Re: Accuracy of TA versus TV ultrasounds

From: art fougner, md (evsono@pipeline.com)
Sun Jan 11 18:23:56 2004


If structures lie within the focal range of the transducer - vaginal sonography is more revealing. However, if the region of interest lies high in the pelvis or beyond, transabdominal is better.

art

At Sun, 11 Jan 2004, Anonymous wrote: >
>Dear Art
>
>Thank you very much for this study. It is clear in its conclusions and most
>helpful for this patient.
>I like what is said in the last line of the conclusion - good to have this
>as a baseline in studying pathological conditions.
>
>Problem is, I have never seen any of the Australian doctors I worked with
>ever order transvaginal ultrasounds. Perhaps they are changing now.
>
>>From personal experience I cannot tolerate transabdominal ultrasounds for
>visualisation of the uterus. While in Vienna, Austria I had the TV one
>done by a female OBGYN and although her English was somewhat interesting,
>it was by far an easier exam. She had very up to date equipment and I had
>a printout of the picture given to me as a record. Interestingly enough,
>it was an Australian Ultrasonographer on the Gold Coast in Queensland who
>found the 10cm fluid filled extra uterine cyst, and the follow up exam
>happened to be in Vienna. Having never had a TV ultrasound done I did
>wonder about the accuracy of it when she said the cyst had gone. She could
>see no sign of it.
>
>So, what is the accuracy of both these tests? Both 100% or one better than
>the other? Or does it depend on what you are looking for as the indications
>for each test?
>
>Interested to hear anyone's thoughts on this.
>
>Thanks again
>
>Regards
>
>Joanne.

--
art fougner, md
ich bin ein New Yorker




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