Three‐dimensional transrectal ultrasonography in adolescent patients with polycystic ovarian syndrome

Sun, Li; Fu, Qingzhao

doi:10.1016/j.ijgo.2007.02.024

Cited by 24 publications

(23 citation statements)

References 26 publications

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“…Overall, nine studies conducted between 2003 and 2013 were identified, and seven were used in this review (8)(9)(10)(11)(12)(13)(14). Two studies were excluded from our analysis because there was a lack of ultrasonographic quantitative data (15,16).…”

Section: Results Of Ovarian Ultrasound Studies In Adolescentsmentioning

confidence: 99%

“…Group A included five studies, which had PCOS adolescents with or without controls and used 2D ultrasound (9-11, 13, 14). Group B included two studies, which consisted of both adolescents and young women and used 2D and 3D ultrasound (8,12).…”

Section: Results Of Ovarian Ultrasound Studies In Adolescentsmentioning

confidence: 99%

“…The mean ovarian volume of group B using 3D ultrasound was 13.1 ± 3.2 cm 3 for PCOS patients and 6.3 ± 1.6 cm 3 for controls (p < 0.001). The average numbers of follicles were > 15 in all PCOS patients, and stromal area to total ovarian area (S/A) ratio was significantly higher in PCOS patients than in controls (8,12). In addition, there was a statistically significant difference in the S/A ratio between patients with PCOS vs. patients with PCO (12).…”

Section: D Ultrasound and Biochemical Features Of Studies Including mentioning

confidence: 86%

“…The average numbers of follicles were > 15 in all PCOS patients, and stromal area to total ovarian area (S/A) ratio was significantly higher in PCOS patients than in controls (8,12). In addition, there was a statistically significant difference in the S/A ratio between patients with PCOS vs. patients with PCO (12). Stromal volume (SV) and stromal/ ovarian volume (SV/OV) ratio were significantly higher in PCOS patients than in controls, and ovarian vascularization significantly lower in controls than in PCOS patients (8).…”

Section: D Ultrasound and Biochemical Features Of Studies Including mentioning

confidence: 95%

“…Ovarian volume, androgen levels, and stromal area to total ovarian area ratio (S/A ratio) were assessed using both 2D and 3D transvaginal ultrasound (8). Sun and Fu evaluated ovarian volume, serum androgen levels, and S/A ratio using a 3D transrectal ultrasound in 45 obese Chinese adolescent and young women (15-25 years), 30 obese PCO patients (polycystic ovaries without clinical symptoms of PCOS, 15-25 years), and 25 healthy age-matched controls (12).…”

Section: Demographic Characteristics Of Studies Including Adolescentsmentioning

confidence: 99%

See 4 more Smart Citations

Is ultrasound useful in the diagnosis of adolescents with polycystic ovary syndrome?

Senaldi

Gopi

Milla

et al. 2015

Journal of Pediatric Endocrinology and Metabolism

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Background: Diagnosis of adolescent polycystic ovary syndrome (PCOS) remains a challenge despite several existing criteria, and may be difficult to distinguish from pubertal changes. Different parameters to study ovarian function using ultrasonography have been proposed, but there is still no consensus about their diagnostic value. Objective: To evaluate the role of ultrasonography in the diagnosis of adolescent PCOS by reviewing available studies that assessed the ovarian volume (OV) and other ovarian morphological features such as location and number of follicles, stromal area, and volume. Methods: MEDLINE/PubMed database were searched to identify studies that assessed ovarian characteristics of adolescent PCOS patients by ultrasound. Studies on adults were also reviewed if study population included adolescents and stromal characteristics were assessed by three-dimensional (3D) sonogram. Results: Five studies, including 262 PCOS adolescents (10-19 years of age) and two-dimensional (2D) ultrasound analysis, were identified. Mean OV was 9.29 cm 3 for PCOS patients and 4.77 cm 3 for controls. The morphology of ovarian follicles, when reported, showed multiple ( > 10) peripheral follicles in 83% of cases. Two studies, including 157 PCOS adolescents and young women (15-35 years of age) and 2D and 3D ultrasound analysis, were identified. Patients with PCOS patients had a MOV 13.1 cm

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Section: Results Of Ovarian Ultrasound Studies In Adolescentsmentioning

confidence: 99%

Section: Results Of Ovarian Ultrasound Studies In Adolescentsmentioning

confidence: 99%

Section: D Ultrasound and Biochemical Features Of Studies Including mentioning

confidence: 86%

Section: D Ultrasound and Biochemical Features Of Studies Including mentioning

confidence: 95%

Section: Demographic Characteristics Of Studies Including Adolescentsmentioning

confidence: 99%

See 3 more Smart Citations

Is ultrasound useful in the diagnosis of adolescents with polycystic ovary syndrome?

Senaldi

Gopi

Milla

et al. 2015

Journal of Pediatric Endocrinology and Metabolism

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Ovarian imaging by magnetic resonance in adolescent girls with polycystic ovary syndrome and age‐matched controls

Brown

Park

Shayya

et al. 2013

Magnetic Resonance Imaging

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Purpose To compare ovarian morphology in adolescent girls with and without polycystic ovary syndrome (PCOS) using magnetic resonance (MR) imaging. Materials and Methods In 21 adolescent girls (12–18 years) without and 19 adolescents with PCOS (diagnosis based on excessive hair growth and irregular menstrual cycles) ovarian volume, antral follicle count (AFC) per ovary, and follicle size were evaluated. MR imaging was performed at 1.5 T or 3 T and axial or angled-axial single-shot echo-train spin echo images of 6 mm slice thickness were acquired. In a subset of subjects, 2 mm images were also obtained. PCOS and non-PCOS groups were compared using mixed affects regression. Results Mean AFC per ovary and ovarian volume were substantially greater in PCOS subjects compared to non-PCOS subjects. Mean follicle size was similar between groups. Follicles exceeding 10 mm were seen in 2/19 PCOS subjects versus 9/21 non-PCOS subjects. Consistently higher follicle counts were detected in images obtained at 2 mm compared to 6 mm slice thickness. Conclusion In adolescence MR imaging of the ovary reveals distinct differences between girls with and without PCOS. MR imaging may help evaluate young patients in whom transvaginal ultrasound is contraindicated.

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Counting ovarian antral follicles by ultrasound: a practical guide

Neto

Ludwin

Borrell

et al. 2018

Ultrasound in Obstet & Gyne

101

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Three‐dimensional transrectal ultrasonography in adolescent patients with polycystic ovarian syndrome

Abstract: These findings indicated that, in adolescent patients, 3D-TRS combined with transabdominal ultrasonography can improve the precision of the diagnosis of PCOS. The S/A ratio may become the ultrasonographic diagnostic marker for PCOS.

Cited by 24 publications

References 26 publications

Is ultrasound useful in the diagnosis of adolescents with polycystic ovary syndrome?

Is ultrasound useful in the diagnosis of adolescents with polycystic ovary syndrome?

Ovarian imaging by magnetic resonance in adolescent girls with polycystic ovary syndrome and age‐matched controls

Counting ovarian antral follicles by ultrasound: a practical guide

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