FALSE POSITIVE RESULTS IN GYNECOLOGIC ULTRASOUND DIAGNOSTICS

  • Vida Gavrić Lovrec Oddelek za reproduktivno medicino in ginekološko endokrinologijo Služba za ginekologijo in perinatologijo Splošna bolnišnica Maribor Ljubljanska ul. 5 2000 Maribor
  • Veljko Vlaisavljević Oddelek za reproduktivno medicino in ginekološko endokrinologijo Služba za ginekologijo in perinatologijo Splošna bolnišnica Maribor Ljubljanska ul. 5 2000 Maribor
  • Milan Reljič Oddelek za reproduktivno medicino in ginekološko endokrinologijo Služba za ginekologijo in perinatologijo Splošna bolnišnica Maribor Ljubljanska ul. 5 2000 Maribor
  • Iztok Takač Oddelek za ginekološko onkologijo in onkologijo dojke Služba za ginekologijo in perinatologijo Splošna bolnišnica Maribor Ljubljanska ul. 5 2000 Maribor
Keywords: ultrasound, endometrium, adnexal mass, uterine anomalies

Abstract

Background. Ultrasound examination is the most frequenty used and usually the only diagnostic imaging method in gynecology. It gives us informations about characteristics of pelvic organs and their changes and also enables us to form criteria that can be used in their evaluation. False positive results lead to unnecessary invasive diagnostic procedures.

Methods. We give a review of possibilities modern ultrasonographic technology provides in evaluation of endometrium in postmenopause, adnexal masses and diagnostics of congenital uterine anomalies.

Conclusions. Use of modern ultrasonographic technology reduces the number of false positive results.

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References

Wade RV. Images, imagination and ideas: A perspective on the impact of ultrasonography on the practice of obstetrics and gynecology. Am J Obstet Gynecol 1999; 181: 235–9.

Kovačič J. Rana dijagnostika zloćudnih tumora i njezine mogućnosti. In:Kurjak A ed. Ginekologija i pernatologija. Zagreb: Naprijed, 1989: 127–34.

Fleischer AC. Gynecologic sonography: instrumentation and technique. In Fleischer AC, Javitt MC. Jeffery RB, Jones HW eds. Clinical gynecologic imaging. Philadelphia: Lippincot-Raven, 1997.

Derchi LE, Serafini G, Gandolfo N, Martinoli C. Ultrasound in gynecology. Eur Radiol 2001; 2001: 2137–55.

Cullinan JA, Fleischer AC, Kepple DM, Arnold AL. Sonohysterography: a technique for endometrial evaluation. Radiographics 1995; 15: 501–14.

Deichart U, Schlief R, Van de Sandt M, Juhke I. Transvaginal hysterosalpingocontrast sonography (Hy-Co-Sy)compared with conventional tubal diagnostics. Hum Reprod 1989; 4: 418–24.

Bonilla-Musoles F, Osborne NG, Raga F, Blanes J, Bonilla F. Color Doppler angiography and color Doppler frequency use in obstetrics and gynecology. Journal of Gynecologic Surgery 1999; 15: 27–39.

MacSweeney JE, Cosgrove DO, Arenson J. Colour Doppler energy (power) mode ultrasound. Clinical Radiology 1996; 51: 387–90.

Martinoli C, Derchi LE, Rizzatto G, Solbiati L. Power Doppler sonography: general principles, clinical applications, and future prospects. Eur Radiol 1998; 8: 1224–35.

Bude RO, Rubin JM. Power Doppler sonography. Radiology 1996; 200: 21–3.

Jurkovic D. Three-dimensional ultrasound in gynecology: a critical evaluation. Ultrasound Obstst Gynecol 2002; 19: 109–17.

Tan SL. Clinical application of Doppler and three-dimensional ultrasound in assisted reproductive technology. Ultrasound Obstet Gynecol 1999; 13: 153–6.

Pretorius DH, Becker E, Lev-Toaff AS. Impact of sonohysterography on the management of women with uterine myomas. Ultrasound Obstet Gynecol 2001;18: Suppl: 2–2.

Kupesic S, Kurjak A, Skenderovic S, Bjelos S. Screening for uterine anomalies by three-dimensional ultrasound improves perinatal outcome. Journal of Perinatal Medicine 2002; 30: 9–17.

Kurjak A, Kupesic S, Sparac V, Bekavac I. Preoperative evaluation of pelvic tumors by Doppler and three-dimensional sonography. J Ultrasound Med 2001; 20: 829–40.

Karlsson B, Granberg S, Wikland M et al. Transvaginal ultrasonography of the endometrium in women with postmenopausal bleeding: a Nordic multicenter study. Am J Obstet Gynecol 1995; 172: 1488–94.

Ferazzi E, Torri V, Trio D, Zannoni E, Filiberto S, Sordoni D. Sonographic endometrial thickness: a useful test to predict atrophy in patients with postmenopausal bleeding. An Italian multicenter study. Ultrasound Obstet Gynecol 1996; 7: 315–21.

Atri M, Nazarnia S, Aldis AE et al. Transvaginal US appearance of endometrial abnormalities. Radiographics 1994; 14: 483–92.

Smith-Bindman R, Kerlikowske K, Feldstein VA et al. Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. JAMA 1998; 280: 1510–7.

Neele SJM, Marchien VBW, Van Der Moren MJ, Kessel H, Coen NJ et al. Ultrasound assessment of of the endometrium in healthy asymptomatic early post-menopausal women: saline infusion sonography versus transvaginal ultrasound. Ultrasound Obstet Gynecol 2000; 16: 254–9.

Goldstein R, Bree RL, Benacerraf BR et al.Evaluation of the woman with postmenopausal bleeding. J Ultrasound Med 2001; 20: 1025–36.

Tabor A, Watt HC, Wald NJ. Endometrial thickness as a test for endometrial cancer in women with postmenopausal vaginal bleeding. Obstet Gynecol 2002; 99: 663–70.

Bree RL, Bowerman RA, Bohm-Velez M et al. US evaluation of the uterus in patients with postmenipausal bleeding: a positive effect on diagnostic decision making. Radiology 2000; 216: 260–64.

Gruboeck K, Jurkovic D, Lawton F, Savvas M, Tailor A, Campbell S. The diagnostic value of endometrial thickness and volume measurements by three-dimensional ultrasound in patients with postmenopausal bleeding. Ultrasound Obstet Gynecol 1996; 8: 272–6.

Epstein E, Skoog L, Isberg PE et al. An algorithm including results of grayscale and power Doppler ultrasound examination to predict endometrial malignancy in women with postmenopausal bleeding. Ultrasound Obstet Gynecol 2002; 20: 370–6.

Amit A, Weiner Z, Ganem N et al. The diagnostic value of power Doppler measurements in the endometrium of women with postmenopausal bleeding. Gynecol Oncol 2000; 77: 243–7.

Sassone AM, Timor-Trisch IE, Aftner A et al. Transvaginal sonographic characterisation of of ovarian disease: Evaluation of the new scoring system to predict ovarian malignancy. Obstat Gynecol 1991; 78: 70–6.

Merz E, Weber G, Bahlmann F, Kiesslich R. A new sonomorphologic scoring system (Mainz Score) for the assessment of ovarian tumors using transvaginal ultrasonography. Ultraschall in Med 1998; 19: 99–107.

Timor-Trisch IE, Lerner J, Monteagudo A et al. Transvaginal sonographic characterization of ovarian masses using color-flow directed Doppler measurements. Ultrasound Obstet Gynecol 1992;2: Suppl: 171–6.

Takač I. Analysis of blood flow in adnexal tumors by using color Doppler imaging and pulsed spectral analysis. Ultrasound Med Biol 1998; 24: 1137–41.

Brown DL, Frates MC, Laing FC, Disalvo DN, Doubilet PM et al. Ovarian masses- can benign and malignant lesions be differentiated with color and pulsed Doppler US. Radiology 1994; 190: 333–6.

Guerriero S, Alcazar JL, Ajossa S 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; 78: 299–303.

Schelling M, Braun M, Kuhn W, Bogner G, Gruber R et al. Combined transvaginal B-mode and color Doppler sonography for differential diagnosis of ovarian tumors: Results of a multivariate logistic regression analysis. Gynecol Oncol 2000; 77: 78–86.

Hata T, Yanagihara T, Hayashi K, Yamashiro C, Onishi Y et al. Threedimensional ultrasonographic evaluation of ovarian toumors: a preliminary study. Hum Reprod 1999; 5: 858–61.

Kurjak A, Kupesic S, Anic T, Kosuta D. Three-dimensional ultrasound and power Doppler improve the diagnosis of ovarian lesions. Gynecol Oncol 2000; 76: 28–32.

Kurjak A, Kupesic S, Sparac V, Kosuta D. Three-dimensional ultrasonographic and power Doppler characterisation of ovarian lesions. Ultrasound Obstet Gynecol 2000; 16: 365–71.

Roman LD. Small cystic pelvic masses in older women.:Is surgical removal necessary? Gynecol Oncol 1998; 69: 1–2.

Baily CL, Ueland FR, Land GL, DePriest PD, Gallion HH et al. The malignant potential of small cystic ovarian tumors in women over 50 years of age. Gynecol Oncol 1998; 63: 3–7.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN. Clinical implications of uterine malformations and hysteroscopic treatment results. Human Reproduction Update 2001; 7: 164–74.

Ribič-Pucelj M, Novak-Antolič Ž, Tomaževič T, CizeljT.Odkrivanje razvojnih nepravilnosti maternice z vaginalnim ultrazvokom. Zdrav vestn 1991; 60: 509–12.

Homer HA, Li TC, Cooke ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril 2000; 73: 1–14.

Tomaževič T, Ban H, Virant Klun I, Kermavner Bacer L, Valentinčič B et al. Results of IVF-embryo transfer before and after hysteroscopic resection of uterine septae of different grades. Human Reproduction 2002;17: 145–6.

Kupesic S, Kurjak A. Septate uterus: Detection and prediction of obstetrical complications by different forms of ultrasonography. Journal Ultrasound Med 1998; 17: 631–6.

Jurkovic D, Geipel A, Gruboeck K, Jauniaux E, Natucci M, Campbell S. Three-dimensional ultrasound for the assessment of uterine anatomy and detection of congenital anomalies: a comparison with hysterosalpingography and two-dimensional sonography. Ultrasound Obstet Gynecol 1995; 5: 233–7.

How to Cite
1.
Gavrić Lovrec V, Vlaisavljević V, Reljič M, Takač I. FALSE POSITIVE RESULTS IN GYNECOLOGIC ULTRASOUND DIAGNOSTICS. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];72. Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2213
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Review