Three dimensional transvaginal sonography and power Doppler angiography in the differentiation between endometrial hyperplasia and endometrial carcinoma in postmenopausal women with abnormal uterine bleeding

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• 作者：Yasser I. AbdElkhalek ; ^{yasserib77@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Mohamed G. Mansour ; Omar Farouk
• 关键词：PMB ; postmenopausal bleeding ; PI ; pulsatility index ; RI ; resistive index ; S/D ratio ; systolic/diastolic ratio ; TVUS ; transvaginal ultrasound ; TVCD ; transvaginal colour Doppler ; ET ; endometrial thickness ; EV ; endometrial volume ; VI ; vascularization index ; FI ; flow index ; VFI ; vascularization flow index ; VOCAL ; Virtual Organ Computer-aided AnaLysis (VOCAL&trade ; ) software
• 刊名：The Egyptian Journal of Radiology and Nuclear Medicine
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：47
• 期：4
• 页码：1795-1801
• 全文大小：1179 K

文摘

The aim of this study was to evaluate the accuracy of 3D transvaginal sonography and power Doppler in the differentiation between endometrial hyperplasia and endometrial carcinoma.

Patients and methods

Forty-two women suffering from abnormal uterine bleeding (AUB) were examined by 3D TV sonography and power Doppler angiography and all the sonographic findings and Doppler indices were recorded and evaluated.

Lesions were then classified as benign or malignant according to imaging findings and the results were then correlated with histopathology results.

Results

Significant improvement of the sensitivity and specificity was found in differentiating between endometrial hyperplasia and endometrial carcinoma when we combined the imaging findings of 3DTV sonography and the indices of power Doppler.

Conclusion

Adding power Doppler to 3D TV sonography has added value in the differentiation between endometrial carcinoma and hyperplasia.