Ultrasound diagnostic criteria and grades of pelvic congestion syndrome and asymptomatic pelvic venous congestion: a structured report

Abstract

Introduction:Quantitative ultrasound criteria for diagnosing pelvic congestion syndrome (PCS) and asymptomatic pelvic venous congestion (APVC) have not been sufficiently studied. This study evaluated the quantitative ultrasound findings in PCS and APVC, and proposed a graded classification and a standardized structured report. Material and Methods: This cross-sectional study conducted from November 2010 to June 2022 enrolled multiparous women (≥ 2 pregnancies) with suspected PCS (group 1) and asymptomatic, multiparous women with atypical varicose veins and suspected APVC (group 2). Pelvic vein diameter (mm) and reflux were assessed with grayscale ultrasound (US), duplex Doppler, color Doppler, power Doppler, and B-flow. Diagnostic ultrasound criteria were dilation and reflux of the left and/or right gonadal vein (≥ 5 mm), left and/or right external pudendal vein (> 4 mm), and the presence of unilateral or bilateral adnexal varices (≥ 5 mm), vulvar varices (> 2 mm), and parauterine crossing veins (> 4 mm). The US protocol included transabdominal (TAUS), pelvic (

Standardized structured report for Doppler duplex ultrasound of lower extremity venous insufficiency and thrombosis: a technical note

“…Several authors have emphasized the importance of a standardized structured radiology report [5][6][7] , and Mexican radiologists prefer a standardized structured report 7 . A standardized structured report of quantitative ultrasound findings, which may help to systematize the evaluation, diagnosis, and follow-up of patients with pelvic congestion syndrome or asymptomatic pelvic venous congestion, was recently published 8 . There is no standardized structured reporting format for ultrasound-based lower extremity venous system assessment.…”