ArticleJournal of obstetrics and gynaecology of India2021
Comparative Study of USG and MRI in Evaluation of Isthmocele.
Article in Journal of obstetrics and gynaecology of India, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06620432 (High Segmental Hysterotomy vs. Low Segmental Hysterotomy), which is not on this map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
High Segmental Hysterotomy vs. Low Segmental Hysterotomy: Association With the Incidence of Uterine Wall Defects After Cesarean Section
Who cites it
5 citing papers in PubMed.
- Prevalence of isthmocele according to diagnostic hysteroscopy, transvaginal ultrasound, and magnetic resonance imaging in non-pregnant women: cross-sectional study.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Isthmocele risk in repeated cesarean: the diagnostic and clinical role of morphometric parameters.Archives of gynecology and obstetrics · 2025Article
- Ranking of Risk Factors Leading to Uterine Scar Defect-Systematic Online Review.Journal of clinical medicine · 2025Review
- Is the hysteroscopic surgery of isthmocele related to the niche dimensions?Revista da Associacao Medica Brasileira (1992) · 2025Article
- Isthmocele and Infertility.Journal of clinical medicine · 2024Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study the presence of isthmocele in post-cesarean women using USG and MRI and its correlation with risk factors.
methodThis was a prospective observational study. A total of 90 patients were enrolled at the time of discharge of cesarean delivery and were advised to come for follow-up at 3-4 months for detection of isthmocele. A total of 82 patients reported for follow-up, and TVS and MRI Pelvis were done for visualization of isthmocele. If isthmocele was diagnosed, its correlation with risk factors was studied.
resultsOn TVS isthmocele was present in 11 patients and on MRI in 16 patients. Detection rate was 77.07% in comparison with previous studies. Compared to MRI, sensitivity of USG was 68.75%; however, the specificity and positive predictive value for both were 100%. The negative predictive value for USG compared to MRI was 92.96%. Shape of the isthmocele was triangular in most women. Obesity, prior history of cesarean delivery, elective cesarean, gestational diabetes, preeclampsia and prolonged active labor were associated with development of isthmocele.
conclusionThe study concluded that yield of diagnosis of isthmocele by MRI was better than TVS but not statistically significant. Further study with large sample size is needed to identify the best tool for diagnosis of isthmocele. Obesity, gestational diabetes, preeclampsia, prior history of cesarean, elective cesarean and prolonged active labor were associated with development of isthmocele.
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