Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Assessment of ovarian tumors using transvaginal color Doppler ultrasonography
1First Department of Obstetrics and Gynaecology, Alexandra Hospital, University of Athens, Athens, Greece
*Corresponding Author(s): G. Daskalakis E-mail:
In our study we used transvaginal color Doppler ultrasonography in a token of 127 women presenting with unilateral ovarian tumor. The characteristics of the tumors were analyzed, the presence of vascularization was checked and the resistance index (RI) was calculated. Consequently, based on a concrete scoring system, we attempted to discriminate these tumors as benign or malignant. It was proven that 24 of 127 ovarian tumors were malignant. Transvaginal color Doppler correctly identified 21 of the 24 malignant tumors, as well as 94 of the 103 benign tumors. In nine other cases we had false-positive results. The sensitivity and the specificity of the method was 87.5% and 91.2%, while the positive and negative predictive values were 70% and 96.9%, respectively.
Ovarian tumors; Ultrasound; Color Doppler
G. Daskalakis,K. Kalmantis,N. Skartados,N. Thomakos,L. Hatziioannou,A. Antsaklis. Assessment of ovarian tumors using transvaginal color Doppler ultrasonography. European Journal of Gynaecological Oncology. 2004. 25(5);594-596.
[1] Leibman J.A., Kruse B., McSweeney M.B.: "Transvaginal sonography: companson WIth transabdommal sonography m the dmgnosis of pelvic masses". Am. J. Roentgenol., 1988, 151, 89.
[2] Lerner J.P., Timar-Trisch LE., Federman A., Abramovich G.: "Transvaginal sonographic characterization of ovarian masses using an improved weighted scoring system". Am. J. Ob.stet. Gynecol., 1994, 170, 81.
[3] Kurjak A., Zalud I., Alfirevic Z.: "Evaluation of adnexal masses with transvaginal color ultrasound". J. Ultrasound Med., 1991, 10, 295.
[4] Fleischer A.C., Gullinan J.A., P eery C.V., Jones J.W. TIT.: "Early detection of ovarian carcinoma with transvaginal color Doppler ultrasound". Am. J. Obstet. Gynecol., 1996, 174, 106.
[5] Bromley B., Goodman H., Benacerraf B.R. et al.: "Comparison between sonographic morphology and Doppler waveform for the diagnosis of ovarian malignancy". Obstet. Gynecol., 1994, 83, 434.
[6] Valentin L., Sladkevicius P., Marsal K.: "Limited contribution of Doppler velocimetryto the differential diagnosis of extrauterine pelvic tumors". Obstet. Gynecol., 1994, 83, 425.
[7] Cranberg S., Norstron A., Wikland M.: "Tumors in the lower pelvis as imaged by vaginal sonography". Gynecol. Oncol., 1990, 37, 224.
[8] Benacerraf B.R., Finkler NJ., Knapp R.C.: "Sonographic accuracy in the diagnosis of ovarian masses". J. Reprod. Med., 1990, 35, 491.
[9] Sassone A.M., Timor-Tritsch I.E., Artner A., Westhoff C., Warren W.: "Transvaginal sonographic characterization of ovarian disease: evaluation of a new scoring system to predict ovarian malignancy". Obstet. Gynecol., 1991, 78, 70.
[10] Kurjak, Predanic M.: "New scoring system for prediction of ovarian malignancy based on transvaginal color Doppler sonography". J. Ultrasound Med., 1992, 11, 631.
[11] Kurjak, Kupesic S.: "Transvaginal color Doppler and pelvic tumor angiogenesis: lessons learned and future challenges". Ultrasound Obstet. Gynecol., 1995, 6, 145.
[12] Prompeler H.J., Madjar H., Sauerbreiw, Latternann L.P., Pfleiderer A.: "Quantitative flow measurements for classification of ovarian tumors by trans vaginal color Doppler in postmenopausal patients" Ultrasound Obstet. Gynecol., 1994, 4, 406.
[13] Kurjak A., Shalan H., Kupesic S. et al.: "Transvaginal color Doppler sonography in the assessment of pelvic tumor vascularity". Ultrasound Gynecol., 1993, 3, 137.
[14] Kurjack, Kupesic S., Breyer B., Sparac V., Jukic S.: "The assessment of ovarian tumor angiogenesis: What does three-dimensional power Doppler add?". Ultrasound Obstet. Gynecol., 1998, 12, 1.
[15] Pairleitner H., Steiner, Hasenoehrl G. et al.: "Three dimensional power Doppler sonography: imaging and quantifying blood flow and vascularization". Ultrasound Obstet. Gynecol., 1999, 14, 139.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.
Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.
JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.
Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.
BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Top