Acoustic Streaming in Ovarian Cysts
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Abstract
OBJECTIVE: The purpose of this study was to investigate the hypothesis that endometriomas do not show acoustic streaming and then to quantify the streaming velocity of the particles within ovarian cysts that do show acoustic streaming. METHODS: Ovarian cysts greater than 2 cm in diameter, with internal echoes seen on B-mode sonography, were prospectively evaluated for the presence of acoustic streaming. If acoustic streaming was present, a 2-mm pulsed Doppler sample volume was then placed within the distal portion of the cyst, and the streaming velocity was recorded. Follow-up included review of subsequent sonographic examinations, surgical notes, and histopathologic reports, with the latter being considered the final results if available. RESULTS: Acoustic streaming was detected in 10 (38%) of 26 ovarian cysts, but of the 10 endometriomas, none (0%) showed acoustic streaming (P = .002). Acoustic streaming was detected in 86% (n = 6) of cystadenomas. Four of these were serous cystadenomas, which all showed acoustic streaming, with a velocity range of 1.5 to 3.6 cm/s. Two mucinous cystadenomas showed acoustic streaming with velocities of 0.8 and 2.0 cm/s. CONCLUSIONS: Endometriomas appear as cysts containing homogeneous, low-level, "ground glass" echoes on gray scale sonography. Other types of ovarian cysts can also have these appearances. Endometriomas do not show acoustic streaming. Cystadenomas may have streaming velocities within a defined range. Acoustic streaming assessment may therefore prove to be an additional useful tool in assessing ovarian cysts and in completely excluding endometrioma as a diagnosis if a cyst shows acoustic streaming.
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Cited by (10)
- Ultrasound features of ovarian endometriomas 2025
- The Sonographic Spectrum of Pelvic Endometriosis 2019
- Ovarian Endometriosis 2018
- Mean grey value is lower in endometriomas: Differentiating a hypoechogenic adnexal cyst by 3-dimensional power Doppler ultrasound—A preliminary study 2011
- Acoustic streaming cannot discriminate reliably between endometriomas and other types of adnexal lesion: a multicenter study of 633 adnexal masses 2009
- Dynamic and interactive gynecological ultrasound examination 2009
- Endometriosis 2008
- Transvaginal ultrasonography in the diagnosis of extrauterine pelvic diseases 2008
- [Pelvic inflammatory disease and an abscessed endometriosis cyst: a diagnostic problem and a therapeutic dilemma]. 2007
- Endometriosis 2006
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