Ovarian imaging by ultrasound: An attempt to define a reference plane

Abstract

The use of ultrasound to study ovarian function was established by our group. Ultrasound measurements of follicular diameters were found to be helpful for assessing follicular growth and development and for diagnosing and treating infertile women. Because of difficulties in ovarian visualization (differentiation between a more lateral part of the uterus and the ovary), the definition of a reference plane is necessary, especially to make this new technique reproducible. On the basis of the anatomic situation, we believe that it is possible to demonstrate ovarian vessels within the infundibulopelvic ligament. Using a compound scanner and a combined method of B mode, A mode, and TM mode, it should be possible to demonstrate such structures, and they should be useful as a reference plane. Our observations were confirmed in more than 2,500 examinations.

The contribution of sonographic evaluation of ovarian size in patients with polycystic ovarian disease.

“…Hackeloer has suggested that preliminary visualization of the infundibula-pelvic ligaments could reduce this source of error. 10 However, in our experience, this cannot always be achieved, especially in routine investigations with less sophisticated real· time equipment. Furthermore, there can be conditions in which pelvic varices may even require Doppler devices in order to be differentiated from polycystic ovarian parenchyma.…”

Polycystic ovaries in adolescents and the relationship with menstrual cycle patterns, luteinizing hormone, androgens, and insulin

“…All of the ultrasound scans were recorded on videotape. We identified the ovaries with the use of the full-bladder technique (11,12) and measured them in three dimensions. The length and depth measurements were obtained from parasagittal views; the width measurements were obtained from transverse views.…”

Doppler ultrasound investigation of female infertility

“…The ovarian artery is very tortuous, especially when it is close to the ovary [ 15 ]. The blood supply to the ovary also comes from the ovarian branch of the uterine artery, which joins with the ovarian artery, close to the ovary [ 16 ].…”