Three-dimensional ultrasound and three-dimensional power Doppler in the assessment of ovarian tumors

Laban, Mohamed; Metawee, H.; Elyan, A.; Kamal, Manal Mohamed; Kamel, Mohamed H.; Mansour, Ghada M.

doi:10.1016/j.ijgo.2007.03.027

Cited by 30 publications

(24 citation statements)

References 12 publications

(16 reference statements)

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“…They reported a sensitivity, specificity, positive predictive value, and negative predictive value of 93.5, 92.9, 84.5, and 97.2 %, respectively [34]. Several other studies provided similar results and concluded that 3D PD is a highly sensitive and specific tool for diagnosing ovarian malignancies [33,[35][36][37]. 3D USG and 3D PD technique were found to be highly reproducible [28,38].…”

Section: Oncologymentioning

confidence: 87%

Role of Three-Dimensional Ultrasound in Gynecology

Türkgeldi

Urman

Ata

2014

J Obstet Gynecol India

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Three-dimensional ultrasound (3D USG) is a fast-evolving imaging technique that holds a great potential for use in gynecology. Its sensitivity and specificity is reported to be close to 100 % for diagnosing congenital uterine anomalies, comparable with those of magnetic resonance imaging (MRI) and laparoscopy. With 3D USG, a coronal view of the uterus can be obtained, clearly outlining the external contour of the uterus and providing accurate information about the shape of the cavity. Although 3D USG may not perform well in thin endometria, combining it with saline infusion sonography (SIS) overcomes this problem. Research shows that 3D USG is more sensitive and specific than two-dimensional ultrasound (2D USG) in defining and mapping uterine lesions, such as fibroids, adenomyosis, and intrauterine synechia. In cases of suspected malignancy, 3D USG is mainly used in the initial evaluation of patients. Measuring various indices and mapping vascular architecture with 3D power Doppler have been proposed for evaluating adnexal masses. Although some studies raised hope, no consensus is reached about its use, success, and limitations. In urogynecology, translabial 3D USG is proved to be a valuable tool, as it provides instant access to the axial plane, which clearly depicts the relationship of the vagina, urethra, rectum, and the muscular pelvic floor. Studies report no significant differences between translabial 3D USG and MRI measurements for evaluation of the pelvic floor. In conclusion, adding 3D USG to routine gynecological workup can be beneficial for clinicians, as it provides fast and accurate results in a relatively cost-effective setting.

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Section: Oncologymentioning

confidence: 87%

Role of Three-Dimensional Ultrasound in Gynecology

Türkgeldi

Urman

Ata

2014

J Obstet Gynecol India

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“…When conventional ultrasound examination is not satisfactory, three-dimensional ultrasonography (3D) can be recommended as it offers superior sensitivity and specificity, described in the literature around 93.5 and 91.5% [17][18][19] (B). Magnetic resonance imaging (MRI) may be appropriate for analysis of adnexal cysts to help clarify the potential for malignancy with a sensitivity and specificity of 91.9 and 88.4%, respectively 20,21 (B).…”

Section: Laboratory and Image Aspectsmentioning

confidence: 99%

“…Metaanalysis studies on resistance index, pulsatility index and systolic peak velocity found sensitivity and specificity for each index at 77.2 and 89.8%, 80.6 and 79.9%, and 80.0 and 84.2%, respectively 4,17,19 (A)(B). The evaluation of adnexal findings by Doppler study using resistance index, pulsatility index and maximum systolic velocity did not show diagnostic accuracy greater than that of conventional ultrasound.…”

Section: (A)(b)mentioning

confidence: 99%

Clinical management of incidental findings on pelvic adnexal masses

Dias

Bueloni-Dias

Delmanto

et al. 2015

Rev. Assoc. Med. Bras.

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Summary Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphological parameters with Doppler study, serum carcinona antigen 125 and investigation of a symptom index may improve diagnosis. Surgical approach should be considered whenever there are suspicious images, rapid growth of cysts, changes in the appearance compared to the initial evaluation or when the patient has symptoms. Future studies on genetic and molecular mechanisms may help explain the pathophysiology of ovarian cancer, improving early diagnosis and treatment.

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“…83 Laban et al in a series of 50 masses found that 3D-US had a higher sensitivity and specificity than 2D-US. 84 Some studies have assessed the role of 3D-PDA for discriminating benign from malignant adnexal masses.…”

Section: Three-dimensional Ultrasound In Adnexal Pathologymentioning

confidence: 99%

“…84,[93][94][95][96] Furthermore, this approach is only moderately reproducible. 93,94 These studies are summarized in Table 5.…”

Section: Three-dimensional Ultrasound In Adnexal Pathologymentioning

confidence: 99%

Three-dimensional ultrasound in gynecological clinical practice

Alcázar¹,

Aubá²,

Olartecoechea³

2012

RMI

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Three-dimensional ultrasound is an imaging technique that is being introduced into clinical practice in several medical specialties. Although this technique is unlikely to replace the two-dimensional ultrasound, its role as a diagnostic tool is being explored. In fact, in the field of gynecology there has been a steady increase in the number of papers published in the last few years. These applications include: imaging the uterus, uterine cavity, adnexa, and pelvic floor as well as reproductive medicine, such as the prediction of IVF success or ovarian hyperstimulation syndrome. The aim of this paper is to review the current status of threedimensional ultrasound in clinical practice in gynecology.

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Three-dimensional ultrasound and three-dimensional power Doppler in the assessment of ovarian tumors

Abstract: Evaluation by 3DUS with 3DPD improves diagnostic accuracy of ovarian tumors.

Cited by 30 publications

References 12 publications

Role of Three-Dimensional Ultrasound in Gynecology

Role of Three-Dimensional Ultrasound in Gynecology

Clinical management of incidental findings on pelvic adnexal masses

Three-dimensional ultrasound in gynecological clinical practice

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