{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:48:33Z","timestamp":1783428513686,"version":"3.54.6"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,11]],"date-time":"2016-11-11T00:00:00Z","timestamp":1478822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate whether endometrial patterns and thickness could be used for the prediction of ectopic pregnancy (<jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective study was conducted in a center in India between October 2007 and December 2008. It included 100 women with an early pregnancy confirmed by urine pregnancy testing but for whom an intrauterine gestational sac was not visualized on transvaginal ultrasonography (<jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content>). The women were divided into an <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content> group and an intrauterine pregnancy (<jats:styled-content style=\"fixed-case\">IUP<\/jats:styled-content>) group depending on the final diagnosis. The endometrial pattern and endometrial thickness were determined by <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content>. Sensitivity and receiver operating characteristic curve analyses were performed to determine the predictive value.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A heterogenous hyperechoic or trilaminar endometrial pattern was noted in 53 (77%) of 69 women in the <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content> group and 12 (39%) of 31 in the <jats:styled-content style=\"fixed-case\">IUP<\/jats:styled-content> group, and a homogenous hyperechoic pattern in 3 (4%) women in the <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content> group and 13 (42%) in the <jats:styled-content style=\"fixed-case\">IUP<\/jats:styled-content> group. An endometrial thickness of less than 9.8\u00a0mm was predictive of <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content> (<jats:italic>P<\/jats:italic>&lt;0.001), and an endometrial pattern other than homogenous hyperechoic had a sensitivity and a negative predictive value of 81.3% for the diagnosis of <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Evaluation of endometrial thickness and pattern by <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> helps to identify women with a pregnancy of unknown location for close supervision.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12020","type":"journal-article","created":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T05:56:09Z","timestamp":1500616569000},"page":"70-75","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of sonographic endometrial patterns and endometrial thickness as predictors of ectopic pregnancy"],"prefix":"10.1002","volume":"136","author":[{"given":"Poonam","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Dr. Ram Manohar Lohia Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshuja","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Sidana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amita","family":"Suneja","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelam B.","family":"Vaid","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Medical Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,11]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"253","volume-title":"Williams Obstetrics","author":"Cunningham FG","year":"2005"},{"key":"e_1_2_7_3_1","first-page":"1","volume-title":"Progress in Obstetrics and Gynaecology","author":"Condous G","year":"2005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2001.00031.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1999.14040231.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.humrep.a136123"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(00)01542-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1999.tb00413.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)58522-7"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(99)00328-3"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1999.18.2.117"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0096(199605)24:4<179::AID-JCU4>3.0.CO;2-C"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.039"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0096(199805)26:4<199::AID-JCU4>3.0.CO;2-8"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20451"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.217.2.r00nv34516"},{"key":"e_1_2_7_17_1","first-page":"162","article-title":"A method of screening for ectopic pregnancy and its indications","volume":"58","author":"Kadar N","year":"1981","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_18_1","first-page":"519","article-title":"The contemporary surgical management of unruptured ectopic pregnancy","volume":"26","author":"DeCherney AH","year":"1981","journal-title":"J Reprod Med"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115964"},{"key":"e_1_2_7_20_1","doi-asserted-by":"crossref","unstructured":"SepilianVP WoodE.Ectopic pregnancy.2016.http:\/\/emedicine.medscape.com\/article\/258768-overview. 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