{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T18:04:56Z","timestamp":1765994696737,"version":"3.37.3"},"reference-count":35,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"03","license":[{"start":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T00:00:00Z","timestamp":1585612800000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To analyze the interobserver and intraobserver reproducibility of the visualization and continuity of the juncional zone (JZ) by three-dimensional (3D) ultrasound in infertile women, and to evaluate the sociodemographic, hormonal, and structural factors that influence these assessments.<\/jats:p><jats:p>\n          Methods\u2003A prospective study conducted at the Assisted Reproductive Technology Unit of Hospital Senhora da Oliveira, in the city of Guimar\u00e3es, Portugal. Transvaginal 3D ultrasonography was performed, and 2 volumes were generated per case. Two observers who were blinded to each other's work analyzed these volumes, choosing the best coronal section. Four months later, one of the observers performed the same methodology. The JZ visualization was classified as optimal, satisfactory, and unsatisfactory, and the JZ continuity, as continuous and discontinuous. The interobserver and intraobserver agreements were analyzed. The influence of hormonal, structural, and sociodemographic factors on the JZ was evaluated.<\/jats:p><jats:p>\n          Results\u2003In total, 65 women were included in the present study. The interobserver reproducibility was substantial for JZ visualization and continuity (k\u2009=\u20090.635 and 0.753 respectively), and the intraobserver reproducibility was very good for JZ visualization and continuity (k\u2009=\u20090.884 and 0.816 respectively). Trilaminar endometrial pattern was associated with optimal JZ visualization (p\u2009=\u20090.012). The increase of 1 unit in the level of serum estradiol represents a 9.9% decrease in the odds of unsatisfactory visualization of the JZ (odds ratio [OR]\u2009=\u20090.9; 95% confidence interval [95%CI]\u2009=\u20090.814\u20130.996; p\u2009=\u20090.042). Endometriosis increases the odds of unsatisfactory visualization by 24 times (OR\u2009=\u200923.7; 95%CI\u2009=\u20091.262\u2013437.057; p\u2009=\u20090.034). The prevalence of discontinuous JZs was of 60%. Myomas and endometriosis were associated with discontinuous JZs (p\u2009=\u20090.034 and 0.016 respectively).<\/jats:p><jats:p>\n          Conclusion\u2003The assessment of JZ visualization and continuity by 3D ultrasound is reproducible enough to be used in the clinical practice.<\/jats:p>","DOI":"10.1055\/s-0040-1708089","type":"journal-article","created":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T14:04:06Z","timestamp":1586181846000},"page":"152-159","source":"Crossref","is-referenced-by-count":5,"title":["Junctional Zone in Infertile Women: A Three-dimensional Ultrasound Study"],"prefix":"10.61622","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8322-3952","authenticated-orcid":false,"given":"Vanessa","family":"Silva","sequence":"additional","affiliation":[{"name":"Service of Gynecology and Obstetrics, Centro de Procria\u00e7\u00e3o Medicamente Assistida, Hospital Senhora da Oliveira, Guimar\u00e3es, Portugal"},{"name":"Escola de Medicina, Instituto de Investiga\u00e7\u00e3o em Ci\u00eancias da Vida e Sa\u00fade, Universidade do Minho, Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0693-7967","authenticated-orcid":false,"given":"Fl\u00e1via Fundora","family":"Ramos","sequence":"additional","affiliation":[{"name":"Escola de Medicina, Universidade do Minho, Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9400-9406","authenticated-orcid":false,"given":"Ana Filipa Matos","family":"Br\u00e1s","sequence":"additional","affiliation":[{"name":"Service of Gynecology and Obstetrics, Centro de Procria\u00e7\u00e3o Medicamente Assistida, Hospital Senhora da Oliveira, Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6224-5335","authenticated-orcid":false,"given":"Ricardo Filipe Sousa","family":"Santos","sequence":"additional","affiliation":[{"name":"Service of Gynecology and Obstetrics, Centro de Procria\u00e7\u00e3o Medicamente Assistida, Hospital Senhora da Oliveira, Guimar\u00e3es, Portugal"},{"name":"Department of Community Medicine and Health Decision, Faculdade de Medicina, Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade, Universidade do Porto, Porto, Portugal"}]},{"given":"Maria Sofia Dantas Pinto Lobo","family":"Xavier","sequence":"additional","affiliation":[{"name":"Service of Gynecology and Obstetrics, Centro de Procria\u00e7\u00e3o Medicamente Assistida, Hospital Senhora da Oliveira, Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7710-5677","authenticated-orcid":false,"given":"Rui Filipe Oliveira","family":"Miguelote","sequence":"additional","affiliation":[{"name":"Service of Gynecology and Obstetrics, Centro de Procria\u00e7\u00e3o Medicamente Assistida, Hospital Senhora da Oliveira, Guimar\u00e3es, Portugal"},{"name":"Escola de Medicina, Instituto de Investiga\u00e7\u00e3o em Ci\u00eancias da Vida e Sa\u00fade, Universidade do Minho, Braga, Portugal"}]}],"member":"47794","published-online":{"date-parts":[[2020,3,31]]},"reference":[{"issue":"02","key":"ref1","first-page":"188","article-title":"Assessment of the uterus with three-dimensional ultrasound in women undergoing ART","volume":"23","author":"S H Saravelos","year":"2017","journal-title":"Hum Reprod Update"},{"issue":"12","key":"ref2","first-page":"101","article-title":"The uterine junctional zone","volume":"12","author":"F Kashgari","year":"2015","journal-title":"Life Sci J"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1093\/humrep\/dep474","article-title":"The enigmatic uterine junctional zone: the missing link between reproductive disorders and major obstetrical disorders?","volume":"25","author":"I Brosens","year":"2010","journal-title":"Hum Reprod"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1111\/j.1471-0528.2004.00350.x","article-title":"The junctional zone of the uterus and 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Evidence from magnetic resonance imaging","volume":"21","author":"M Bazot","year":"2006","journal-title":"Hum Reprod"},{"issue":"07","key":"ref33","doi-asserted-by":"crossref","first-page":"2204","DOI":"10.1016\/j.fertnstert.2011.03.079","article-title":"The FIGO classification of causes of abnormal uterine bleeding in the reproductive years","volume":"95","author":"M G Munro","year":"2011","journal-title":"Fertil Steril"},{"issue":"02","key":"ref34","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s10397-011-0723-3","article-title":"Is adenomyosis the neglected phenotype of an endomyometrial dysfunction syndrome?","volume":"9","author":"I Brosens","year":"2012","journal-title":"Gynecol Surg"},{"issue":"01","key":"ref35","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/uog.7335","article-title":"Confidence of expert ultrasound operators in making a diagnosis of adnexal tumor: effect on diagnostic accuracy and interobserver agreement","volume":"35","author":"J Yazbek","year":"2010","journal-title":"Ultrasound Obstet Gynecol"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/junctional-zone-in-infertile-women-a-three-dimensional-ultrasound-study\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1708089.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:55:50Z","timestamp":1721336150000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/junctional-zone-in-infertile-women-a-three-dimensional-ultrasound-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":35,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,3,31]]},"published-print":{"date-parts":[[2020,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1708089","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"type":"print","value":"0100-7203"},{"type":"electronic","value":"1806-9339"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}