Three-dimensional (3D) and real-time three-dimensional (4D) technology, 3D power Doppler and high frequency transducers are being increasingly used in gynecological ultrasound. This treatise discusses practical aspects of these techniques and audits the utility and advantages of these indications in guiding and improving patient outcomes. Current literature places these techniques as a method of choice to image morbid pelvic anatomy and pathophysiology.
Sonographic imaging in infertility. In Kurjak A, Chervenak FA (Eds). Donald school textbook of ultrasound in Obstetrics and Gynecology (1st ed). New Delhi: Jaypee Brothers Medical Publishers, 2003;658-90.
The incidence of asymptomatic uterine anomalies in women undergoing transcervical tubal sterilization. Obstet Gynecol 1988;72:28-30.
Estimated prevalence of mulerian anomalies. Acta Obstet Gynecol Scand 1988;67:441-45.
Reproductive performance of women with uterine anomalies. An evaluation of 182 cases. Acta Obstet Gynecol Scand 1982;61:157-62.
Ultrastructural aspects of endometrium in infertile women with septate uterus. Fertil Steril 1996;65:750-52.
Metroplastic hysteroscopy and fertility. Fertil Steril 1993; 59:768-70.
Ultrasound evaluation of female genital tract anomalies: A review of 64 cases. Am J Obstet Gynecol 1984;149:285-90.
Hysteroscopic incision of the septate uterus: Scissors versus resectoscope. Hum Reprod 1994;9:87-89.
Reproductive outcome following hysteroscopic management of intrauterine septum and adhesions. Hum Reprod 1995;10:2663-65.
The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 1988;49(6):944-55.
The septate uterus: A review of management and reproductive outcome. Fertil Steril 2000;73: 1-4.
Threedimensional sonography and hysterosalpingosonography in the diagnosis of uterine anomalies. Clin Exp Obstet Gynecol 2003;30(4):190-92.
Can ultrasound be used screen uterine malformations? Fertil Steril 1987;47:89-93.
Septate versus bicornuate uteri: Errors in imaging diagnosis. Radiology 1989;172:749-52.
Comparison of real time ultrasonography, and laparoscopy/ hysteroscopy in the evaluation of uterine abnormalities and tubal patency. Fertil Steril 1986;5:828-32.
Threedimensional ultrasonography in Gynecology: Technical aspects and clinical applications. J Ultrasound Med 2003;22(11): 1249-69.
Transvaginal hysterosonographic evaluation of septate uteri: A preliminary report. Hum Reprod 1996;11: 1004-07.
Septate uterus: Detection and prediction of obstetrical complications by different forms of ultrasonography. J Ultrasound Med 1998;17:631-36.
Fallopian tubal patency assessment by ultrasound following fluid injection. Radiology 1984;152:507-10.
MR evaluation of uterine anomalies. Radiology 1987;148: 287-89.
Detection of congenital mullerian duct anomalies using three-dimensional ultrasound. J Clin Ultrasound 1997;25:487-92.
Three-dimensional ultrasound for the assessment of uterine anatomy and detection of congenital anomalies: A comparison with hysterosalpingography and two-dimensional sonography. Ultrasound Obstet Gynecol 1995;5:233-37.
Septate uterus: New idea on the histologic features of the septum in this abnormal uterus. Am J Obstet Gynecol 1995;172:105-07.
Screening for uterine abnormalities by three-dimensional ultrasound improves perinatal outcome. J Perinat Med 2002;30:9-17.
3- dimensional reconstruction of ultrasound images of the uterine cavity. The British Journal of Radiology 1993;66(787):588-91.
A comparative study of the morphology of congenital uterine anomalies in women with and without a history of recurrent first trimester miscarriage. Human Reproduction 2003; 18(1):162-66.
Reproducibility of three-dimensional ultrasound diagnosis of congenital uterine anomalies. Ultrasound Obstet Gynecol 2003;21(6):578-82.
Three-dimensional ultrasound and power Doppler assessment of the septate uterus. In Kurjak A (Eds). Three dimensional power Doppler in Obstetrics and Gynecology (1st ed). New York: Parthenon Publishing, 2000;85-91.
The endometrium. In Khurana A, Dahiya N (Eds). 3D and 4D Ultrasound: A text and Atlas (1st ed). New Delhi: Jypee Brothers Medical Publishers, 2004;166-98.
Measurement of endometrial thickness with transvaginal ultrasonography: Is it reproducible? J Ultrasound Med 1998;17:481-84.
Endometrial disease diagnosed by transvaginal ultrasound and dilatation and curettage. Acta Obstet Gynecol 1999;79:419-22.
Sonohysterography: the next step in the evaluation of the abnormal endometrium. Radiographics 1999;119:S117-S30.
Measuring the thickness: Is that all we have to do for sonographic assessment of endometrium in postmenopausal women. Ultrasound Obstet Gynecol 1995;6(2):97-102.
Transvaginal ultrasonography and hysteroscopy in postmenopausal bleeding: A prospective study. Acta Obstet Gynecol Scan Sep 2001;80(9): 856-62.
Evaluation of the woman with postmenopausal bleeding: Society of Radiologists in Ultrasound-Sponsored Consensus Conference statement. J Ultrasound Med Oct 2001;20(10): 1025-36.
Rebleeding and endometrial growth in women with postmenopausal bleeding and endometrial thickness <5 mm managed by dilatation and curettage or ultrasound followup: A randomized controlled study. Ultrasound Obstet Gynecol Nov 2001;18(5):499-504.
Value of sonomorphological criteria of the endometrium in women with postmenopausal bleeding: A multivariate analysis. Ultrasound Obstet Gynecol Jan 2002;19(1):62-68.
Alteration of sonographic texture of the endometrium in postmenopausal bleeding: A guide to further management. Acta Obstet Gynecol Scand 2000;79:1006-10.
Imaging the endometrium: Are there predictors of uterine receptivity? J Obstet Gynaecol Can 2003;25(5):360-68.
A uterine ultrasonographic scoring system as a method for the prognosis of embryo implantation. J Assist Reprod Genet 2002;19(3):99-102.
Endometrial receptivity in an in vitro fertilization program as assessed by spiral artery blood flow, endometrial thickness, endometrial volume, and uterine artery blood flow. Fertil Steril 2001;75(2):361-66.
Contribution of ovarian and uterine color Doppler in medically assisted reproduction techniques (ART). Gynecol Obstet Fertil 2002;30(9):663-72.
Assessment of changes in utero-ovarian arterial impedance during the peri-implantation period by Doppler sonography in women undergoing assisted reproduction. Ultrasound Obstet Gynecol 2004;23(5):496-500.
Assessment of endometrial receptivity by transvaginal color Doppler and threedimensional power Doppler ultrasonography in patients undergoing in vitro fertilization procedures. J Ultrasound Med 2001;20(2):125-34.
Comparison of endometrial and subendometrial blood flow measured by three-dimensional power Doppler ultrasound between stimulated and natural cycles in the same patients. Hum Reprod 2004;19(10):2385-90.
Quantifying the changes in endometrial vascularity throughout the normal menstrual cycle with three-dimensional power Doppler angiography. Hum Reprod 2004;19(2):330-38.
Changes in uterine and ovarian arterial impedance during the periovulatory period in conception and nonconception cycles. J Obstet Gynaecol Res 2000;26(6):435-40.