Differentiation of benign and malignant adnexal masses: relative value of gray-scale, color Doppler, and spectral Doppler sonography.

Stein, Sharon M.; Laifer-Narin, Sherelle; Johnson, M B; Roman, Lynda D.; Muderspach, Laila I.; Tyszka, J. Michael; Ralls, Philip W.

doi:10.2214/ajr.164.2.7839975

Cited by 126 publications

(71 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vascularity in cystic lesions was seen equally in septae as well as in wall, but in solid malignant tumors, the central vascularity was observed in 87.5 % cases and peripheral vascularity in 37.5 % cases. These findings were correlated well with the study by Valentin et al [8] and Kurjak et al [7], but the study by Sharon Stein et al [9] suggested that internal color flow cannot be used as a predictor of malignancy (PPV 49 %), but the absence of color flow suggested benignity (NPV 94 %).…”

Section: Resultssupporting

confidence: 91%

“…Extrapolating the data of the present study using the criterion PI \ 1.0 and \0.4 proposed by Kurjak et al [7] and Buy et al [11], 92.5 % of malignant tumors and 6.82 % of benign tumors showed PI \ 1.0, while only 20 % malignant tumors and 2.27 % of the benign tumors showed RI \ 0.4. As elucidated previously by many authors [12,13], the absence of vascularity is always indicative of benignity (Fig. 4).…”

Section: Resultssupporting

confidence: 68%

“…It is factually correct that low impedance to blood flow with high velocity is suggestive of malignancy, whereas moderate-tohigh impedance to blood flow is correlated to benign tumors. Resistive indices less than 0.4-0.8 [3,5] and pulsatility indexes less than 1.0 are generally considered to be suspicious for malignancy [3][4][5][6]. In the present study, PI \ 0.8 and RI \ 0.6 were considered for analysis.…”

Section: Resultsmentioning

confidence: 98%

See 2 more Smart Citations

Doppler Ultrasound: A Good and Reliable Predictor of Ovarian Malignancy

Shah¹,

Shah

Parikh³

et al. 2012

J Obstet Gynecol India

View full text Add to dashboard Cite

Aims The aim of the present study was to prove the efficiency of Color Doppler and Spectral Doppler in evaluation and characterization of the ovarian neoplasm. Materials and Methods In total, 104 patients with adnexal masses were examined sonographically to evaluate for morphologic characteristics, as well as pulsatility indices (PI), and resistance indices (RI) over a period of 2 years, of which 20 were excluded as the masses were not finally proven to be adnexal, and thus 84 patients with ovarian neoplasm were retained as the study subjects. The final diagnosis was based on histopathologic confirmation. Result Out of 84 cases, 44 were benign and 40 were malignant. Color Doppler showed vascularity in 97.5 % of malignant tumors in contrast to only 68.1 % of benign tumors. The present study showed that, 87.5 % of malignant tumors had PI less than 0.8 in contrast to only 4.54 % of benign tumors. Similarly, 82.5 % of malignant tumors had RI less than 0.6 in contrast to only 6.81 % of benign tumors. Conclusion Multiparameter analysis utilizing B-mode USG along with Color Doppler and Spectral Doppler is the mainstay in diagnosis of patients with ovarian tumors. A good specificity (84.1 %) and sensitivity (97.5 %) with PI and RI values of \1.0 and \0.6, respectively, was achieved with the present study which is highly significant in differentiating between malignant and benign ovarian tumours.

show abstract

Section: Resultssupporting

confidence: 91%

Section: Resultssupporting

confidence: 68%

Section: Resultsmentioning

confidence: 98%

See 1 more Smart Citation

Doppler Ultrasound: A Good and Reliable Predictor of Ovarian Malignancy

Shah¹,

Shah

Parikh³

et al. 2012

J Obstet Gynecol India

View full text Add to dashboard Cite

show abstract

“…It also suggests that B-Mode USG is very accurate in diagnosing true negative patient among the women who have benign ovarian masses. Sharon M Stein et al, also reported high sensitivity (98%) and negative predictive value (99%) in their study [15].…”

Section: Methodsmentioning

confidence: 67%

Diagnostic Accuracy of B-mode USG and Doppler Scan for Ovarian Lesions

Goyal

Agarwal

2016

JCDR

View full text Add to dashboard Cite

“…Ultrasound morphology of various types of adnexal pathology is described in reference [74] and the diagnostic value of adding Doppler ultrasound to gray scale imaging is thoroughly discussed in reference [95]. The sensitivity and specificity of pattern recognition both with regard to malignancy and specific diagnoses are shown in Table 6 [94,[96][97][98][99][100][101][102][103][104][105][106][107][108][109]. A meta-analysis describing the diagnostic accuracy of transvaginal ultrasound specifically for the diagnosis of endometriomas has been published [110].…”

Section: Palpable Pelvic Massmentioning

confidence: 99%

Imaging in gynecology

Valentin

2006

Best Practice & Research Clinical Obstetrics & Gynaecol

View full text Add to dashboard Cite

This chapter summarizes the diagnostic performance (sensitivity, specificity, positive and negative likelihood ratios) of ultrasound, computer tomography, and magnetic resonance imaging in the diagnosis of various gynecological diseases and tumors. Positron emission tomography is not discussed. Imaging in infertility, in the diagnosis of Mullerian duct anomalies and in gynecological oncology (staging of gynecological cancers, diagnosis of recurrence of gynecological cancer, diagnosis of trophoblastic tumors) is not dealt with.Ultrasound is the first line imaging method for discrimination between viable intrauterine pregnancy, miscarriage and tubal pregnancy in women with bleeding and/or pain in early pregnancy, for discrimination between benign and malignant adnexal masses and for making a specific diagnosis in adnexal tumors (e.g., dermoid cyst, endometrioma, hemaorrhagic corpus luteum, ectetera), for diagnosing intracavitary uterine pathology in women with bleeding problems, and for confirming or refuting pelvic pathology in women with pelvic pain. Magnetic resonance imaging may have a role as a secondary test in the diagnosis of adenomyosis, 'deep endometriosis' (e.g., endometriosis in the rectovaginal septum or in the utero-sacral ligaments), and in the diagnosis of extremely rare types of ectopic pregnancy (e.g., in the spleen, liver or retroperitoneum).

show abstract

Differentiation of benign and malignant adnexal masses: relative value of gray-scale, color Doppler, and spectral Doppler sonography.

Abstract: OBJECTIVE.The

Cited by 126 publications

References 15 publications

Doppler Ultrasound: A Good and Reliable Predictor of Ovarian Malignancy

Doppler Ultrasound: A Good and Reliable Predictor of Ovarian Malignancy

Diagnostic Accuracy of B-mode USG and Doppler Scan for Ovarian Lesions

Imaging in gynecology

Contact Info

Product

Resources

About