Confiabilidade da contagem de folículos antrais com o uso de ultrassom bidimensional e tridimensional: uma revisão sistemática

Abstract

Objective

To review the literature about the reliability of the antral follicle count using the 2 D and 3 D ultrasonography.

Method

A systematic review of studies published over the last 13 years that aimed to evaluate the intra and interobserver variability of the antral follicle count using the 2 D and 3 D ultrasonography in the databases Medline, Lilacs and Scielo. The keywords used in the search were antral follicle count, ovarian reserve, and automated ultrasound.

Results

It was found that there were 1.057 published articles. Of these six studies were related to of intra‐ and interobserver variability of antral follicle count using 2 D and 3 D ultrasound that respected the inclusion criteria established.

Conclusion

Most studies agreed that the 2 D mode provides follicle identification and its diameter measures manually and subjectively. It allows a greater variability intra‐ and interobserver. The post‐processing with the possibility of follicular recount and review of the images helps to improve the reliability of the 3 D ultrasound but increases the total time of the exam.