{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:44:37Z","timestamp":1792680277979,"version":"4.5.0"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Abdom Radiol"],"DOI":"10.1007\/s00261-026-05424-1","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T12:26:44Z","timestamp":1772540804000},"page":"4587-4599","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Diagnostic accuracy of transvaginal ultrasound-measured endometrial thickness and serum hCG levels in detecting retained products of conception: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"51","author":[{"given":"Ying","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaying","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqin","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meifang","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"5424_CR1","doi-asserted-by":"publisher","unstructured":"Xu L,Chen H ,Xiao Y, et al. High-intensity focused ultrasound ablation combined with hysteroscopy for the treatment of uterine arteriovenous fistula associated with retained products of conception: a prospective cohort study.[J].Journal of minimally invasive gynecology,2024,32(1):64\u201371.DOI:https:\/\/doi.org\/10.1016\/J.JMIG.2024.09.010.","DOI":"10.1016\/J.JMIG.2024.09.010"},{"key":"5424_CR2","doi-asserted-by":"publisher","unstructured":"Poucke V E,Dewilde K ,Bosch D V T. Medical versus expectant management for retained products of conception after initial treatment for early pregnancy loss or induced abortion, a systematic review[J].Journal of Endometriosis and Uterine Disorders,2025,12100134-https:\/\/doi.org\/10.1016\/J.JEUD.2025.100134.","DOI":"10.1016\/J.JEUD.2025.100134"},{"key":"5424_CR3","doi-asserted-by":"publisher","unstructured":"Pr\u0161a G,Serdin\u0161ek T ,Andri\u0107 \u017d B. Management of retained products of conception in a tertiary centre: a 20-year retrospective cohort study[J].BMC Women\u2019s Health,2025,25(1):440\u2013440.DOI:https:\/\/doi.org\/10.1186\/S12905-025-03995-7.","DOI":"10.1186\/S12905-025-03995-7"},{"key":"5424_CR4","doi-asserted-by":"publisher","unstructured":"Matsumoto R,Ota K ,Fukunaga T, et al. A Hybrid Strategy Using Uterine Artery Embolization Followed by Hysteroscopic Morcellation for Vascular Retained Products of Conception After Spontaneous Miscarriage: Two Case Reports.[J].Journal of clinical medicine,2025,14(19):6800\u20136800.DOI:https:\/\/doi.org\/10.3390\/JCM14196800.","DOI":"10.3390\/JCM14196800"},{"key":"5424_CR5","doi-asserted-by":"publisher","unstructured":"Pinho D A,Soares C ,Lopes P J, et al. Minimally invasive management of cesarean scar dehiscence due to retained products of conception[J].European Journal of Obstetrics & Gynecology and Reproductive Biology,2025,313(S1):114479\u2013114479.DOI:https:\/\/doi.org\/10.1016\/J.EJOGRB.2025.114479.","DOI":"10.1016\/J.EJOGRB.2025.114479"},{"key":"5424_CR6","doi-asserted-by":"publisher","unstructured":"Yifei D,Linling Z ,Fen W, et al. Sepsis following hysteroscopic removal of retained products of conception: A case report and literature review[J].Medicine,2025,104(36):e44391-e44391.DOI:https:\/\/doi.org\/10.1097\/MD.0000000000044391.","DOI":"10.1097\/MD.0000000000044391"},{"key":"5424_CR7","doi-asserted-by":"publisher","unstructured":"Bor N,Zeevi G ,Litmanovich A, et al. Clinical Outcomes of Combined Medical and Surgical Treatment for Infected Retained Products of Conception.[J].Journal of minimally invasive gynecology,2025,DOI:https:\/\/doi.org\/10.1016\/J.JMIG.2025.08.028.","DOI":"10.1016\/J.JMIG.2025.08.028"},{"key":"5424_CR8","doi-asserted-by":"publisher","unstructured":"Incognito G G,Ettore C ,Tommasi D O, et al. Ultrasound Assessment of Retained Products of Conception (RPOC): Insights from the Current Literature[J].Journal of Clinical Medicine,2025,14(16):5864\u20135864.DOI:https:\/\/doi.org\/10.3390\/JCM14165864.","DOI":"10.3390\/JCM14165864"},{"key":"5424_CR9","doi-asserted-by":"publisher","unstructured":"Blyth U,Fourie H ,Akinola L, et al. Definition and diagnostic criteria of retained products of conception following first-trimester pregnancy loss: a systematic review.[J].Human fertility (Cambridge, England),2025,28(1):2522054.DOI:https:\/\/doi.org\/10.1080\/14647273.2025.2522054.","DOI":"10.1080\/14647273.2025.2522054"},{"key":"5424_CR10","doi-asserted-by":"publisher","unstructured":"Yunxing F,Zengjing L ,Lin G, et al. New prospects for high-intensity focused ultrasound ablation in the treatment of uterine arteriovenous fistula associated with retained products of conception: A retrospective cohort study[J].Medicine,2025,104(27):e43211-e43211.DOI:https:\/\/doi.org\/10.1097\/MD.0000000000043211.","DOI":"10.1097\/MD.0000000000043211"},{"key":"5424_CR11","doi-asserted-by":"publisher","unstructured":"Austruy P,Devemy C ,Rolland L A, et al. [Management of retained products of conception post abortion].[J].Gynecologie, obstetrique, fertilite & senologie,2025,DOI:https:\/\/doi.org\/10.1016\/J.GOFS.2025.06.008.","DOI":"10.1016\/J.GOFS.2025.06.008"},{"key":"5424_CR12","doi-asserted-by":"publisher","unstructured":"Boivin Z,Li J J ,Liu R, et al. The authors respond to reader comment regarding \u201caccuracy of point-of-care ultrasound in diagnosing retained products of conception\u201d.[J].The American journal of emergency medicine,2025,DOI:https:\/\/doi.org\/10.1016\/J.AJEM.2025.06.028.","DOI":"10.1016\/J.AJEM.2025.06.028"},{"key":"5424_CR13","doi-asserted-by":"publisher","unstructured":"Incognito G G,Ma\u010dek J K ,Blaganje M, et al. Effectiveness of office hysteroscopy for retained products of conception: insights from 468 cases[J].Archives of Gynecology and Obstetrics,2025,312(3):1\u201311.DOI:https:\/\/doi.org\/10.1007\/S00404-025-08075-7.","DOI":"10.1007\/S00404-025-08075-7"},{"key":"5424_CR14","doi-asserted-by":"publisher","unstructured":"Sasatsu S,Ono Y ,Miyashita D, et al. The effectiveness of an oral gonadotropin-releasing hormone antagonist relugolix for retained products of conception (RPOC) formed after abortion at less than 22 weeks of gestation: a retrospective study[J].Frontiers in Medicine,2025,121543272-https:\/\/doi.org\/10.3389\/FMED.2025.1543272.","DOI":"10.3389\/FMED.2025.1543272"},{"key":"5424_CR15","doi-asserted-by":"publisher","unstructured":"Zhang J H,Shao J L ,Zhang M Z, et al. Retrospective comparation of three surgical interventions for retained products of conception (RPOC) following terminations of pregnancy in the second and third trimesters: a single center study.[J].Ginekologia polska,2025,DOI:https:\/\/doi.org\/10.5603\/GPL.102509.","DOI":"10.5603\/GPL.102509"},{"key":"5424_CR16","doi-asserted-by":"publisher","unstructured":"Xholli A,Scovazzi U ,Londero P A, et al. Reproductive outcomes after expectant management of enhanced myometrial vascularity secondary to first trimester retained products of conception: A follow-up study.[J].International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics,2025,171(1):468\u2013470.DOI:https:\/\/doi.org\/10.1002\/IJGO.70213.","DOI":"10.1002\/IJGO.70213"},{"key":"5424_CR17","doi-asserted-by":"publisher","unstructured":"Yamaguchi M,Yoshimura S ,Kondoh E. The Uterine Vessel as a Cause of Postpartum Hemorrhage and Vascular Retained Products of Conception Following the Resolution of a Low-Lying Placenta.[J].Journal of clinical ultrasound : JCU,2025,53(7):1645\u20131647.DOI:https:\/\/doi.org\/10.1002\/JCU.24056.","DOI":"10.1002\/JCU.24056"},{"key":"5424_CR18","doi-asserted-by":"publisher","unstructured":"Nautiyal A,PS A ,Chavadi V C. An unsuspected case of uterine arteriovenous malformation with nidus aneurysm following vaginal delivery: Diagnostic challenges and management[J].Radiology Case Reports,2025,20(5):2624\u20132630.DOI:https:\/\/doi.org\/10.1016\/J.RADCR.2025.01.006.","DOI":"10.1016\/J.RADCR.2025.01.006"},{"key":"5424_CR19","doi-asserted-by":"publisher","unstructured":"Yamaguchi M,Motohara T ,Ohba T, et al. Vascular Retained Products of Conception Following Delivery: Efficacy of Estrogen-Progestogen Therapy.[J].Journal of clinical ultrasound : JCU,2025,53(6):1367\u20131372.DOI:https:\/\/doi.org\/10.1002\/JCU.24031.","DOI":"10.1002\/JCU.24031"},{"key":"5424_CR20","doi-asserted-by":"publisher","unstructured":"Kalendaryov A,Sharon A ,Sgayer I, et al. Diagnostic Accuracy of Endometrial Thickness in Identifying Retained Products of Conception and Tailored Hysteroscopic Management - A Retrospective Study.[J].Gynecologic and obstetric investigation,2025,11\u201313.DOI:https:\/\/doi.org\/10.1159\/000545637.","DOI":"10.1159\/000545637"},{"key":"5424_CR21","doi-asserted-by":"publisher","unstructured":"Huang J,Lin J ,Cai R, et al. Significance of endometrial thickness change after human chorionic gonadotrophin triggering in modified natural cycles for frozen-thawed embryo transfer[J].Annals of Translational Medicine,2020,8(23):1590\u20131590.DOI:https:\/\/doi.org\/10.21037\/ATM-20-1459.","DOI":"10.21037\/ATM-20-1459"},{"key":"5424_CR22","doi-asserted-by":"publisher","unstructured":"Eftekhar M,Mehrjardi Z S ,Molaei B, et al. The correlation between endometrial thickness and pregnancy outcomes in fresh ART cycles with different age groups: a retrospective study[J].Middle East Fertility Society Journal,2019,24(4):291\u2013298.DOI:https:\/\/doi.org\/10.1186\/s43043-019-0013-y.","DOI":"10.1186\/s43043-019-0013-y"},{"key":"5424_CR23","doi-asserted-by":"publisher","unstructured":"Adrien C D,Fran\u00e7ois M D ,Clotilde P D, et al. Predictive factors of ectopic pregnancy among patient followed up for pregnancy of unknown location: management optimization with endometrial thickness ?[J].Journal of gynecology obstetrics and human reproduction,2025,54(8):102994.DOI:https:\/\/doi.org\/10.1016\/J.JOGOH.2025.102994.","DOI":"10.1016\/J.JOGOH.2025.102994"},{"key":"5424_CR24","doi-asserted-by":"publisher","unstructured":"Narayana N,Khurana A ,Rai S, et al. Intrauterine G-CSF in IUI cycles for women with thin endometrium may improve endometrial thickness and pregnancy rates: A randomized controlled study[J].Medical Journal Armed Forces India,2025,81(4):410\u2013415.DOI:https:\/\/doi.org\/10.1016\/J.MJAFI.2023.11.007.","DOI":"10.1016\/J.MJAFI.2023.11.007"},{"key":"5424_CR25","doi-asserted-by":"publisher","unstructured":"Huang W,Tang J ,Wei L, et al. Association of endometrial thickness with live birth rates among women undergoing fresh IVF, FET, and PGT cycles[J].Frontiers in Cell and Developmental Biology,2025,131530953-https:\/\/doi.org\/10.3389\/FCELL.2025.1530953.","DOI":"10.3389\/FCELL.2025.1530953"},{"key":"5424_CR26","doi-asserted-by":"publisher","unstructured":"Antonio S,Paolo F B ,Maria A C, et al. The use of real time strain endometrial elastosonography plus endometrial thickness and vascularization flow index to predict endometrial receptivity in IVF treatments: a pilot study[J].BMC Medical Imaging,2023,23(1):130\u2013130.DOI:https:\/\/doi.org\/10.1186\/S12880-023-01071-W.","DOI":"10.1186\/S12880-023-01071-W"},{"key":"5424_CR27","doi-asserted-by":"publisher","unstructured":"Stylianos V,R C S ,E K J, et al. The impact of anti-M\u00fcllerian hormone on endometrial thickness in gonadotropin stimulation\/intrauterine insemination cycles: is there an effect on pregnancy outcomes?[J].Journal of assisted reproduction and genetics,2023,40(4):845\u2013850.DOI:https:\/\/doi.org\/10.1007\/S10815-023-02736-9.","DOI":"10.1007\/S10815-023-02736-9"},{"key":"5424_CR28","doi-asserted-by":"publisher","unstructured":"Sarah H,Xiaohong L ,Shan L, et al. Inter-Cycle Variation in Endometrial Thickness in Fresh Embryo Transfer Cycles: Predictors and Association with Pregnancy Outcome[J].Fertility & Reproduction,2022,04(03n04):DOI:https:\/\/doi.org\/10.1142\/S2661318222740632.","DOI":"10.1142\/S2661318222740632"},{"key":"5424_CR29","doi-asserted-by":"publisher","unstructured":"Fulya C,Mehmet D ,Varol G, et al. Does endometrial thickness affect pregnancy outcomes in isolated male infertility IVF cycles? A retrospective cohort study.[J].Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology,2022,42(7):1\u20135.DOI:https:\/\/doi.org\/10.1080\/01443615.2022.2109141.","DOI":"10.1080\/01443615.2022.2109141"},{"key":"5424_CR30","doi-asserted-by":"publisher","unstructured":"Neal M,Michael H ,Lynn M, et al. Optimal Endometrial Thickness in Fresh and Frozen-Thaw In Vitro Fertilization Cycles: An Analysis of Live Birth Rates From 96,000 Autologous Embryo Transfers[J].Obstetrical & Gynecological Survey,2022,77(8):483\u2013484.DOI:https:\/\/doi.org\/10.1097\/01.OGX.0000856324.89575.D1.","DOI":"10.1097\/01.OGX.0000856324.89575.D1"},{"key":"5424_CR31","doi-asserted-by":"publisher","unstructured":"Jianing X,Shaodi Z ,Lei J, et al. The Effects of Endometrial Thickness on Pregnancy Outcomes of Fresh IVF\/ICSI Embryo Transfer Cycles: An Analysis of Over 40,000 Cycles Among Five Reproductive Centers in China[J].Frontiers in Endocrinology,2022,12788706-https:\/\/doi.org\/10.3389\/FENDO.2021.788706.","DOI":"10.3389\/FENDO.2021.788706"},{"key":"5424_CR32","doi-asserted-by":"publisher","unstructured":"Zizhen G,Wei C ,Yuqing W, et al. Nomogram to predict an endometrial thickness above 7.5\u00a0mm in the frozen embryo transfer cycle of women with a thin endometrium.[J].Reproductive biomedicine online,2021,44(2):324\u2013332.DOI:https:\/\/doi.org\/10.1016\/J.RBMO.2021.10.022.","DOI":"10.1016\/J.RBMO.2021.10.022"},{"key":"5424_CR33","doi-asserted-by":"publisher","unstructured":"T M L,R W H L ,Y H E N. Impact of Endometrial Thickness and Volume Compaction on the Live Birth Rate Following Fresh Embryo Transfer of In Vitro Fertilization.[J].Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine,2021,41(6):1455\u20131463.DOI:https:\/\/doi.org\/10.1002\/JUM.15830.","DOI":"10.1002\/JUM.15830"},{"key":"5424_CR34","doi-asserted-by":"publisher","unstructured":"Xiaojie L,Han W ,Xiao F, et al. Association between endometrial thickness and birth weight in fresh IVF\/ICSI embryo transfers: a retrospective cohort study of 9273 singleton births.[J].Reproductive biomedicine online,2021,43(6):1087\u20131094.DOI:https:\/\/doi.org\/10.1016\/J.RBMO.2021.08.021.","DOI":"10.1016\/J.RBMO.2021.08.021"},{"key":"5424_CR35","doi-asserted-by":"publisher","unstructured":"ShuJie L,Renjie W ,Cheng H, et al. Analysis of endometrial thickness patterns and pregnancy outcomes considering 12,991 fresh IVF cycles[J].BMC Medical Informatics and Decision Making,2021,21(1):176\u2013176.DOI:https:\/\/doi.org\/10.1186\/S12911-021-01538-2.","DOI":"10.1186\/S12911-021-01538-2"},{"key":"5424_CR36","doi-asserted-by":"publisher","unstructured":"Eshwarappa M,Konana G,Hamsa V, et al. Clinicomicrobiological Profile and Outcome of Puerperal Sepsis-related Acute Kidney Injury in a Tertiary Care Center from South India[J].Turkish J Nephrol,2025,34(2):103\u2013110.DOI:https:\/\/doi.org\/10.5152\/TURKJNEPHROL.2024.24882.","DOI":"10.5152\/TURKJNEPHROL.2024.24882"},{"key":"5424_CR37","doi-asserted-by":"publisher","unstructured":"Sun Y,Yang M ,Bai W. A retrospective analysis of the characteristics of acquired uterine arteriovenous malformations associated with retained products of conception.[J].Ginekologia polska,2025,DOI:https:\/\/doi.org\/10.5603\/GPL.101558.","DOI":"10.5603\/GPL.101558"},{"key":"5424_CR38","doi-asserted-by":"publisher","unstructured":"Sharon A,Kalendaryov A ,Sgayer I, et al. Characteristics and Diagnostic Accuracy of Retained Products of Conception After Delivery vs. Abortion: A Retrospective Cohort Study.[J].Cureus,2025,17(3):e80380.DOI:https:\/\/doi.org\/10.7759\/CUREUS.80380.","DOI":"10.7759\/CUREUS.80380"},{"key":"5424_CR39","doi-asserted-by":"publisher","unstructured":"Saleh N,Bahabri A ,Wal V R. Successful treatment of subinvolution of the placenta site with uterine artery embolisation, sparing the patient\u2019s fertility: A case report[J].Case Reports in Women\u2019s Health,2025,45e00682-e00682.DOI:https:\/\/doi.org\/10.1016\/J.CRWH.2025.E00682.","DOI":"10.1016\/J.CRWH.2025.E00682"},{"key":"5424_CR40","doi-asserted-by":"publisher","unstructured":"Jacobson S,Stetco R J ,Brown R, et al. Hyperthyroidism in a Twin Pregnancy With a Hydatidiform Mole and a Coexisting Live Fetus: Management Dilemmas.[J].JCEM case reports,2025,3(2):luaf013.DOI:https:\/\/doi.org\/10.1210\/JCEMCR\/LUAF013.","DOI":"10.1210\/JCEMCR\/LUAF013"},{"key":"5424_CR41","doi-asserted-by":"publisher","unstructured":"Schonert J,Wilson B ,Tucker H, et al. Utilizing Point-of-Care Ultrasound for Timely Diagnosis of Retained Products of Conception in Resource-Limited Settings.[J].Cureus,2025,17(2):e79776.DOI:https:\/\/doi.org\/10.7759\/CUREUS.79776.","DOI":"10.7759\/CUREUS.79776"},{"key":"5424_CR42","doi-asserted-by":"publisher","unstructured":"Fujimoto A,Okamura A ,Honda M, et al. Emergent Hysteroscopic Removal of Retained Products of Conception Following Laparoscopic Temporary Uterine Artery Ligation.[J].Gynecology and minimally invasive therapy,2024,13(4):260\u2013264.DOI:https:\/\/doi.org\/10.4103\/GMIT.GMIT_11_24.","DOI":"10.4103\/GMIT.GMIT_11_24"},{"key":"5424_CR43","doi-asserted-by":"publisher","unstructured":"P L W,W T H ,M C R, et al.Hysteroscopic Morcellation Versus Curettage for Removal of Retained Products of Conception: A multicenter randomized controlled trial.[J].Fertility and sterility,2023,120(6):1243\u20131251.DOI:https:\/\/doi.org\/10.1016\/J.FERTNSTERT.2023.08.956.","DOI":"10.1016\/J.FERTNSTERT.2023.08.956"}],"container-title":["Abdominal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-026-05424-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00261-026-05424-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00261-026-05424-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:02:53Z","timestamp":1786694573000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00261-026-05424-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,3]]},"references-count":43,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["5424"],"URL":"https:\/\/doi.org\/10.1007\/s00261-026-05424-1","relation":{},"ISSN":["2366-0058"],"issn-type":[{"value":"2366-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,3]]},"assertion":[{"value":"7 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 March 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors did not use generative AI or AI-assisted technologies in the development of this manuscript.","order":2,"name":"Ethics","label":"Declaration of generative AI in scientific writing","group":{"name":"EthicsHeading","label":"Declarations"}}]}}