1.International Endometrial Tumor Analysis (IETA) terminology for the evaluation of endometrial color flow and vascular pattern in women with abnormal uterine bleeding – a reproducibility study among ob-gyn ultrasound subspecialists in a tertiary training hospital
Nina Rojana Lim Yu ; Regina Rosario Panlilio-Vitriolo
Philippine Journal of Obstetrics and Gynecology 2023;47(5):260-270
Background:
The International Endometrial Tumor Analysis (IETA) group developed a catalog
of standardized terms to describe findings that may be associated with uterine pathology. However,
there is a lack of reliability studies for these descriptors in the literature.
Objective:
The objective of this study was to estimate interobserver and intraobserver reliability
with regard to the IETA group descriptors for endometrial vascular characteristics in women with
abnormal uterine bleeding.
Materials and Methods:
Five nonexpert and five expert raters assessed stored still images
of transvaginal ultrasound examinations obtained from 68 women with abnormal uterine bleeding
and endometrial thickening. Endometrial vascularity was evaluated using the IETA group descriptors
for color flow and vascular pattern. Interobserver agreement was estimated by comparing the
assessments of the nonexpert and expert raters. Intraobserver agreement was estimated by repeating
the raters’ assessment after 4 weeks. Interrater agreement to the subjective assessment of an expert
investigator was also computed.
Results and Conclusion
The reproducibility of assigning IETA color score is good regardless
of the degree of expertise of the rater, although the experts displayed better interobserver reliability
(κ = 0.74 vs. 0.57) and intraobserver reliability (κ = 0.84 vs. 0.63). However, the reproducibility
of describing IETA vascular patterns is significantly worse for both expert and nonexpert raters
in both interobserver reliability (experts κ = 0.49 vs. 0.34) and intraobserver reliability (experts
κ = 0.65 vs. 0.42). Both expert and nonexpert raters exhibited acceptable agreement with the
reference standard, with experts performing better for both color score (κ = 0.79 vs. 0.70) and
vascular pattern (κ = 0.63 vs. 0.44).
Endometrium
2.Immunohistochemical Localization of Transforming Growth Factor-beta1, beta2 in the Endometrium of Fertile and Infertile Patients.
Jung Hye HWANG ; Jae Auk LEE ; Se Jin JANG
Korean Journal of Obstetrics and Gynecology 1997;40(12):2698-2704
No abstract available.
Endometrium*
;
Female
;
Humans
3.Clinical and pathologic correlation of endometrium detected by transvaginal sonography in postmenopausal women.
Hye Sung MOON ; Young Ju KIM ; Hyn Mee RYU ; Kyung Hee CHOI ; Hye Woon JUNG ; Bock Hi WOO
Korean Journal of Obstetrics and Gynecology 1993;36(7):2913-2927
No abstract available.
Endometrium*
;
Female
;
Humans
4.Synchronous Multiple Primary Malignant Neoplasm Involving the Uterine Endometrium and Ovary.
Yoon Soo KIM ; Sun Ok LEE ; Young Kyoung LEE ; Han Moie PARK ; Kyung Ah JUNG ; Sun Hee CHUN ; Jung Ja AHN ; Chong Il KIM ; Woon Sub HAN ; Seung Cheol KIM
Korean Journal of Obstetrics and Gynecology 2004;47(10):2019-2024
Multiple primary malignant neoplasm means that more than 2 cancers are independently developed in one individual. In general, the neoplasms are diagnosed simultaneously or within 6 month interval. Simultaneous presentation of carcinomas involving ovary and uterus is not a common event and presents a diagnostic dilemma when they are of the same histology. We experienced a rare case of multiple primary malignant neoplasm involving the uterine endometrium and the ovary synchronously. Thus we report this case with a review of literatures.
Endometrium*
;
Female
;
Ovary*
;
Uterus
5.A case of mullerian adenosarcoma of endometrium.
Joong Han YOON ; Min Hwa JEONG ; Jin Hong KIM ; Jong Gu RHA
Korean Journal of Obstetrics and Gynecology 1991;34(2):293-297
No abstract available.
Adenosarcoma*
;
Endometrium*
;
Female
6.A case of mullerian adenosarcoma of endometrium.
Joong Han YOON ; Min Hwa JEONG ; Jin Hong KIM ; Jong Gu RHA
Korean Journal of Obstetrics and Gynecology 1991;34(2):293-297
No abstract available.
Adenosarcoma*
;
Endometrium*
;
Female
7.A case of malignant mixed m llerian tumor in the uterine cervix and endometrium after radiation therapy.
Moon Tyung LEE ; Hyun Tae PARK ; Sun Young PARK ; Jin Woo SHIN ; Yong Soo PARK ; Yong Ho LEE ; Young Tae KIM ; Kyu Wan LEE
Korean Journal of Obstetrics and Gynecology 2000;43(10):1865-1869
No abstract available.
Cervix Uteri*
;
Endometrium*
;
Female
8.Adhesion and invasion of shed endometrium in an in-vitro model for endometriosis using amnion.
Mi Gyung KOONG ; Jin Hyun JEON ; Gyung Nam KO ; Eun Soo KIM ; Jong Young JEON ; In Soo KANG
Korean Journal of Obstetrics and Gynecology 2000;43(12):2237-2242
No abstract available.
Amnion*
;
Endometriosis*
;
Endometrium*
;
Female
9.Hereditary portion as an initial genetic approach in gynecologic cancer: synchronous tumor of ovary and endometrium.
Heon Jong YOO ; Sang Yoon PARK ; Myong Cheol LIM
Journal of Gynecologic Oncology 2012;23(1):72-73
No abstract available.
Endometrium
;
Female
;
Ovary
10.A Case of Endometrial Tuberculosis with coexisting Adenocarcinoma of the Endometrium.
Su Mi OH ; Keum Sin LEE ; Jae Ryang SIM ; Bong Ju LEE ; Kyoung Hee KO ; Heung Gon KIM ; Hyung Bae MOON
Korean Journal of Obstetrics and Gynecology 2001;44(5):990-993
The association of carcinoma and tuberculosis in any organ is rare and in the endometrium is extremely rare. Only a small number of cases of endometrial tuberculosis with coexisting endometrial adenocarcinoma have been reported in the literature. We experienced a case of endometrial tuberculosis with coexisting endometrial adenocarcinoma and report with a brief review of literature.
Adenocarcinoma*
;
Endometrium*
;
Female
;
Tuberculosis*