No abstract

PURPOSETo evaluate the appropriateness of combining colour Doppler with gray scale ultrasonography in suspicious adnexal masses. To evaluate the efficacy of this combination in differentiation of benign and malignant masses compared to 2D Gray Scale Ultrasonography alone. METHODSForty six patients with suspicious adnexal masses were evaluated. Morphological characterisation of the masses was done by Sassone Scoring. Colour Doppler parameters were noted and Caruso scoring done. The results were compared to surgical and histopathological findings. RESULTSUsing Sassone Scoring, overall reliability of differentiating adnexal masses had sensitivity of 85% and specificity of 76%. By using Caruso scoring a sensitivity of 85%, specificity of 90% was obtained. By combining sonomorphological score with Doppler indices, specificity increased to 80.9%, PPV increased from 63% to 70.3%. CONCLUSIONIn evaluation of adnexal masses combining Doppler indices with morphological scores gave higher specificity and positive predictive value.