Doppler Ultrasound in Gynaecology

In: Gynaecological Ultrasound Scanning · 2020 · pp. 219–230 · doi:10.1017/9781108149877.016 · W3008250599
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Doppler ultrasound provides color-coded blood flow information in arteries and veins, enabling hemodynamic assessment and reducing invasive procedures in gynecological diagnostics.

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This chapter explains the principles of Doppler ultrasound in gynecology, describing how colour-coded Doppler shift maps superimposed on B-mode images can be used to record arterial and venous blood flow, including analysis across systole and diastole, in both normal and diseased vessels. It frames Doppler techniques as a widely adopted diagnostic tool for haemodynamic assessment that has, in many situations, replaced some invasive procedures. A stated limitation is that the text is primarily educational and conceptual, focusing on methodology and applications rather than presenting original patient outcome data within this excerpt. Relevance to endometriosis: the chapter includes dedicated sonographic assessment sections for uterine adenomyosis and pelvic endometriosis, placing Doppler ultrasound within the broader imaging framework used to evaluate these gynecologic conditions.

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Abstract

Doppler ultrasound imaging can be used to identify and assess blood vessels by producing a colour-coded map of Doppler shifts superimposed on a B-mode ultrasound image. The effect, first described by the Austrian scientist Christian Doppler in the middle of the nineteenth century, has been used to provide information regarding blood flow in ultrasound's daily practice in the last five to six decades. Blood flow in arteries and veins can be recorded from the surface of the skin, allowing flow analysis in systole and diastole, in both normal and diseased blood vessels. Over time, Doppler techniques became an important technique in diagnostic ultrasound for haemodynamic assessment, replacing some invasive procedures in many clinical situations.
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- Gynaecological Ultrasound Scanning - Gynaecological Ultrasound Scanning - Copyright page - Contents - Contributors - Chapter 1 Get to Know Your Machine and Scanning Environment - Chapter 2 Baseline Sonographic Assessment of the Female Pelvis - Chapter 3 Difficult Gynaecological Ultrasound Examination - Chapter 4 Sonographic Assessment of Uterine Fibroids and Adenomyosis - Chapter 5 Sonographic Assessment of Congenital Uterine Anomalies - Chapter 6 Sonographic Assessment of Endometrial Pathology - Chapter 7 Sonographic Assessment of Polycystic Ovaries - Chapter 8 Sonographic Assessment of Ovarian Cysts and Masses - Chapter 9 Sonographic Assessment of Pelvic Endometriosis - Chapter 10 Sonographic Assessment of Fallopian Tubes and Tubal Pathologies - Chapter 11 Role of Ultrasound in Assisted Reproductive Treatment - Chapter 12 Operative Ultrasound in Gynaecology - Chapter 13 Sonographic Assessment of Complications Related to Assisted Reproductive Techniques - Chapter 14 Sonographic Assessment of Early Pregnancy - Chapter 15 Tips and Tricks when Using Ultrasound in a Contraception Clinic - Chapter 16 Doppler Ultrasound in Gynaecology - Index - References Published online by Cambridge University Press: 28 February 2020 Book contents - Gynaecological Ultrasound Scanning - Gynaecological Ultrasound Scanning - Copyright page - Contents - Contributors - Chapter 1 Get to Know Your Machine and Scanning Environment - Chapter 2 Baseline Sonographic Assessment of the Female Pelvis - Chapter 3 Difficult Gynaecological Ultrasound Examination - Chapter 4 Sonographic Assessment of Uterine Fibroids and Adenomyosis - Chapter 5 Sonographic Assessment of Congenital Uterine Anomalies - Chapter 6 Sonographic Assessment of Endometrial Pathology - Chapter 7 Sonographic Assessment of Polycystic Ovaries - Chapter 8 Sonographic Assessment of Ovarian Cysts and Masses - Chapter 9 Sonographic Assessment of Pelvic Endometriosis - Chapter 10 Sonographic Assessment of Fallopian Tubes and Tubal Pathologies - Chapter 11 Role of Ultrasound in Assisted Reproductive Treatment - Chapter 12 Operative Ultrasound in Gynaecology - Chapter 13 Sonographic Assessment of Complications Related to Assisted Reproductive Techniques - Chapter 14 Sonographic Assessment of Early Pregnancy - Chapter 15 Tips and Tricks when Using Ultrasound in a Contraception Clinic - Chapter 16 Doppler Ultrasound in Gynaecology - Index - References Doppler ultrasound imaging can be used to identify and assess blood vessels by producing a colour-coded map of Doppler shifts superimposed on a B-mode ultrasound image. The effect, first described by the Austrian scientist Christian Doppler in the middle of the nineteenth century, has been used to provide information regarding blood flow in ultrasound’s daily practice in the last five to six decades. Blood flow in arteries and veins can be recorded from the surface of the skin, allowing flow analysis in systole and diastole, in both normal and diseased blood vessels. Over time, Doppler techniques became an important technique in diagnostic ultrasound for haemodynamic assessment, replacing some invasive procedures in many clinical situations. - Type - Chapter - Information - Gynaecological Ultrasound ScanningTips and Tricks, pp. 219 - 230Publisher: Cambridge University PressPrint publication year: 2020 Bhide, A, Acharya, G, Bilardo, CM, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol 2013;41:233–9.Google ScholarPubMed Naguib, NN, Nour-Eldin, NE, Serag-Eldin, F, et al. 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