The value of transvaginal color Doppler in the assessment of pelvic inflammatory disease

Kupešić, Sanja; Kurjak, Asım; Pasalic, Lejla; Benic, Stjepan; Ilijaš, Marijan

doi:10.1016/0301-5629(95)00013-h

Cited by 30 publications

(12 citation statements)

References 17 publications

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“…2 These changes in vascularity, as well as the morphologic changes in the adnexa associated with PID, can be detected by duplex sonography and used for diagnostic and follow-up purposes. [3][4][5][6] The aim of this retrospective study was to evaluate whether a response to antibiotic treatment in patients with suspected PID can be predicted on the basis of Doppler flow studies.…”

mentioning

confidence: 99%

Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Tepper

Aviram

Cohen

et al. 1998

J. Clin. Ultrasound

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Purpose The objective of this retrospective study was to evaluate the role of Doppler flow studies in predicting the response to antibiotic treatment in patients with pelvic inflammatory disease (PID). Methods The resistance indices in pelvic masses of 24 patients with clinical diagnoses of PID were analyzed. Results Twelve patients responded favorably to antibiotic treatment (the conservative treatment group), while the other patients showed no clinical improvement and underwent surgery (surgical treatment group). The mean resistance index in the conservative treatment group was significantly higher (0.60 ± 0.15) than that in the surgical treatment group (0.52 ± 0.08; p < 0.05). Conclusions In keeping with hyperemia of inflammation, fallopian arterial resistance seems to decrease with the severity of PID. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:247–249, 1998.

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confidence: 99%

Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Tepper

Aviram

Cohen

et al. 1998

J. Clin. Ultrasound

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“…Color Scoring systems reported from our department effectively decreased the rate of both false posiDoppler imaging indicated ovarian malignancy in 4 cystic teratomas using an unusually high tives and negatives in the differentiation of ovarian lesions. 2,3,24 cut-off value of 0.72 for RI. Weiner et al 32 analyzed 62 women with adComparing the scoring systems for endometriosis and cystic teratomas, some similarities are nexal tumors.…”

Section: Methodsmentioning

confidence: 99%

Preoperative evaluation of cystic teratoma: What does color Doppler add?

Kurjak

Kupešić

Babic

et al. 1997

J. Clin. Ultrasound

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The aim of this prospective study lasting 4 years was to develop a scoring system using clinical parameters, sonographic findings, and transvaginal color and pulsed Doppler impedance values for the preoperative recognition of cystic teratoma. A total of 887 benign and malignant adnexal masses, among which 102 were histologically proved to be cystic teratomas, were evaluated. Using morphological criteria, cystic teratoma was successfully predicted in 95 patients. The sensitivity and specificity of a morphological scoring system were 93.1% and 99.4%, respectively, while positive and negative predictive values were 95.0% and 99.1%. A scoring system using both morphology and vascular assessment demonstrated higher sensitivity and specificity (99.02%, 99.75%). The application of a scoring system combining morphology and vascularity improves the accuracy of diagnosing cystic teratoma and of separating this entity preoperatively from other benign and malignant ovarian conditions. © 1997 John Wiley & Sons, Inc. J Clin Ultrasound 25:309–316, 1997

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“…'Thick tubal walls' with fluid in the lumen are a sensitive and specific finding of acute PID. 67 Postinflammatory scarring of the fallopian tubes can cause fusion of the fimbriae, impeding drainage of fluid into the peritoneum resulting in a condition called hydrosalpinx. Ultrasound will show fluid filled tubes with thin walls and incomplete septations (see Fig.…”

Section: Case 6: Tubal Cause Of Infertilitymentioning

confidence: 99%

Role of Ultrasound in the Assessment of Female Infertility

Sheikh¹

2014

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Ultrasound has made significant advancements in reproductive medicine, especially infertility of a female cause. It is a useful tool in the diagnosis and management of various disorders. Transvaginal ultrasonography in particular plays a vital role in infertility treatment as it allows for evaluation of normal and stimulated ovarian cycles, aspiration of follicles, and subse quent transfer of embryos. The use of color Doppler permits visualization of endometrial and intraovarian vessels, facilitating an understanding of normal and abnormal physiology of the uterus and ovaries. This article reviews a variety of case scenarios regarding female infertility that may be encountered in the practice of reproductive endocrinology. Ovarian causes such as polycystic ovarian syndrome, luteinized unruptured follicle, luteal phase defect, premature ovarian failure, and endometriosis, are discussed together with tubal and uterine causes of infertility. By using illustrative images, the reader will be able to correlate findings on Bmode, color Doppler and 3D ultrasound with various causes of female infertility.

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The value of transvaginal color Doppler in the assessment of pelvic inflammatory disease

Cited by 30 publications

References 17 publications

Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Doppler flow characteristics in patients with pelvic inflammatory disease: Responders versus nonresponders to therapy

Preoperative evaluation of cystic teratoma: What does color Doppler add?

Role of Ultrasound in the Assessment of Female Infertility

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