Additive value of three-dimensional power Doppler in differentiation between uterine myomas and localized adenomyomas
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Three-dimensional power Doppler ultrasonography differentiated uterine myomas from localized adenomyomas based on vascular index, flow index, vascular-flow index, and vascular location findings.
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Abstract
Objective The aim of this study was to evaluate the value of three-dimensional (3D) power Doppler ultrasonography in differentiating between adenomyosis and uterine leiomyoma. Design This was a cross-sectional study. Setting The study was conducted in Kasr El-Ainy Hospital. Patients and methods This study was conducted on 60 patients between 20 and 60 years of age, who were previously diagnosed on 2D ultrasonography as having adenomyosis and/or leiomyoma. 3D power Doppler ultrasound was performed before surgery (myomectomy or hysterectomy). The examination evaluated vascular location (location), vascular index, flow index, and vascular-flow index. Postoperative histopathological examination was carried out to confirm the diagnosis. Results Patients with uterine leiomyoma had significantly higher vascular index (P=0.005), flow index (P<0.01), and vascular-flow index (P=0.004) levels than did patients with adenomyosis. A significant difference in vascular location was also noted between cases of uterine leiomyoma and adenomyosis (P≤0.001). Conclusion 3D power Doppler ultrasonography could be used to more effectively differentiate between uterine adenomyosis and leiomyoma.
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Cites (4)
- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation 2002
- The nonsurgical diagnosis of adenomyosis 1995
- Tumor Vascular Pattern and Blood Flow Impedance in the Differential Diagnosis of Leiomyoma and Adenomyosis by Color Doppler Sonography 1999
- The utility of diffusion-weighted MR imaging in differentiation of uterine adenomyosis and leiomyoma 2011
References (8)
- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation via openalex
- The nonsurgical diagnosis of adenomyosis via openalex
- The utility of diffusion-weighted MR imaging in differentiation of uterine adenomyosis and leiomyoma via openalex
- Tumor Vascular Pattern and Blood Flow Impedance in the Differential Diagnosis of Leiomyoma and Adenomyosis by Color Doppler Sonography via openalex
- W2008347789 via openalex
- W2009251657 via openalex
- W2040770590 via openalex
- W1981155840 via openalex
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