Over kan akımının değerlendirilmesinde transabdominal superb mikrovasküler görüntüleme ve konvansiyonel doppler görüntüleme tekniklerinin karşılaştırılması
Öz
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
Anahtar Kelimeler
Superbmikrovasküler görüntüleme color Doppler power Doppler ultrasonografi over
Kaynakça
- 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.
Öz
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
Anahtar Kelimeler
Superb microvascular imaging color Doppler power Doppler ultrasonography ovary
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Original Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 29 Sayı: 2 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.