Contrast-Enhanced Ultrasonography in Sclerotherapy for Ovarian Endometrial Cyst

Xiaohui Shao, Xiao-Hui Shao, Xiaoqiu Dong, Xiao-Qiu Dong, De-Jiao Kong, Dejiao Kong, Liwei Zhang, Li-Wei Zhang, Lulu Wang, Lu-Lu Wang, Si-Ming Wang, Siming Wang
Ultrasound in medicine & biology · 2018 · vol. 44(8) , pp. 1828–1835 · doi:10.1016/j.ultrasmedbio.2018.03.025 · PMID:29730067 · W2801109987
Non-randomised trial OA: closed CC0 ⤵ 2 in-corpus citations
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This paper investigates the utility of contrast-enhanced ultrasonography during sclerotherapy for ovarian endometrial cysts.

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Abstract

We investigated contrast-enhanced ultrasonography (CEUS) characteristics related to the perfusion pattern and parameters of the time-intensity curve of ovarian endometrial cysts (OECs) pre- and post-sclerotherapy. Forty-three patients with one-sided, single, untreated OECs underwent CEUS pre- and post-sclerotherapy. OEC wall thickness was measured by 2-D ultrasonography and CEUS, and CEUS enhancement patterns and time-intensity curve parameters before and after sclerotherapy were compared. OEC wall thickness remained essentially unchanged post-sclerotherapy. Wall thickness was significantly larger on 2-D ultrasonography than on CEUS. The OEC wall exhibited rapid enhancement and slow clearance both pre- and post-sclerotherapy. Wash-in and wash-out times remained unchanged. The wall exhibited iso-enhancement pre-sclerotherapy, but low and partially uneven enhancement post-sclerotherapy. Post-treatment, time to peak was delayed, peak intensity was reduced and perfusion slope was decreased. The contrast agent arrival time and area under the curve remained similar. CEUS enhancement patterns and quantitative parameters were altered post-sclerotherapy; thus, treatments involving sclerosing agent retention can help to improve the efficacy of sclerotherapy for OEC.

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MeSH descriptors

Contrast Media Image Enhancement Ovarian Cysts Sclerotherapy Ultrasonography Adult Endometrium Endometrium Female Humans Image Enhancement Middle Aged Ovarian Cysts Ovarian Cysts Ovary Ovary Sclerotherapy Treatment Outcome Ultrasonography Young Adult

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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