scholarly journals Role of Combining Colour Doppler and Grey Scale Ultrasound in Differentiating Benign from Malignant Ovarian Masses

2020 ◽  
Vol 21 (2) ◽  
pp. 157-162
Author(s):  
Muna Abid Al-Ghani Zghair ◽  
Qays Ahmed Hassan ◽  
Rana Ahmed Mahdi

AbstractThe aim of this study was to evaluate ovarian masses with conventional grey scale ultrasonography and colour Doppler flow imaging and to assess the diagnostic reliability of these methods in differentiating benign and malignant ovarian masses.We assessed 56 patients with an ovarian mass. Morphological characterisation of the mass was performed utilising the Sassone score. Colour Doppler parameters were recorded for each patient, and the Caruso vascular score was also applied. The results were compared with surgical/pathological and/or follow-up scans.Using the Sassone score, overall reliability in differentiating ovarian masses had a sensitivity of 89.5% and a specificity of 78.4%. Using the Caruso score alone, we found a sensitivity of 89.5% and a specificity of 86.5%. Using the Sassone and Caruso scores together, we found a sensitivity of 94.7% and a specificity of 89.1%.Combining both morphological and colour Doppler scores in the evaluation of ovarian masses obtained higher specificity, sensitivity, and accuracy than was obtained using a single score only.

Author(s):  
Rahul Dev Chauhan ◽  
Yashvir Mathur

Background: Ultrasound (USG) is easily available and effective imaging modality for adnexal lesions. A simple looking lesion on ultrasound is usually benign and an ugly looking adnexal lesion is either benign or malignant. This study aims to evaluate the varied appearance of simple and ugly benign adnexal lesions on USG and to find out any additional role of colour Doppler in such suspected benign lesions. The confirmation of diagnosis was done either by follow up appearance of lesions on USG or by histopathological evaluation.Methods: A total of 55 consecutive female patients with age between 18 to 50 years were enrolled in this prospective cross sectional study. USG and colour Doppler for all the lesions were done. The patients found to have malignant lesions on histopathological examination, were later excluded from the analysis. Follow up USG was done for all the cases. Those cases wherein there was no resolution of lesions even after 08 weeks, were given an option to undergo laparoscopy as next management step.Results: Out of 50 benign adnexal masses, 88% masses were ovarian in origin and 12% were tubal masses. Ovarian masses included hemorrhagic cysts, endometriosis, simple cysts, serous cystadenomas and ovarian dermoid. All extra-ovarian masses were hydrosalpinx. Colour Doppler did not add any additional finding. Some of the patients underwent diagnostic laparoscopy followed by excision of masses in majority of them.Conclusions: Benign adnexal lesions can have varied appearance ranging from simple to ugly on USG. Ultrasonographic features of benign lesions on USG can be appreciated very well even without further use of colour Doppler or cross sectional imaging. Follow up USG remains key modality for benign adnexal masses in absence of MRI.


2010 ◽  
Vol 115 (8) ◽  
pp. 1304-1313 ◽  
Author(s):  
C. Gazzera ◽  
G. Isolato ◽  
S. Stola ◽  
F. Avogliero ◽  
A. Ricchiuti ◽  
...  

2007 ◽  
Vol 89 (11) ◽  
pp. 1336-1339 ◽  
Author(s):  
G Ascenti ◽  
R Chimenz ◽  
G Zimbaro ◽  
S Mazziotti ◽  
E Scribano ◽  
...  

Author(s):  
Mahmoud Elsayed Mahmoud Fadl ◽  
Anwar Suwailem Almutairi ◽  
Amal Muteb S. Alshalan

Background: Primary vesicoureteral reflux is a basic influencing for urinary tract infections in children. The basic technique for the diagnosis of vesicoureteral reflux is voiding cystourethrography, accompanied with cystoscintigraphy. Voiding cystourethrography has the benefit of only minor irradiation. However it does no longer permit the morphological assessment of bladder and vesicoureteral reflux grading. Colored-Doppler cystosonography with echocontrast is a currently delivered technique for imaging vesicoureteral reflux. The purpose of our study is to explore the role of Radiographic Imaging in diagnosis and follow‐up of vesicoureteral reflux. Method: A systematic review was carried out, (including PubMed, Google Scholar, and EBSCO) of imaging modalities used to detect or evaluate vesicoureteral reflux disease. The found articles were screened by titles, and abstracts. No software will be utilized to analyze the data. The review was performed by the group members and each verified by at least two, to ensure the validity and minimize the mistakes. Results and Conclusion: Colour-Doppler cystosonography, due to the nonexistence of ionizing radiations, has great benefits, mainly in cases requiring continued or prolonged monitoring. In spite of practices stated in the literature, this procedure has a role in the diagnosis of vesicoureteral reflux. Our group chooses colour-Doppler cystosonography for the follow-up of medium-severe grade vesicoureteral reflux previously diagnosed by radiology and/or scintigraphy. Cystoscintigraphy is used only to confirm cases resulting negative at ultrasonography. 


2019 ◽  
Vol 7 (2) ◽  
pp. 73-79
Author(s):  
Dr. Navkiran Kaur ◽  
◽  
Dr. Irwinjit Kaur ◽  
Dr. Aman Bansal ◽  
Dr. Parneet Kaur ◽  
...  

2019 ◽  
Vol 10 (5) ◽  
pp. 86-89
Author(s):  
Subash KC ◽  
Ashish Shrestha ◽  
Sagar Khadka ◽  
Ramesh Poudel

Background: As ovarian malignancies are one of the commonest malignancies in female population, timely and accurate diagnosis helps in early treatment resulting in better survival. Ultrasound is easily available diagnostic tool not only to diagnose but also accurately distinguish malignant from benign ovarian masses. Aims and Objectives: To evaluate sensitivity, specificity and accuracy of ultrasound in diagnosing and differentiating benign from malignant ovarian masses in comparison with histopathological findings. Materials and Methods: A prospective study was carried out from August 2015 to August 2018 for a period of 3 years. Total 150 patients with ovarian masses who were operated in our hospital and their final histopathological reports were available, were included in our study. Ultrasound diagnosis and histopathological diagnosis were compared. Results: Sensitivity, specificity and accuracy of ultrasound in diagnosing and differentiating malignant from benign ovarian masses were found to be 78.94%, 98.47% and 88.23% respectively compared with histopathological findings. Conclusion: Ultrasound is very sensitive, specific and accurate in not only diagnosing ovarian mass but also in differentiating malignant from benign entities making it invaluable and important diagnostic tool in evaluation of ovarian masses.


2021 ◽  
Vol 16 (2) ◽  
pp. 168-173
Author(s):  
Mihai Leonard C. GRECESCU ◽  
◽  

The diagnosis of Graves’ ophtalmopathy (GO) is based on clinical examination, laboratory tests (indicating thyroid dysfunction and inflammatory and autoimmune unbalance) and imaging studies (such computed tomography, magnetic resonance imaging, ultrasound and colour Doppler imaging). Imaging studies can be helpful in establishing the certain diagnosis of GO, because they provide objective morphological findings of the orbital structures. An important role of imaging studies is revealed in differential diagnosis versus other orbital diseases and can be also used to evaluate the progression of the disease and follow-up after clinical or surgical treatment.


Author(s):  
Dr. G.Sobha Rani ◽  
Dr. Sridhar Reddy Bodhireddy

Introduction: Ovarian mass lesions are evaluated by ultrasound guided FNAC. It is useful to distinguish between neoplastic and non neoplastic ovarian masses. Aim: The aim of the study is to study the cyto-morphlogical features of ovarian masses. Materials and Methods: The present study is done over a period of two years i.e., from March 2017 to February 2019. A total number of 76 cases were studied in the Department of Pathology, Government Medical College, Kadapa. All the cases were categorised based on cyto-morphological features obtained ultra sound guided FNAC. Requirement of materials: 10 ml disposable syringe with 22-25 G needle, suitable fixative is Isopropyl alcohol, Alcohol fixed slides were taken for Heamatoxyllin and Eosin (H&E) stain. Results: In the present study we registered 76 cases.  Among these 72 cases (94.73%) were primary tumors of ovary, two cases (2.63%) were secondaries and two cases (2.63%) were non neoplastic i.e., endometriosis of ovary. Key Words: Ultrasound guided FNAC, Non neoplastic, Neoplastic ovarian lesions, Kadapa


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