Standartization of ultrasound examination of the pelvic organs in women

I. A. Ozerskaya
In: Medical Visualization · 2018 · pp. 84–93 · doi:10.24835/1607-0763-2018-5-84-93 · W2917382013
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This study compared pelvic ultrasound results for healthy women using GE Healthcare and Philips devices, assessing organometry and Doppler parameters to inform standardized examination protocols.

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The paper studied how ultrasound measurements of pelvic organs in reproductive-age women vary across different ultrasound machines by comparing data from GE Healthcare versus Philips scanners. Using practically healthy women aged 18–45 (30 participants total; 15 in each of two cycle phases) and the same examiner, the study assessed organometry (uterus and ovarian volumes, endometrial thickness), Doppler metrics of uterine artery blood flow (Vmax, Vmean, artery diameter, and an index of arterial perfusion), and 3D Doppler vascularization indices (VI, FI, VFI) for the uterus and endometrium. Results showed that VI, FI, and VFI were significantly higher on the GE system than on the Philips system, while organometry, uterine artery Doppler parameters, and the arterial perfusion index did not differ significantly. The paper concludes that implementation of new ultrasound methods should rely on standardized information and normative parameters obtained on comparable machines, and it does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Introduction . In Russia, there has been no research comparing data obtained by ultrasound scanners of different firms, with a comprehensive assessment of pelvic organs in women. Purpose of the study . Compare the results of the study of the internal genitalia of healthy women, obtained on devices from Philips and GE Healthcare. Materials and methods . A comparison of the results of pelvic ultrasound examination in healthy patients of reproductive age (18–45 years), conducted on the expert level devices of GE Healthcare (Austria) and Philips (Netherlands) by the same doctor. Each group consisted of 30 people (15 women in the first and second phase of the cycle). Age did not have significant differences (p > 0.05). Organometry (uterine volume, endometrial thickness, ovarian volume), dopplerometric parameters of blood flow in uterine arteries, such as maximum systolic and average blood flow rate (Vmax, Vmean), uterine artery diameter, arterial perfusion index (API) was calculated, vascularization index (VI), flow index (FI) and vascularization-flow index (VFI) of the uterus and endometrium were obtained in 3D Doppler. Summary . When implementing new techniques should study the information about this method and rely on the regulatory parameters obtained on the devices of similar firms.
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Стандартизация ультразвукового исследования органов малого таза у женщин https://doi.org/10.24835/1607-0763-2018-5-84-93 Аннотация Введение. В России не проводилось исследований по сопоставлению данных, получаемых на ультразвуковых сканерах разных фирм, при комплексной оценке органов малого таза у женщин. Цель исследования: сравнить показатели исследования внутренних половых органов здоровых женщин, полученных на приборах фирм Philips и GE Healthcare. Материал и методы. Проведено сравнение результатов ультразвукового исследования органов малого таза у практически здоровых пациенток репродуктивного возраста (18–45лет), полученных на приборах экспертного уровня фирм GE Healthcare (Австрия) и Philips (Нидерланды) одним и тем же врачом. В каждой группе было по 30 человек (по 15 женщин в I и II фазе цикла). Возраст достоверных отличий не имел (p > 0,05). Оценивались органометрия (объем матки, толщина эндометрия, объем яичников), допплерометрические показатели кровотока в маточных артериях, таких как максимальная систолическая и средняя скорость кровотока (Vmax, Vmean), диаметр маточных артерий, рассчитывали индекс артериальной перфузии (ИАП), при 3D-допплерометрии получали васкуляризационный индекс (VI), потоковый индекс (FI) и васкуляризационно-потоковый индекс (VFI) матки и эндометрия. Результаты. Выявлено, что показатели VI, FI и VFI, рассчитанные на приборе GE достоверно выше, чем на приборе Philips (p 0,05). Выводы. При внедрении новых методик следует изучить информацию о данном методе и опираться на нормативные параметры, полученные на приборах аналогичных фирм. Об авторе И. А. ОзерскаяРоссия доктор мед. наук, профессор кафедры ультразвуковой диагностики и хирургии факультета повышения квалификации медицинских работников 117198 Москва, ул. Миклухо-Маклая, д. 21, корп. 3, РУДН, ФПК МР, кафедра ультразвуковой диагностики и хирургии 8-926-606-09-05 Список литературы 1. Ветшева Н.Н. Стандартизация методик проведения ультразвуковых исследований. http://event.medradiology.moscow/d/1387577/d/standartizatsiya_metodik_provedeniya_uz_issledovaniy_vetshevann.pdf 2. Зубарев А.Р. Стандарты ультразвуковой флебологии. https://mks.ru/library/conf/angiodop/2000/angiol/zub2.html 3. Габлия М.Ю. Унификация протоколов ультразвуковых исследований предстательной железы. https://www.youtube.com/watch?v=Zw6k-Kuer3M 4. http://www.rasudm.org/recomendation/ 5. Рекомендации по проведению эластографии сдвиговой волной для ультразвуковых аппаратов компании Филипс. http://www.rasudm.org/recomendation/details.htm?id=15 6. Raine-Fenning N.J., Nordin N.M., Ramnarine K.V., Campbell B.K., Clewes J.S., Perkins A., Johnson I.R. Evaluation of the effect of machine settings on quantitative three-dimensional power Doppler angiography: an in-vitro flow phantom experiment. Ultrasound Obstet. Gynecol. 2008; 32 (4): 551–559. DOI: 10.1002/uog.6138. 7. Omran E., El-Sharkawy M., El-Mazny A., Hammam M., Ramadan W., Latif D., Samir D., Sobh S. Effect of clomiphene citrate on uterine hemodynamics in women with unexplained infertility. Int. J. Womens Health. 2018; 10: 147–152. DOI: 10.2147/IJWH.S155335. 8. Dong Y., Cai Y., Zhang Y., Xing Y., Sun Y. The effect of fertility stress on endometrial and subendometrial blood flow among infertile women. Reprod. Biol. Endocrinol. 2017; 15: 15–26. 9. El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229. 10. El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046. 11. Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Installé AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Brölmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806. 12. Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487. 13. Timmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.x Рецензия Для цитирования: Озерская И.А. Стандартизация ультразвукового исследования органов малого таза у женщин. Медицинская визуализация. 2018;(5):84-93. https://doi.org/10.24835/1607-0763-2018-5-84-93 For citation: Ozerskaya I.A. Standartization of ultrasound examination of the pelvic organs in women. Medical Visualization. 2018;(5):84-93. (In Russ.) https://doi.org/10.24835/1607-0763-2018-5-84-93 JATS XML

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