Diagnostic Accuracy of Revised Follicular Number and Ovarian Volume on Ultrasound in Successful Detection of Polycystic Ovaries
Author(s): Shabnam Abbas, Amjad Sattar, Nauman Al Qamari*, Ayesha Walid, Ghulam Abbas and Jahan Ara
Abstract
Objectives: The objective of this study was to find out diagnostic accuracy of revised follicular number and ovarian volume on ultrasound in successful detection of polycystic ovaries in terms of sensitivity and specificity using Revised and Rotterdam’s diagnostic criteria. Design: Cross-sectional observational study Place and Duration: Radiology Department of Dow University of Health Sciences, Karachi, 6 months from March 2018-August 2018. Methodology: This cross sectional study was conducted in Radiology Department of Dow University of Health Sciences, Karachi, for 6 months from March 2018-August 2018 After ethical approval using non probability convenient sampling technique, 250 females of polycystic ovarian syndrome between 16-39years, having symptoms of were enrolled for the study and patients with endometric cysts and infertility due to secondary causes like tubal ligation were excluded. Clinical history, hormonal assay and Ultrasound were performed in the early follicular phase, between 2nd and 5th day of the menstrual cycle. After period of 4 weeks every patient was followed for lab investigations. SPSS version 20 was used for data analysis. Results: Among 250 patients, the mean age was25.61 ± 5.05years. 232 (92.8%) of the patients had menstrual irregularities, 79 (31.6%) had hirsutism, 51 (20.4%) had acne while 157 (62.8%) had infertility. Revised follicular volume and ovular volume criteria had 47.3% sensitivity and 91.9% specificity when compared with Rotterdam Criteria. Moreover, calculation of kappa statistic revealed a value of 0.365 (p<0.001). Conclusion: It was predicted in our study that revised follicular volume and ovular volume criteria had low sensitivity but high specificity as compared with Rotterdam Criteria. Furthermore, common clinical feature found in females diagnosed with polycystic ovarian disease was menstrual irregularities.