagnostic Value of Three-Dimensional Power Doppler Combined With Tomographic Ultrasound Imaging for Intrauterine Adhesions. Chinese Medical Innovation, 22(8): 151–155.
Jin Y, Liu Q, Li H, et al., 2024, Diagnostic Value of Transvaginal Three-Dimensional Ultrasonography for Different Types of Uterine Cavity Lesions in Infertile Patients. Big Doctor, 9(24): 115–118.
Liu S, Fang Y, 2024, Evaluation of the Severity of Intrauterine Adhesions Using Color Doppler Flow Imaging Combined With Transvaginal Three-Dimensional Ultrasound. Journal of Medical Imaging, 34(9): 92–95.
Zhu D, Chen Y, Qin L, et al., 2024, Application Value and Clinical Significance of Transvaginal Three-Dimensional Ultrasound Imaging in Evaluating the Degree of Intrauterine Adhesions and Endometrial Receptivity. Journal of Hebei Medical University, 45(6): 716–723.
Qin Q, Tang Y, 2024, Application Value of Ultrasonography in the Diagnosis and Treatment of Intrauterine Adhesions. Journal of Practical Obstetrics and Gynecology, 40(4): 243–246.
Wang Z, Zhang Y, Yang H, et al., 2024, Diagnostic Value and Detection Rate Analysis of Transvaginal Three-Dimensional Ultrasonography for Intrauterine Adhesions. Imaging Technology, 36(2): 66–69 + 74.
Li L, Wu C, Liu X, et al., 2024, Evaluation of Transvaginal Three-Dimensional Ultrasound Flow Parameters on the Effect of Hysteroscopic Adhesion Lysis in Patients With Intrauterine Adhesions. Shanxi Medical Journal, 53(4): 258–261.
Huang Y, Dai X, Lai Y, 2023, Diagnostic Analysis of Intrauterine Adhesions Using Transvaginal Two-Dimensional Combined With Three-Dimensional Ultrasound Volume Imaging. Tibet Medicine, 44(6): 60–62.
Liu S, Liang Q, Yuan S, 2023, Evaluation of Endometrial Receptivity and Prediction of Pregnancy Outcome in Patients With Intrauterine Adhesions by Transvaginal Three-Dimensional Ultrasound. Clinical Medical Engineering, 30(10): 1333–1334.
Wei J, Zhang J, Lei T, 2023, Diagnostic Value of Three-Dimensional Transvaginal Ultrasound for Patients With Intrauterine Adhesions and Evaluation of Uterine Cavity Volume. Clinical Medical Research and Practice, 8(23): 93–96.
Tang R, Yu Q, Li X, et al., 2023, Diagnostic Value of Transvaginal Two-Dimensional Ultrasound Combined With Three-Dimensional Ultrasound Volume Imaging for Intrauterine Adhesions and Classification. Chinese Journal of Modern Medicine, 33(6): 65–70.
Nan F, Lu C, Zhang H, et al., 2022, Diagnosis of Peripheral Intrauterine Adhesions Using Intracavitary Three-Dimensional Ultrasound Free Anatomic Sections Combined With Volume Contrast Imaging. Chinese Journal of Interventional Imaging and Therapy, 19(6): 348–351.
Li X, Gao H, 2021, Diagnosis of Intrauterine Adhesions and Prediction of Severity by Transvaginal Three-Dimensional Ultrasound and Power Doppler. Chinese Journal of Family Planning, 29(3): 516–519 + 635.
Wei A, Peng J, Nan S, et al., 2020, Application Value of Transvaginal Three-Dimensional Ultrasound Volume Imaging in the Diagnosis of Uterine Malformations. West China Medical Journal, 32(8): 1234–1237.
Song L, Wang Y, Lin C, et al., 2019, Combined Application of Transvaginal Two-Dimensional Ultrasound, Three-Dimensional Ultrasound Volume Imaging, and Power Doppler Ultrasound in the Diagnosis of Intrauterine Adhesions. Chinese Journal of Clinical Medical Imaging, 30(5): 342–345 + 367.