Congenital Uterine Malformation by Experts (CUME): T-shaped uterus.

CONCLUSIONS: The diagnostic of T-shaped uterus is not easy and the agreement among top-experts is only moderate, and single expert judgment is commonly insufficient for accurate diagnosis. The study has identified three measurements with cut-offs that had good diagnostic test accuracy and fair to moderate reliability (lateral indentation depth ≥ 7 mm, lateral indentation angle ≤ 130° and T-angle ≤ 40°), and when applicated together they have provided high post-test probability of this condition. Based on the CUME criteria of T-shaped uterus, the prevalence, clinical implication and the management, as well as assessment of post-surgical morphologic outcomes of this condition may be determined with enough accuracy, reliability and with a known probability of disease after negative and positive test results. The CUME definition of T-shape uterus may help on the development of interventional randomized controlled trials, observational studies, and diagnostics of uterine morphology in every day practice, and therefore could be adopted by guidelines on uterine anomalies to enrich their classification systems. This article is protected by copyright. All rights reserved.
PMID: 31432589 [PubMed - as supplied by publisher]

Source: The Ultrasound Review of Obstetrics and Gynecology - August 19, 2019 Category: Radiology Authors: Ludwin A, Coelho Neto MA, Ludwin I, Nastri CO, Costa W, Acién M, Alcazar JL, Benacerraf B, Condous G, DeCherney A, De Wilde RL, Diamond MP, Emanuel MH, Guerriero S, Hurd W, Levine D, Lindheim S, Pellicer A, Petraglia F, Saridogan E, Martins WP Tags: Ultrasound Obstet Gynecol Source Type: research