Assessment of ovarian and uterine blood flow by transvaginal color Doppler in ovarian-stimulated women: correlation with the number of follicles and steroid hormone levels

Weiner, Zeev; Thaler, Israel; Levron, Jacob; Lewit, Nathan; Itskovitz‐Eldor, Joseph

doi:10.1016/s0015-0282(16)55853-1

Cited by 91 publications

(59 citation statements)

References 23 publications

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“…46 The vascular changes observed during the entire folliculogenesis process seem to play an important and decisive role in ovulation as well as in maintenance of the corpus luteum. 9,10,12,22,47 Our observations confirm that the changing flow patterns seen in cycling women who ovulate normally are absent in women with PCOS.…”

supporting

confidence: 80%

Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography.

Dolz

Osborne

Blanes

et al. 1999

Journal of Ultrasound in Medicine

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We conducted a three‐dimensional ultrasonographic evaluation of the size and structure of the ovaries of women who had clinical and biochemical findings suggestive of polycystic ovary syndrome. We carried out a comparative color Doppler frequency and color Doppler amplitude study of the vascular patterns of these ovaries. This study involved 65 women of reproductive age with polycystic ovary syndrome and 25 eumenorrheic women who were not taking hormonal contraceptives and who had a body mass index below 25 kg/m2. Compared to controls, women with polycystic ovary syndrome had larger ovaries and thicker stroma, increased impedance in the uterine arteries, increased stromal vascularity with decreased impedance that persisted throughout the menstrual cycle, and a lack of luteal conversion.

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supporting

confidence: 80%

Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography.

Dolz

Osborne

Blanes

et al. 1999

Journal of Ultrasound in Medicine

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“…A number of studies have showed a relationship between ovarian stromal blood flow early in the cycle and the ovarian responsiveness (11,(26)(27)(28)(29). A lower IOA PI early in the cycle (day 2 or 3) is associated with a larger number of growing follicles (11) and a larger number of oocytes retrieved (29).…”

Section: Discussionmentioning

confidence: 99%

“…Pulsatility index and RI are measures of resistance to blood flow and are inversely related to blood flow (10,11). The PI is derived from the difference between the peak systolic velocity (S) and end diastolic velocity (D) divided by mean velocity (Velocity m ) (S-D/Velocity m ) (12).…”

Section: Methodsmentioning

confidence: 99%

Power Doppler ultrasound assessment of follicular vascularity in the early follicular phase and its relationship with outcome of in vitro fertilization

Shrestha

Costello

Sjöblom

et al. 2006

J Assist Reprod Genet

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Objective : To determine whether ovarian perifollicular blood flow (PFBF) in the early follicular phase (EFP) was associated with treatment outcome. Design : Retrospective longitudinal cohort study. Setting : Tertiary referral centre/university hospital. Patients : Thirty-four women underwent 37 IVF cycles, which resulted in 35 embryo transfers. Interventions : Serial transvaginal scans using power Doppler ultrasound during the follicular phase. Ovarian PFBF of follicles ≥ 5 mm was subjectively assessed using a modified grading system (grades 0-4). Main outcome measures : Ovarian PFBF and pregnancy. Results : Treatment cycles were retrospectively divided into two groups: Group 1 (n = 20) had cycles with at least one small (5-10 mm) or medium (11-14 mm) size follicle(s) of high grade (2-4) PFBF on cycle day 5 or 6 or 7; and Group 2 (n = 17), had cycles that did not. Group 1 had a significantly higher proportion of high grade large follicles in the late follicular phase (35% vs. 21%) (OR 2.0; 95% CI 1.1-3.7) and higher clinical pregnancy rate (47% vs. 12%) (OR 6.3; CI 1.1-35.7) compared to Group 2. Conclusion : High grade ovarian PFBF in the EFP during IVF is associated with both high grade PFBF in the late follicular phase and a higher clinical pregnancy rate.

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“…A comparison of different studies have shown that resistance index less than 0.4 and pulsatility index less than 1.0 are generally considered to be suspicious for malignancy. [17][18][19][20][21][22][23] So a prospective study was embarked to assess the usefulness of ultrasound color flow mapping and pulsed…”

Section: Introductionmentioning

confidence: 99%

Adnexal Masses in Perimenopausal Women: How Effective is Color Flow Mapping and Pulse Doppler Waveform Studies in detecting Malignancy Preoperatively?

Gupta¹

2013

Journal of SAFOMS

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Objective: This prospective study was undertaken to assess the sensitivity and specificity of color flow mapping and pulse Doppler waveform in identifying malignancy preoperatively in adnexal masses in perimenopausal women. Materials and methods:A total of 100 cases with adnexal masses in perimenopausal women were scanned, underwent color flow mapping and pulsed Doppler waveform studies. These cysts were divided into three groups according to their ultrasound appearance -cystic, mixed cystic and solid. All the adnexal mases were removed surgically and sent for histopathological study. Results:The sensitivity and specificity of color flow mapping in identifying malignant ovarian tumors was 63.6 and 87.0% respectively. In the case of solid cysts, color flow mapping identified all malignant tumors. But, color flow mapping missed malignancies in cystic and mixed cystic masses. To improve detection rates, we used Doppler waveform studies and used resistance index less than 0.4 as the indicator of malignancy and found overall sensitivity and specificity of 90.9 and 92.3%, which was higher than that of color flow mapping. Conclusion:To conclude ultrasonic color flow mapping and pulse Doppler waveform studies used preoperatively on adnexal masses in perimenopausal women are widely available, performed rapidly and relatively easily, cost-effective and a reliable noninvasive method to predict malignancy preoperatively.

show abstract

Assessment of ovarian and uterine blood flow by transvaginal color Doppler in ovarian-stimulated women: correlation with the number of follicles and steroid hormone levels

Cited by 91 publications

References 23 publications

Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography.

Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography.

Power Doppler ultrasound assessment of follicular vascularity in the early follicular phase and its relationship with outcome of in vitro fertilization

Adnexal Masses in Perimenopausal Women: How Effective is Color Flow Mapping and Pulse Doppler Waveform Studies in detecting Malignancy Preoperatively?

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