Causes of Ovarian Dysfunction and its Sonographic Findings With Respect to Infertility: A Systematic Review

Background: Ovarian dysfunction is a condition in which ovaries stop working and menstrual periods stops before age 40. This can cause fertility problems. There are several causes of ovarian dysfunction causing infertility such as endometriosis, ovarian torsion etc. Aim: To revise the current literature about causes of ovarian dysfunction and its sonographic findings in infertile women. Methods: Electronic data base search was performed (PubMed, Science direct, Google Scholar) with data range from 2000 to 2019. All the data is available online in English. Results: Seventeen articles were found regarding different causes of ovarian dysfunction and their sonographic appearance. Also our results show that ultrasound can be used as a reliable tool for detection of ovarian pathologies. Conclusion: This study supports a temporal association between various causes of ovarian dysfunction and infertility risk. Gray-scale in addition to color Doppler ultrasound serves an important role in detection of different causes of ovarian dysfunction and their sonographic appearances. Keywords: Ultrasound exam, ovarian dysfunction, ovarian volume, ovarian masses

Download Full-text

Color Doppler ultrasound mapping in the determination of the pattern of ovarian masses in pregnant women

Rossiiskii vestnik akushera-ginekologa ◽

10.17116/rosakush201616259-64 ◽

2016 ◽

Vol 16 (2) ◽

pp. 59

Author(s):

A. A. Gerasimova ◽

A. A. Solomatina ◽

P. A. Klimenko ◽

E. V. Kavteladze ◽

N. A. Magnitskaya ◽

...

Keyword(s):

Pregnant Women ◽

Doppler Ultrasound ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Ovarian Masses

Download Full-text

OVARIAN VOLUME BETWEEN FERTILE AND INFERTILE MARRIED WOMEN WITH TRANSVAGINAL SONOGRAPHY

Gomal Journal of Medical Sciences ◽

10.46903/gjms/16.04.1892 ◽

2019 ◽

Vol 16 (4) ◽

pp. 101-104

Author(s):

Sarah Yunus ◽

Sadaf Rasheed ◽

Amir Amanullah ◽

Shehla Aman ◽

Usman Ullah ◽

...

Keyword(s):

Sample Size ◽

Demographic Variable ◽

Color Doppler ◽

Age Groups ◽

Sampling Technique ◽

Transvaginal Sonography ◽

P Value ◽

Cross Sectional ◽

Ovarian Volume ◽

Infertile Women

Background: Infertility is a social problem and a big stigma. The objectives of the study were to determine the age wise distribution of ovarian volume and the difference in ovarian volume between married fertile and infertile women with transvaginal sonography. Materials & Methods: This comparative, cross-sectional study was conducted in the Department of Anatomy, Gomal Medical College, D.I.Khan, Pakistan from March 2013 to December 2013. Sample Size was 100 women selected by consecutive non probability sampling technique. Sample size was calculated using online calculator Raosoft. Inclusion criteria were women aged 18-50 years, married, fertile and infertile. Color Doppler sonoscape with multi frequency transvaginal probes were used in measurements on any day in the start of menstrual cycle by the same observer. The volume was calculated by applying formula for ellipsoid called Prolate ellipsoid formula. The total volume was represented by sum of volume of two ovaries. Data collection site was out patient department of Radiology DHQ Teaching Hospital, D.I.Khan. Demographic variable were age groups and presence of fertility. Research variable was ovarian volume. Mean and standard deviation were calculated for ovarian volume whereas frequency and percentages were calculated for age groups and presence of fertility. Descriptive statistics along with estimation of parameter was done at 95% confidence interval for proportion and mean. Student- t test was used for significance of difference in ovarian volume between fertile and infertile women with p value

Download Full-text

Acrokeratoelastoidosis of the Foot with Clinical, Dermoscopic, Ultrasonographic, and Histopathologic Correlation

Journal of the American Podiatric Medical Association ◽

10.7547/16-165 ◽

2018 ◽

Vol 108 (2) ◽

pp. 178-181 ◽

Cited By ~ 2

Author(s):

Pablo Uribe ◽

Elena Ortiz ◽

Ximena Wortsman ◽

Sergio Gonzalez

Keyword(s):

Clinical Diagnosis ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Definitive Diagnosis ◽

Rare Form ◽

Pediatric Case ◽

Reticular Dermis ◽

Sonographic Appearance ◽

Lateral Margins ◽

Hands And Feet

Acrokeratoelastoidosis (AKE) is a rare form of focal acral keratoderma of unknown cause that typically begins during childhood and manifests with multiple, small, hyperkeratotic papules located over the lateral margins of the hands and feet. The purpose of this article is to report a pediatric case of AKE with dermoscopic, sonographic, and histopathologic descriptions, contributing to the awareness of this clinical diagnosis. We describe a 7-year-old girl with nonpainful yellowish papules on the lateral and medial aspects of both feet. Dermoscopy showed yellowish, structureless, linear areas. The sonographic appearance was suggestive of benignancy and ruled out the presence of piezogenic pedal papules and granulomas. Histopathology was consistent with AKE, showing acral skin with hyperorthokeratosis, hypergranulosis, and elastorrhexis in the reticular dermis. Acrokeratoelastoidosis may be difficult to recognize clinically because of its resemblance to other focal acral keratodermas. Color Doppler ultrasound can be a useful noninvasive tool for diagnosis and can confirm its benign appearance, although histopathology confirms the definitive diagnosis. To date, the dermoscopic description and ultrasound morphology of AKE have not been reported.

Download Full-text

Characteristics of Ovarian Cysts Observed in Doppler Ultrasound

10.53350/pjmhs2115103304 ◽

2021 ◽

Vol 15 (10) ◽

pp. 3304-3306

Author(s):

Saba Akram ◽

Aasma Ashraf ◽

Zainab Zahur ◽

Aniqua Saleem ◽

Safia Ashraf ◽

...

Keyword(s):

Doppler Ultrasound ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Radiology Department ◽

Benign Tumors ◽

Ovarian Cysts ◽

Control Group ◽

Cross Sectional ◽

Mean Size ◽

Ovarian Masses

Background: Ovarian cysts known as ovarian masses, are commonly found incidentally in asymptomatic women. Ovarian cancer is the 7th most frequent cancer in women worldwide, as well as the eighth leading cause of cancer death. Ultrasonography is the principal imaging technique for confirming the mass ovarian origin and determining whether the mass is benign or malignant. Method: This descriptive cross sectional study was conducted from 15 June to December 2019 in the Radiology Department of Avicenna Medical College. A total of 90 ultrasounds undertaken at the Gynecological Ultrasound Unit. A total of 32 patients with functioning ovarian cysts were included. A total of 46 individuals with benign tumors and 9 patients with malignant cysts were included in the control group. The remaining patients were not followed up on and were treated at a different center. The majority of the patients had issues with their menstrual cycle and pain. Results: The mean age of the patients was 35.6+9.16. In functioning ovarian cysts, benign tumors & ovarian tumors. The functioning ovarian cysts had a mean size of 40.8 mm +16.35 mm. Differences were significant found between1this group & other1two groups: A mean size of 61.75 +65.5; P, 0.001 was seen for non-functional benign ovarian disease; and the average size of malignant cysts was 85.9 +50.6; P = 0.001. Out of 32 functional1ovarian cysts, 22 were found by ultrasonography, 8.0 were not identified and 2.0 cases were1diagnosed ultra-sonographically as functional ovarian cysts but histologically revealed to be benign ovarian cysts (non-functional). The sensitivity of color Doppler ultrasound was determined to be 82.0%. Conclusion: The study's findings revealed that ultrasound had an 82 percent sensitivity in diagnosing ovarian masses, increasing its accuracy. As a result, ultrasonography appears to be the first modality of choice in the examination of any woman suspected of having an ovarian tumor. Also, to rule out the need for unnecessarily surgical procedures in benign lesions. Keywords: Ovarian Cysts, cancer, ultrasound

Download Full-text

Color-Doppler Ultrasound in Ovarian Masses: Anatomo-Pathologic Correlation

Tumori Journal ◽

10.1177/030089169307900407 ◽

1993 ◽

Vol 79 (4) ◽

pp. 262-267 ◽

Cited By ~ 1

Author(s):

Carlo Spreafico ◽

Laura Frigerio ◽

Rodolfo Lanocita ◽

G. Battista Spatti ◽

Alfonso Marchianò ◽

...

Keyword(s):

Differential Diagnosis ◽

Color Doppler ◽

Resistance Index ◽

Color Doppler Imaging ◽

Color Doppler Ultrasound ◽

Doppler Imaging ◽

Malignant Neoplasms ◽

Malignant Lesions ◽

Definition Of ◽

Ovarian Masses

Background and aims In the radiologic assessment of ovarian masses, the major difficulty consists in the late recognition and lack of parameters for a differential diagnosis between benign and malignant lesions, especially in the post-menopause when the incidence of cancer is higher. The use of a transvaginal probe and the color-Doppler examination have recently improved the study of the female pelvis. This study is aimed to verify the possibility of the color-Doppler imaging to differentiate between malignant and benign ovarian lesions during transvaginal echographies, on the basis of the qualitative and quantitative characteristics of the vascular pattern of the ovarian lesions. Results Twenty-six expansive ovarian lesions were studied: 8/26 showed no vascular signals and were considered benign as confirmed at histology. In the remaining lesions with some vascularization, the resistance index (RI) was evaluated: those with RI > 0.40 were considered benign, those with RI < 0.40 malignant. In 8/9 benign lesions and in 7/9 malignant neoplasms, the results of color-Doppler were coherent with histology. The results showed a sensibility of 87.5 % and a specificity of 88.8 % for the transvaginal examination. Conclusions The main advantages of the color-Doppler transvaginal examination are: the high frequency of visualization of the ovaries, even in postmenopausal patients; the definition of small lesions; the visualization of small parenchymal vessels, both physiologic and pathologic, and their quantitative analysis. The importance of the RI cutoff was critical for the differential diagnosis between benign and malignant lesions: we think that a cutoff of 0.50, instead of 0.40 proposed by other authors, would be far more appropriate.

Download Full-text