Over kan akımının değerlendirilmesinde transabdominal superb mikrovasküler görüntüleme ve konvansiyonel doppler görüntüleme tekniklerinin karşılaştırılması
Abstract
Amaç: Bu çalışmada, transabdominal Superbmikrovasküler görüntüleme SMG , color Doppler CD ve power Doppler PD görüntüleme yöntemlerinin sağlıklı gönüllülerde intraovarianvaskülariteyi saptamada etkinliği karşılaştırılmıştır. Gereç ve Yöntem: Çalışmaya yaşları 0 – 34 arasında olan 81 sağlıklı gönüllü n = 162over dahil edildi. Tüm katılımcılar transabdominal B-modultrasonografi, CD, PD ve SMG ile ayrı ayrı incelendi. Over hacimleri B-mod ultrasonografi ile ölçüldü, ardından CD, PD, SMG cSMG ve monokrom SMG mSMG yoluyla over kan akımları değerlendiriledi.Bulgular: SMG, over dokusunda düşük hızlı kan akım sinyallerini saptamada CD ve PD'den daha etkiliydi p> 0.001 . CD, PD, cSMG ve mSMG'deki ortalama ovaryanvaskülerite skoru sırasıyla, 0,5 ± 1, 1,8 ± 1,5, 3,3 ± 1,3 ve 4,3 ± 0,9 idi.Over hacimleri ve sağlıklı gönüllülerin yaş ortalaması azaldıkça, mSMG ve cSMG yöntemleri konvansiyonel Doppler tekniklerine göre overvaskülaritesini daha iyi gösterdi.Sonuç: Transabdominal SMG, overvasküleritesini diğer konvansiyonel Doppler tekniklerine kıyasla daha ayrıntılı göstermektedir. SMG, özellikle çocuk hastalarda overvasküleritesinin değerlendirilmesi için inceleme protokolünün bir parçası olmalıdır
References
- Wilkinson C, Sanderson A. Adnexal torsion -- a multimo- dality imaging review. Clin Radiol 2012;67:476-83.
- Fleischer AC, Brader KR. Sonographic depiction of ovarian vascularity and flow: current improvements and future app- lications. J Ultrasound Med 2001;20:241-50.
- Kupesic S, Plavsic BM. Adnexal torsion: color Dopp- ler and three-dimensional ultrasound. Abdom Imaging 2010;35:602-6.
- Yaman C, Ebner T, Jesacher K. Three-dimensional power Doppler in the diagnosis of ovarian torsion. Ultrasound Obstet Gynecol 2002;20:513-5.
- Buy JN, Ghossain MA, Hugol D, et al. Characterization of adnexal masses: combination of color Doppler and conven- tional sonography compared with spectral Doppler analysis alone and conventional sonography alone. AJR Am J Ro- entgenol 1996;166:385-93.
- Pena JE, Ufberg D, Cooney N, et al. Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertil Steril 2000;73:1047-50.
- Mao Y, Mu J, Zhao J, et al. The value of superb microvas- cular imaging in differentiating benign renal mass from malignant renal tumor: a retrospective study. Br J Radiol 2018;91:20170601.
- Dane B, Dane C, Kiray M, et al. Sonographic findings in adnexal torsion: a report of 34 cases. Arch Gynecol Obstet 2009;279:841-4.
- Durmaz MS, Sivri M. Comparison of superb micro-vascu- lar imaging (SMI) and conventional Doppler imaging tech- niques for evaluating testicular blood flow. J Med Ultrason 2018;45:443-52.
- Arslan S, Karahan AY, Oncu F, et al. Diagnostic Performan- ce of Superb Microvascular Imaging and Other Sonograp- hic Modalities in the Assessment of Lateral Epicondylosis. J Ultrasound Med 2018;37:585-93.
- Lee YS, Kim MJ, Han SW, et al. Superb microvascular ima- ging for the detection of parenchymal perfusion in normal and undescended testes in young children. Eur J Radiol 2016;85:649-56.
- Karaca L, Oral A, Kantarci M, et al. Comparison of the su- perb microvascular imaging technique and the color Dopp- ler techniques for evaluating children's testicular blood flow. Eur Rev Med Pharmacol Sci 2016;20:1947-53.
- Emonts M, Doornewaard H, Admiraal JC. Adnexal torsion in very young girls: diagnostic pitfalls. Eur J Obstet Gynecol Reprod Biol 2004;116:207-10.
- Naiditch JA, Barsness KA. The positive and negative predi- ctive value of transabdominal color Doppler ultrasound for diagnosing ovarian torsion in pediatric patients. J Pediatr Surg 2013;48:1283-7.
Abstract
Objective: This study aimed to compare transabdominal Superb microvascular imaging SMI , color Doppler CD , and power Doppler PD with respect to their ability to detect intraovarian vascularity in healthy volunteers. Material and Methods: Eighty-one healthy participants n = 162 ovaries aged 0–34 years were included in the study. All participants were examined by transabdominal B-mode sonography, CD, PD, and SMI. Ovarian volumes were measured on B-mode sonography, followed by measurement of ovarian blood flow via CD, PD, color SMI cSMI , and monochrome SMI mSMI . Results: SMI was more efficient than CD and PD in detecting flow signals in the ovarian tissue p > 0.001 . The mean OVS in CD, PD, cSMI, and mSMI was 0.5 ± 1 range, 0–5 , 1.8 ± 1.5 range, 0–5 , 3.3 ± 1.3 range, 0–5 , and 4.3 ± 0.9 range, 1–5 ,respectively. As the ovarian volume and participant age decreased, mSMI and cSMI showed significantly greater ability to depict vascularity in comparison with conventional Doppler techniques. Conclusion: Transabdominal SMI provides more detailed vascular information regarding ovarian blood flow than both CD and PD. SMI should be a part of the examination protocol for assessment of ovarian vascularization, especially in pediatric patients
References
- Wilkinson C, Sanderson A. Adnexal torsion -- a multimo- dality imaging review. Clin Radiol 2012;67:476-83.
- Fleischer AC, Brader KR. Sonographic depiction of ovarian vascularity and flow: current improvements and future app- lications. J Ultrasound Med 2001;20:241-50.
- Kupesic S, Plavsic BM. Adnexal torsion: color Dopp- ler and three-dimensional ultrasound. Abdom Imaging 2010;35:602-6.
- Yaman C, Ebner T, Jesacher K. Three-dimensional power Doppler in the diagnosis of ovarian torsion. Ultrasound Obstet Gynecol 2002;20:513-5.
- Buy JN, Ghossain MA, Hugol D, et al. Characterization of adnexal masses: combination of color Doppler and conven- tional sonography compared with spectral Doppler analysis alone and conventional sonography alone. AJR Am J Ro- entgenol 1996;166:385-93.
- Pena JE, Ufberg D, Cooney N, et al. Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertil Steril 2000;73:1047-50.
- Mao Y, Mu J, Zhao J, et al. The value of superb microvas- cular imaging in differentiating benign renal mass from malignant renal tumor: a retrospective study. Br J Radiol 2018;91:20170601.
- Dane B, Dane C, Kiray M, et al. Sonographic findings in adnexal torsion: a report of 34 cases. Arch Gynecol Obstet 2009;279:841-4.
- Durmaz MS, Sivri M. Comparison of superb micro-vascu- lar imaging (SMI) and conventional Doppler imaging tech- niques for evaluating testicular blood flow. J Med Ultrason 2018;45:443-52.
- Arslan S, Karahan AY, Oncu F, et al. Diagnostic Performan- ce of Superb Microvascular Imaging and Other Sonograp- hic Modalities in the Assessment of Lateral Epicondylosis. J Ultrasound Med 2018;37:585-93.
- Lee YS, Kim MJ, Han SW, et al. Superb microvascular ima- ging for the detection of parenchymal perfusion in normal and undescended testes in young children. Eur J Radiol 2016;85:649-56.
- Karaca L, Oral A, Kantarci M, et al. Comparison of the su- perb microvascular imaging technique and the color Dopp- ler techniques for evaluating children's testicular blood flow. Eur Rev Med Pharmacol Sci 2016;20:1947-53.
- Emonts M, Doornewaard H, Admiraal JC. Adnexal torsion in very young girls: diagnostic pitfalls. Eur J Obstet Gynecol Reprod Biol 2004;116:207-10.
- Naiditch JA, Barsness KA. The positive and negative predi- ctive value of transabdominal color Doppler ultrasound for diagnosing ovarian torsion in pediatric patients. J Pediatr Surg 2013;48:1283-7.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Article |
| Authors | |
| Publication Date | March 1, 2019 |
| Published in Issue | Year 2019 Volume: 29 Issue: 2 |
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