Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 2 , ISSUE 2 ( April-June, 2008 ) > List of Articles

RESEARCH ARTICLE

Three-dimensional Power Doppler Ultrasonography for Discriminating Benign from Malignant Ovarian Tumors: Current Experience

Juan Luis Alcázar

Keywords : Adnexal masses,Power Doppler ultrasound and Threedimensional ultrasound

Citation Information : Alcázar JL. Three-dimensional Power Doppler Ultrasonography for Discriminating Benign from Malignant Ovarian Tumors: Current Experience. Donald School J Ultrasound Obstet Gynecol 2008; 2 (2):17-26.

DOI: 10.5005/jp-journals-10009-1054

License: CC BY-NC 4.0

Published Online: 00-06-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The differential diagnosis of adnexal masses still constitutes a major clinical challenge. B-mode ultrasonography is the most used imaging technique and it is the base for this differential diagnosis with acceptable results in terms of sensitivity but a relatively high false positive rate for predicting ovarian cancer. The role of pulsed Doppler remains controversial and seems to be not reproducible in clinical practice. In the last years, a new technology such as 3D ultrasound—both morphology and 3D Angio power Doppler—has become available for discriminating between benign and malignant ovarian tumors. In this article I aim to review critically recent literature of this topic.


PDF Share
  1. Surgical management of ovarian cancer. Semin Surg Oncol 1994;10:268-75.
  2. Ultrasonography and color Doppler-based triage for adnexal masses to provide the most appropriate surgical approach. Am J Obstet Gynecol 2005;192:401-06.
  3. Expectant management of sonographically benign ovarian cysts in asymptomatic premenopausal women. Hum Reprod 2005;20:3231-34.
  4. Blood flow in functional cysts and benign ovarian neoplasms in premenopausal women. J Ultrasound Med 1997;16: 819-24.
  5. Pattern recognition of pelvic masses by gray scale ultrasound imaging: the contribution of Doppler ultrasound. Ultrasound Obstet Gynecol 1999;14:338-47.
  6. Transvaginal sonographic characterization of ovarian disease: Evaluation of a new scoring system to predict ovarian malignancy. Obstet Gynecol 1991;78:70-76.
  7. A morphologic index based on sonographic findings in ovarian cancer. Gynecol Oncol 1993;51:7-11.
  8. Transvaginal ultrasonographic characterization of ovarian masses: comparison of five scoring systems in a multicenter study. Ultrasound Obstet Gynecol 1997;10:192-97.
  9. A new scoring system to differentiate benign from malignant adnexal masses. Am J Obstet Gynecol 2003;188:685-92.
  10. Assessment of a new logistic model in the preoperative evaluation of adnexal masses. J Ultrasound Med 2001;20:841-48.
  11. Management of adnexal masses. Evidence Report/Technology Assessment No 130. AHRQ Publication No 06-E004. Rockville, MD: Agency for Healthcare Research and Quality. February 2006.
  12. Evaluation of adnexal masses with transvaginal color Doppler ultrasound. J Ultrasound Med 1991;10:295-97.
  13. Transvaginal color Doppler sonography in adnexal massess: which parameter performs best? Ultrasound Obstet Gynecol 1996;8:114-19.
  14. Controversies in assessment of ovarian tumors with transvaginal color Doppler ultrasound. Acta Obstet Gynecol Scand 1996;75:316-29.
  15. Benign and malignant ovarian masses: Selection of the most discriminating gray-scale and Doppler sonographic features. Radiology 1998;208:103-10.
  16. 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.
  17. US characterization of ovarian masses: a meta-analysis. Radiology 2000;217:803-11.
  18. Three-dimensional ultrasound evaluation of ovarian masses. Gynecol Oncol 1995;59:129-35.
  19. New scoring system for predictions of ovarian malignancy based on transvaginal color Doppler sonography. J. Ultrasound Med 1992;11:631-38.
  20. Three-dimensional ultrasonographic evaluation of ovarian tumours: a preliminary study. Hum Reprod 1999;14:858-61.
  21. Preoperative evaluation of pelvic tumors by Doppler and three-dimensional sonography. J Ultrasound Med 2001;20:829-40.
  22. Threedimensional ultrasound morphologic assessment in complex adnexal masses a preliminary experience. J Ultrasound Med 2003; 22: 249-54.
  23. Three dimensional power Doppler sonography: imaging and quantifying blood flow and vascularization. Ultrasound Obstet Gynecol 1999;14:139-43.
  24. Three-dimensional ultrasonographic and power Doppler characterization of ovarian lesions. Ultrasound Obstet Gynecol 2000;16:365-71.
  25. Ultrasound for the visualization and quantification of tumor microcirculation. Cancer Metastasis Rev 2000;19:131-38.
  26. Analysis of threedimensional Doppler ultrasonographic quantitative measures for the discrimination of prostate cancer. J Ultrasound Med 2001;20:713-22.
  27. Highfrequency 3-D color-flow imaging of the microcirculation. Ultrasound Med Biol 2003;29:39-51.
  28. Three-dimensional ultrasound and power Doppler improve the diagnosis of ovarian lesions. Gynecol Oncol 2000;76:28-32.
  29. Contrast-enhanced three-dimensional power Doppler sonography for differentiation of adnexal masses. Obstet Gynecol 2000;96:452-58.
  30. Tumor vascularization, Doppler measurements and chaos: what to do? Ultrasound Obstet Gynecol 1995;5:209-10.
  31. Microvascular corrosion casting in the study of tumor vascularity: a review. Scanning Microsc 1995;9:1233-43.
  32. Three-dimensional tissue block ultrasound in ovarian tumors. Ultrasound Obstet Gynecol 2005;26:683-86.
  33. Three-dimensional ultrasound power Doppler improves the diagnostic accuracy for ovarian cancer prediction. Gynecol Oncol 2001;82:40-48.
  34. Complex pelvic mass as a target of evaluation of vessel distribution by color Doppler for the diagnosis of adnexal malignancies: results of a multicenter European study. J Ultrasound Med 2002;21:1105-11.
  35. Comparison of 2-dimensional and 3D power Doppler imaging in complex adnexal masses for the prediction of ovarian cancer. Am J Obstet Gynecol 2005;192:807-12.
  36. Three-dimensional power Doppler vascular sampling: a new method for predicting ovarian cancer in vascularized complex adnexal masses. J Ultrasound Med 2005;24:689-96.
  37. Does quantitative analysis of three-dimensional power Doppler angiography have a role in the diagnosis of malignant pelvic solid tumors? A preliminary study. Ultrasound Obstet Gynecol 2005;26:67-72.
  38. Application of three-dimensional ultrasound “vascular tumor biopsy” for the discrimination of ovarian tumors. Ultrasound Obstet Gynecol 2006;28(supl 1):404.
  39. Adnexal cysts with papillae: role of threedimensional power Doppler ultrasound for discrimination between benign, borderline and invasive malignant ovarian tumors. Ultrasound Obstet Gynecol 2006;28(supl 1):510.
  40. Tumor angiogenesis assessed by three-dimensional power Doppler ultrasound in early, advanced and metastatic ovarian cancer: a preliminary study. Ultrasound Obstet Gynecol 2006;28:325-29.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.