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Doppler imaging in the diagnosis of ovarian disease

机译:多普勒成像在卵巢疾病的诊断中

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Introduction: Pelvic ultrasonography remains the non-invasive imaging modality of choice for detecting and characterising adnexal masses. The use of Doppler ultrasound has improved the differential diagnosis of ovarian disease and helped to widen the understanding of the aetiology and possible pathophysiology of the various underlying conditions with an aim of improved diagnosis and management.Areas covered: This review describes the basis of different Doppler techniques and their application in ovarian disease. The present evidence is critically analysed in an attempt to define the current role of Doppler ultrasound of the ovaries. The technique holds promise in certain ovarian diseases but remains controversial in others.Expert opinion: Doppler ultrasound has a role in both the clinical and research settings. Clinically, it can be used to differentiate benign and malignant disease and help confirm diagnoses suggested on grey-scale imaging giving the user more confidence. Its use here, however, is generally restricted to a subjective impression of colour flow rather than a quantitative analysis of vascularity or blood flow velocity. These measures are more relevant in the research setting where quantitative Doppler is being used to clarify the possible underlying aetiology of various ovarian diseases such as polycystic ovarian syndrome and benign cysts. Doppler ultrasound has also been used in various models to evaluate the response to ovarian stimulation and the effect of surgery on the ovary.
机译:简介:骨盆超声检查仍然是检测和表征附件肿块的非侵入性成像方式。多普勒超声的使用改善了卵巢疾病的鉴别诊断,并有助于加深对各种潜在病因的病因学和可能的病理生理学的了解,以期改善诊断和治疗。覆盖范围:本综述介绍了不同多普勒的基础技术及其在卵巢疾病中的应用。严格分析本证据,以试图确定卵巢多普勒超声的当前作用。该技术在某些卵巢疾病中有希望,但在其他方面仍存在争议。专家意见:多普勒超声在临床和研究环境中均具有作用。临床上,它可用于区分良性和恶性疾病,并帮助确认灰度成像建议的诊断,从而使用户更有信心。但是,在此通常将其用于色流的主观印象,而不是血管或血流速度的定量分析。这些措施在定量多普勒用于阐明各种卵巢疾病(如多囊卵巢综合征和良性囊肿)可能的潜在病因的研究环境中更为相关。多普勒超声也已用于各种模型中,以评估对卵巢刺激的反应以及手术对卵巢的影响。

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