Color Doppler Ultrasound Indices in Endometriotic Cysts

Parisa Hajialiogh, Fatemeh Ghatresama, Nariman Nezami, Narges Sobhani
In: American Journal of Applied Sciences · 2009 · vol. 6(10) , pp. 1776–1780 · doi:10.3844/ajassp.2009.1776.1780 · W2096531618
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This study evaluated grayscale and color Doppler ultrasound findings in 37 women with suspected endometriosis, finding flow in 58.62% of confirmed endometriotic cysts.

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This prospective study evaluated grayscale and color Doppler transvaginal ultrasound findings in 37 women with suspected endometriosis, with laparoscopic confirmation used to establish the final diagnosis. Among 29 lesions confirmed as endometriotic cysts, color flow was detected in 58.62%, and the reported mean resistance index (RI) and pulsatility index (PI) were 0.67±0.15 and 1.49±0.85, respectively. The paper’s main conclusion is that transvaginal sonography with color Doppler interrogation can help characterize cystic ovarian pathology, including endometriosis. This paper is centrally about endometriosis — it focuses on grayscale and Doppler indices (flow, RI, PI) in endometriotic ovarian cysts.

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Abstract

Problem statement: There have been considerable interests on using non-invasive techniques to detect endometriosis. A few studies were evaluated the Doppler ultrasound findings of endometriosis. This study aimed to characterize the grayscale and Doppler ultrasound findings of endometriosis. Approach: During present prospective study, gray scale and Doppler ultrasound findings of 37 women with final diagnosis of endometriosis were evaluated. Patients with probable diagnosis of endometriosis underwent conventional transvaginal and color Doppler assessment. After laparascopic confirmation of endometriosis, gray scale and color Doppler ultrasonographic data of patients considered for analysis. Results: Finally data of 37 subjects' data with suspected endometriosis was analyzed. Twenty nine of lesions were endometriosis, five hydrosalpinx, four paraovarian adhesion cysts and one peritoneal inclusion cyst according to laparoscopic exploration. Out of 29 endometriotic cysts, flow was detected in 58.62%. The mean of RI and PI were 0.67±0.15 (0.46-1.00) and 1.49±0.85 (0.66-3.11), respectively. Conclusion: In our experience, transvaginal sonography with color Doppler interrogation is a useful technique in the diagnosis of pathologic ovarian conditions, including cystic endometriosis.
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Abstract

Problem statement: There have been considerable interests on using non-invasive techniques to detect endometriosis. A few studies were evaluated the Doppler ultrasound findings of endometriosis. This study aimed to characterize the grayscale and Doppler ultrasound findings of endometriosis. Approach: During present prospective study, gray scale and Doppler ultrasound findings of 37 women with final diagnosis of endometriosis were evaluated. Patients with probable diagnosis of endometriosis underwent conventional transvaginal and color Doppler assessment. After laparascopic confirmation of endometriosis, gray scale and color Doppler ultrasonographic data of patients considered for analysis. Results: Finally data of 37 subjects' data with suspected endometriosis was analyzed. Twenty nine of lesions were endometriosis, five hydrosalpinx, four paraovarian adhesion cysts and one peritoneal inclusion cyst according to laparoscopic exploration. Out of 29 endometriotic cysts, flow was detected in 58.62%. The mean of RI and PI were 0.67±0.15 (0.46-1.00) and 1.49±0.85 (0.66-3.11), respectively. Conclusion: In our experience, transvaginal sonography with color Doppler interrogation is a useful technique in the diagnosis of pathologic ovarian conditions, including cystic endometriosis. DOI: https://doi.org/10.3844/ajassp.2009.1776.1780 Copyright: © 2009 Parisa Hajialioghlo, Fatemeh Ghatresamani, Nariman Nezami and Narges Sobhani. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. - 6,366 Views - 5,089 Downloads - 1 Citations Download

Keywords

- Endometriosis - doppler ultrasound - resistance index - pulsatility index

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endometriosis

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