Document Detail


Early ovarian cancer: 3-D power Doppler.
MedLine Citation:
PMID:  16447081     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transvaginal sonography plays an important role in the assessment of the morphology of ovarian lesions. However, the accuracy of the technique is limited due to the significant number of false-positive results. Color Doppler imaging and pulsed Doppler spectral analysis enable evaluation of ovarian tumor blood flow, analysis of the distribution of blood vessels, and quantitative measurement of blood flow velocity waveforms. These parameters increase the sensitivity and specificity of ultrasound evaluation of ovarian tumors. Unfortunately, there is no consensus as to which Doppler parameters and cutoff values are the most predictive of malignancy. Three-dimensional (3-D) power Doppler ultrasound provides a new tool to evaluate features of tumor vascularity. Three-dimensional ultrasound and 3-D power Doppler imaging in patients with "positive" findings on standard ultrasound tests, which encompass annual gray-scale transvaginal sonography followed by transvaginal color Doppler ultrasound in selected cases, represent a novel approach for early and accurate detection of ovarian cancer through screening. Combined evaluations of morphology and neovascularity by 3-D power Doppler ultrasound may improve early detection of ovarian carcinoma. Contrast-enhanced 3-D power Doppler sonography facilitates visualization of adnexal tumor vessels, which may aid in differentiating benign from malignant adnexal lesions.
Authors:
S Kupesic; B M Plavsic
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Abdominal imaging     Volume:  31     ISSN:  0942-8925     ISO Abbreviation:  Abdom Imaging     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-05-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  613-9     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Sveti Duh Hospital, Medical School University of Zagreb, Sveti Duh 64, 10.000 Zagreb, Croatia.
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MeSH Terms
Descriptor/Qualifier:
Contrast Media
Early Diagnosis
Female
Humans
Imaging, Three-Dimensional*
Ovarian Neoplasms / pathology,  ultrasonography*
Ultrasonography, Doppler*
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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