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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2014 / Cilt: 48 - Sayı: 3

Preoperative evaluation of doppler ultrasound indices in postmenopausal ovarian masses

Postmenopozal over kitlelerinde spektral doppler ultrason parametrelerinin preoperatif değerlendirmesi

Burçin DEMİREL
VELİ MİHMANLI
Gözde TOPRAKÇI
FATİH MEHMET FINDIK
Orhan ÖZEN
Fatih KANTARCI
Pages
176–181
DOI
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Conclusion: Quantitative transvaginal DUS flow measurements provides sensitive and specific results in differentiating benign from malignant ovarian tumors in postmenopausal women.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to evaluate the value of quantitative spectral Doppler ultrasound (DUS) flow measurements in ovarian tumors in postmenopausal women.Material and Method: This prospective study included 23 postmenopausal women with preoperative diagnosis of ovarian tumor.
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Key Findings & Data:Patients were examined with transvaginal DUS 2 to 4 days before surgery.
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Conclusion & Impact:Conclusion: Quantitative transvaginal DUS flow measurements provides sensitive and specific results in differentiating benign from malignant ovarian tumors in postmenopausal women.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to evaluate the value of quantitative spectral Doppler ultrasound (DUS) flow measurements in ovarian tumors in postmenopausal women.Material and Method: This prospective study included 23 postmenopausal women with preoperative diagnosis of ovarian tumor. Patients were examined with transvaginal DUS 2 to 4 days before surgery. The resistive index (RI) and pulsatility index (PI) of the mass were evaluated by transvaginal DUS examination. Results: The histopathologic examination of the surgical specimens revealed 8 malignant, 13 benign and 1 borderline tumor. The mean RI and PI for malignant tumors were 0.37 (range 0.35-0.45) and 0.61 (range 0.43-0.85), respectively. The mean RI and PI for benign tumors were 0.61 (range 0.30-0.91) and 1.21 (range 0.36-3.02), respectively. The Mann-Whitney U test revealed a statistically significant (p<0.05) correlation between the DUS measurements and histopathologic results. The sensitivity, specificity, positive and negative predictive cut-off values for RI less than 0.4 was 77%, 85%, 77%, and 85% respectively, in the diagnosis of malignant lesions. The sensitivity, specificity, positive and negative predictive cut-off values for PI less than 0.7 was 77%, 78% 70%, and 84% respectively. Conclusion: Quantitative transvaginal DUS flow measurements provides sensitive and specific results in differentiating benign from malignant ovarian tumors in postmenopausal women.

Özet

Amaç: Bu çalışmanın amacı postmenopozal kadınlarda görülen over tümörlerinde kantitatif spektral Doppler ultrasonografi (DUS) akım ölçümlerini değerlendirmektir.Gereç ve Yöntem: Bu prospektif çalışmaya preoperatif over tümörü tanısı alan 23 postmenopozal kadın dahil edildi. Hastalar operasyondan 2-4 gün öncesinde transvajinal DUS ile incelendi. Ovaryen tümörlerdeki akımlarda rezistans indeks (Rİ) ve pulsatilite indeksi (Pİ) transvajinal DUS ile değerlendirildi.Bulgular: Cerrahi sorası yapılan histopatolojik incelemede kitelerin 8'i malign, 13'ü benign ve 1'i borderline tümör olarak belirlendi. Malign tümörler için ortalama Rİ ve Pİ sırasıyla 0.37 (0.35-0.45) ve 0.61 (0.43-0.85) idi. Benign tümörler için ortalama Rİ ve Pİ sırasıyla 0.61 (0.30-0.91) ve 1.21 (0.36-3.02) idi. Ki-kare testinde DUS ölçümleri ve histopatolojik sonuçlar arasında istatistiksel olarak anlamlı (p<0.05) korelasyon saptandı. Malign lezyonları saptamada 0.4'ten küçük Rİ için; duyarlılık, özgüllük, pozitif ve negatif prediktif değerleri sırasıyla %77, %85, %77 ve %85; 0.7'den küçük Pİ için; duyarlılık, özgüllük, pozitif ve negatif prediktif değerleri sırasıyla %77, %78, %70 ve %84 olarak hesaplandı.Sonuç: Kantitatif transvajinal DUS akım ölçümleri postmenopozal kadınlarda malign over tümörlerinin benign over tümörlerinden ayrımında duyarlı ve özgül sonuçlar sağlar.

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Cite This Article

DEMİREL, B., MİHMANLI, V., TOPRAKÇI, G., FINDIK, F. M., ÖZEN, O., KANTARCI, F. (2014). Preoperative evaluation of doppler ultrasound indices in postmenopausal ovarian masses. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 48 - Sayı: 3, 176–181. https://ajindex.com/articles/363813

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References (14)

  1. Kurjak A, Kupesic S, Simunic V. Ultrasonic assessment of the peri- and postmenopausal ovary. Maturitas 2002; 41: 245-54
  2. Benacerraf BR, Finkler NJ, Wojchiechowski C, Knapp RC. Sonographic accuracy in the diagnosis of ovarian masses. J Reprod Med 1990; 35: 491-5
  3. Sassone AM, Timor-Tritsch IE, Artner A, Westhoff C, Warren B. Transvaginal sonographic characterization of ovarian disease: evaluation of a new scoring system to predict ovarian malignancy. Obstet Gynecol 1991; 78: 70-6
  4. Lerner JP, Timor-Tritsch IE, Federman A, Abramovich G. Transvaginal sonographic characterization of ovarian masses using an improved, weighted scoring system. Am J Obstet Gynecol 1994; 170: 81-5
  5. Kurjak A, Predanic M. New scoring system for prediction of ovarian malignancy based on transvaginal color Doppler sonography. J Ultrasound Med 1992; 11: 631-5
  6. Kurjak A, Kupesic S. Ovarian senescence and its significance on uterine and ovarian perfusion. Fertil Steril 1995; 3: 532-7
  7. Guerriero S, Alcazar JL, Ajossa S, Lai MP, Errasti T, Mallarini G, et al. Comparison of conventional color Doppler imaging and power Doppler imaging for the diagnosis of ovarian cancer: results of a European study. Gynecol Oncol 2001; 83: 299-304
  8. Prömpeler HJ, Madjar H, Sauerbrei W, Lattermann U, Pfleiderer A. Quantitative flow measurements for classification of ovarian tumors by transvaginal color Doppler sonography in postmenopausal patients. Ultrasound Obstet Gynecol 1994; 4: 406-13
  9. Kurjak A, Zalud I, Alfirevic Z. Evaluation of adnexal masses with transvaginal color ultrasound. J Ultrasound Med 1991; 10: 295-7
  10. Anandakumar C, Chew S, Wong YC, Chia D, Ratnam SS. Role of transvaginal ultrasound color flow imaging and Doppler waveform analysis in differentiating between benign and malignant ovarian tumors. Ultrasound Obstet Gynecol 1996; 7: 280-4
  11. Tailor A, Jurkovic D, Bourne TH, Natucci M, Collins WP, Campbell S. A comparison of intratumoural indices of blood flow velocity and impedance for the diagnosis of ovarian cancer. Ultrasound Med Biol 1996; 22: 837-43
  12. Hata K, Hata T, Kitao M. Intratumoral peak systolic velocity as a new possible predictor for detection of adnexal malignancy. Am J Obstet Gynecol 1995; 172: 1496-500
  13. Carter JR, Lau M, Fowler JM, Carlson JW, Carson LF, Twiggs LB. Blood flow characteristics of ovarian tumors: implications for ovarian cancer screening. Am J Obstet Gynecol 1995; 172: 901- 7
  14. Shaharabany Y, Akselrod S, Tepper R. A sensitive n