Imperial College London
Alternate

Professor Tom Bourne

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Chair in Gynaecology
 
 
 
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Contact

 

+44 (0)20 3313 5131t.bourne Website

 
 
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Location

 

Early pregnancy and acute gynaecologyInstitute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Jordans:2019:10.1002/uog.19049,
author = {Jordans, IPM and de, Leeuw RA and Stegwee, SI and Amso, NN and Barri-Soldevila, PN and van, den Bosch T and Bourne, T and Brolmann, HAM and Donnez, O and Dueholm, M and Hehenkamp, WJK and Jastrow, N and Jurkovic, D and Mashiach, R and Naji, O and Streuli, I and Timmerman, D and van, der Voet LF and Huirne, JAF},
doi = {10.1002/uog.19049},
journal = {Ultrasound in Obstetrics and Gynecology},
pages = {107--115},
title = {Sonographic examination of uterine niche in non-pregnant women: a modified Delphi procedure},
url = {http://dx.doi.org/10.1002/uog.19049},
volume = {53},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveTo generate guidance for detailed uterine niche evaluation by ultrasonography in the nonpregnant woman, using a modified Delphi procedure amongst European experts.MethodsTwenty gynecological experts were approached through their membership of the European Niche Taskforce. All experts were physicians with extensive experience in niche evaluation in clinical practice and/or authors of niche publications. By means of a modified Delphi procedure, relevant items for niche measurement were determined based on the results of a literature search and recommendations of a focus group of six Dutch experts. It was predetermined that at least three Delphi rounds would be performed (two online questionnaires completed by the expert panel and one group meeting). For it to be declared that consensus had been reached, a consensus rate for each item of at least 70% was predefined.ResultsFifteen experts participated in the Delphi procedure. Consensus was reached for all 42 items on niche evaluation, including definitions, relevance, method of measurement and tips for visualization of the niche. A niche was defined as an indentation at the site of a Cesarean section with a depth of at least 2 mm. Basic measurements, including niche length and depth, residual and adjacent myometrial thickness in the sagittal plane, and niche width in the transverse plane, were considered to be essential. If present, branches should be reported and additional measurements should be made. The use of gel or saline contrast sonography was preferred over standard transvaginal sonography but was not considered mandatory if intrauterine fluid was present. Variation in pressure generated by the transvaginal probe can facilitate imaging, and Doppler imaging can be used to differentiate between a niche and other uterine abnormalities, but neither was considered mandatory.ConclusionConsensus between niche experts was achieved regarding ultrasonographic niche evaluation. © 2018 The Authors. Ultrasoun
AU  - Jordans,IPM
AU  - de,Leeuw RA
AU  - Stegwee,SI
AU  - Amso,NN
AU  - Barri-Soldevila,PN
AU  - van,den Bosch T
AU  - Bourne,T
AU  - Brolmann,HAM
AU  - Donnez,O
AU  - Dueholm,M
AU  - Hehenkamp,WJK
AU  - Jastrow,N
AU  - Jurkovic,D
AU  - Mashiach,R
AU  - Naji,O
AU  - Streuli,I
AU  - Timmerman,D
AU  - van,der Voet LF
AU  - Huirne,JAF
DO  - 10.1002/uog.19049
EP  - 115
PY  - 2019///
SN  - 0960-7692
SP  - 107
TI  - Sonographic examination of uterine niche in non-pregnant women: a modified Delphi procedure
T2  - Ultrasound in Obstetrics and Gynecology
UR  - http://dx.doi.org/10.1002/uog.19049
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000454831300014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.19049
UR  - http://hdl.handle.net/10044/1/75372
VL  - 53
ER  -
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