Three-Dimensional Doppler Ultrasound in Gynecology

In: Doppler Ultrasound in Obstetrics and Gynecology · 2005 · pp. 557–568 · doi:10.1007/3-540-28903-8_38 · W69815321
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This review discusses the application of three-dimensional Doppler ultrasound technology for assessing vascularity in gynecological conditions, including adnexal masses and ovarian torsion.

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This chapter reviews three-dimensional Doppler ultrasound techniques in gynecology, focusing on power Doppler imaging and quantification approaches such as vascularization flow indexing and virtual organ computer-aided analysis (VOCAL), with examples drawn from studies of ovarian, endometrial, and adnexal vascularity. Across referenced work, 3D power Doppler is used to measure perfusion changes across the menstrual cycle, evaluate ovarian stromal blood flow, and assess subendometrial/endometrial vascularity in relation to fertility outcomes, with a cited capability to improve diagnostic accuracy in some settings. A major limitation emphasized by the included literature is that imaging artifacts can affect clinical three-dimensional ultrasound findings, influencing reliability and interpretation. Relevance to endometriosis: the chapter cites a study using three-dimensional power Doppler to image ovarian stromal blood flow in women with endometriosis undergoing in vitro fertilization, though the chapter’s main focus is a broad methodological review of 3D Doppler ultrasound in gynecology.

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References

Campani R, Bottinelli O, Calliada F, Coscia D (1998) The latest in ultrasound: three-dimensional imaging. Part II. Eur J Radiol 27(Suppl 2):S183–S187 Fleischer AC (2001) New developments in the sonographic assessment of ovarian, uterine, and breast vascularity. Semin Ultrasound CT MR 22:42–49 Wells PN (1998) Doppler studies of the vascular system. Eur J Ultrasound 7:3–8 Pan HA, Wu MH, Cheng YC, Wu LH, Chang FM (2004) Quantification of ovarian stromal Doppler signals in poor responders undergoing in vitro fertilization with three-dimensional power Doppler ultrasonography. Am J Obstet Gynecol 190:338–344 Raine-Fenning NJ, Campbell BK, Kendall NR, Clewes JS, Johnson IR (2004) Quantifying the changes in endometrial vascularity throughout the normal menstrual cycle with three-dimensional power Doppler angiography. Hum Reprod 19: 330–338 Raine-Fenning NJ, Campbell BK, Clewes JS, Kendall NR, Johnson IR (2003) The reliability of virtual organ computer-aided analysis (VOCAL) for the semiquantification of ovarian, endometrial and subendometrial perfusion. Ultrasound Obstet Gynecol 22:633–639 Vlaisavljevic V, Reljic M, Gavric Lovrec V, Zazula D, Sergent N (2003) Measurement of perifollicular blood flow of the dominant preovulatory follicle using three-dimensional power Doppler. Ultrasound Obstet Gynecol 22:520–526 Wu MH, Tsai SJ, Pan HA, Hsiao KY, Chang FM (2003) Three-dimensional power Doppler imaging of ovarian stromal blood flow in women with endometriosis undergoing in vitro fertilization. Ultrasound Obstet Gynecol 21:480–485 Kupesic S, Kurjak A (2002) Predictors of IVF outcome by three-dimensional ultrasound. Hum Reprod 17:950–955 Schild RL, Holthaus S, d’Alquen J, Fimmers R, Dorn C, van der Ven H, Hansmann M (2000) Quantitative assessment of subendometrial blood flow by three-dimensional-ultrasound is an important predictive factor of implantation in an in-vitro fertilization program. Hum Reprod 15:89–94 Kurjak A, Kupesic S, Sparac V, Prka M, Bekavac I (2003) The detection of stage I ovarian cancer by three-dimensional sonography and power Doppler. Gynecol Oncol 90:258–264 Czekierdowski A, Smolen A, Bednarek W, Kotarski J (2002) Three dimensional sonography and 3D power angiography in differentiation of adnexal tumors. Ginekol Pol 73:1061–1070 Cohen LS, Escobar PF, Scharm C, Glimco B, Fishman DA (2001) Three-dimensional power Doppler ultrasound improves the diagnostic accuracy for ovarian cancer prediction. Gynecol Oncol 82:40–48 Kurjak A, Kupesic S, Sparac V, Kosuta D (2000) Three-dimensional ultrasonographic and power Doppler characterization of ovarian lesions. Ultrasound Obstet Gynecol 16:365–371 Sparac V, Kupesic S, Kurjak A (2000) What do contrast media add to three-dimensional power Doppler evaluation of adnexal masses? Croat Med J 41:257–261 Suren A, Osmers R, Kuhn W (1998) 3D Color power angio imaging: a new method to assess intracervical vascularization in benign and pathological conditions. Ultrasound Obstet Gynecol 11:133–137 Platt LD, Santulli T Jr, Carlson DE, Greene N, Walla CA (1998) Three-dimensional ultrasonography in obstetrics and gynecology: preliminary experience. Am J Obstet Gynecol 178:1199–1206 Yaman C, Ebner T, Jesacher K (2002) Three-dimensional power Doppler in the diagnosis of ovarian torsion. Ultrasound Obstet Gynecol 20:513–515 Sladkevicius P, Ojha K, Campbell S, Nargund G (2000) Three-dimensional power Doppler imaging in the assessment of Fallopian tube patency. Ultrasound Obstet Gynecol 16:644–647 Chan CC, Ng EH, Li CF, Ho PC (2003) Impaired ovarian blood flow and reduced antral follicle count following laparoscopic salpingectomy for ectopic pregnancy. Hum Reprod 18:2175–2180 Nelson TR, Pretorius DH, Hull A, Riccabona M, Sklansky MS, James G (2000) Sources and impact of artifacts on clinical three-dimensional ultrasound imaging. Ultrasound Obstet Gynecol 16:374–383 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2005 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Zalud, I., Platt, L.D. (2005). Three-Dimensional Doppler Ultrasound in Gynecology. In: Maulik, D. (eds) Doppler Ultrasound in Obstetrics and Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28903-8_38 Download citation DOI: https://doi.org/10.1007/3-540-28903-8_38 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-23088-5 Online ISBN: 978-3-540-28903-6 eBook Packages: MedicineMedicine (R0)

Keywords

- Antral Follicle Count - Power Doppler Imaging - Ultrasound Obstet Gynecol - Adnexal Lesion - Vascularization Flow Index These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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