Pitfalls in sonographic imaging of the incompetent uterine cervix

Confino E, Mayden KL, Giglia RV, Vermesh M, Gleicher N

doi:10.3109/00016348609158394

Pitfalls in sonographic imaging of the incompetent uterine cervix

Norbert Gleicher, E Confino, R V Giglia, K L Mayden, M Vermesh

Foundation for Reproductive Medicine ROR
Mount Sinai Hospital ROR

Acta Obstetricia Et Gynecologica Scandinavica, 65(6), 593-597

DOI 10.3109/00016348609158394 PMID 3541483

Abstract

Artifacts interfering with sonographic imaging of the uterine cervix in pregnancy are described. Increasing the amount of fluid in the urinary bladder closes the cervix and alters the configuration of the lower uterine segment, while increased intra-uterine pressure results in reciprocal changes. Angulation of the transducer and manual pressure thereon distort sonographic findings. It is concluded that, contrary to recent reports in the literature, sonography cannot reliably demonstrate changes in cervical compliance during pregnancy. Vaginal examination remains the ultimate diagnostic modality for the diagnosis of the incompetent cervix, while sonography may be used as an adjunct only.

Topics

General OB/GYN > Cervical Incompetence > Diagnostic Imaging Diagnostics > Ultrasound > Cervical Assessment Pregnancy > Complications > Cervical Insufficiency

sonographic imaging incompetent cervix artifacts pregnancy, cervical incompetence ultrasound pitfalls bladder filling, uterine cervix sonography pregnancy diagnostic limitations, cervical compliance ultrasound versus vaginal examination, incompetent cervix diagnosis imaging artifacts transducer pressure, lower uterine segment sonographic distortion bladder volume, cervical insufficiency ultrasound reliability pregnancy, sonographic cervical assessment false findings pregnancy, cervical length measurement artifacts ultrasound technique, incompetent cervix diagnostic modality comparison vaginal exam

PMID 3541483 3541483 DOI 10.3109/00016348609158394 10.3109/00016348609158394

Cite this article

Confino, E., Mayden, K. L., Giglia, R. V., Vermesh, M., & Gleicher, N. (1986). Pitfalls in sonographic imaging of the incompetent uterine cervix. *Acta obstetricia et gynecologica Scandinavica*, *65*(6), 593-597. https://doi.org/10.3109/00016348609158394

Keywords

Cervix Uteri/physiopathology, Female, Humans, Pregnancy, Pressure, Prospective Studies, Transducers, Pressure, Ultrasonography, Uterine Cervical Incompetence/diagnosis

Pitfalls in sonographic imaging of the incompetent uterine cervix

Abstract

Topics

Cite this article

Keywords

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