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Effect of gel-instillation sonography on Doppler ultrasound findings in endometrial polyps

Van den Bosch, T.; Van Schoubroeck, D.; Luts, J.; Bignardi, T.; Condous, G.; Epstein, Elisabeth LU ; Leone, F. P.; Testa, A. C.; Valentin, Lil LU and Van Huffel, S., et al. (2011) In Ultrasound in Obstetrics & Gynecology 38(3). p.355-359
Abstract
Objective Saline infusion sonohysterography has been reported to suppress the color signal within the endometrium at color or power Doppler evaluation. The aim of this study was to evaluate if gel-instillation sonography (GIS) affects the power Doppler signal in patients with endometrial polyps. Methods Ultrasound volumes of the uterus, obtained by three-dimensional ultrasound imaging of 25 women with histologically confirmed endometrial polyps, were assessed offline by six gynecologists with a special interest in gynecological ultrasound. Each woman contributed four volumes: one gray-scale volume and one power Doppler volume before GIS, and one gray-scale volume and one power Doppler volume at GIS. Power Doppler features before and after... (More)
Objective Saline infusion sonohysterography has been reported to suppress the color signal within the endometrium at color or power Doppler evaluation. The aim of this study was to evaluate if gel-instillation sonography (GIS) affects the power Doppler signal in patients with endometrial polyps. Methods Ultrasound volumes of the uterus, obtained by three-dimensional ultrasound imaging of 25 women with histologically confirmed endometrial polyps, were assessed offline by six gynecologists with a special interest in gynecological ultrasound. Each woman contributed four volumes: one gray-scale volume and one power Doppler volume before GIS, and one gray-scale volume and one power Doppler volume at GIS. Power Doppler features before and after gel infusion were compared. Results At unenhanced ultrasound a pedicle artery was seen in 27-46% of cases, whereas, after gel infusion the examiners reported a pedicle artery in 30-46% of cases (Exact McNemar's test P-values ranged from 0.50 to 1.00). The level of agreement between unenhanced ultrasound and GIS ranged from 59 to 91% (Cohen's kappa values ranged from 0.17 to 0.79). There was no tendency for a pedicle artery to be identified less often at GIS than before gel instillation. Conclusion Gel infusion does not affect the power Doppler signal in patients with endometrial polyps. Copyright. (C) 2011 ISUOG. Published by John Wiley & Sons, Ltd. (Less)
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published
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keywords
Doppler ultrasound, endometrial polyp, gel-infusion sonography, three-dimensional imaging, ultrasonography
in
Ultrasound in Obstetrics & Gynecology
volume
38
issue
3
pages
355 - 359
publisher
John Wiley & Sons
external identifiers
  • wos:000294364800017
  • scopus:81155159627
ISSN
1469-0705
DOI
10.1002/uog.9043
language
English
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yes
id
029296ea-33d5-4a5a-a04d-89f9e789d01c (old id 2158993)
date added to LUP
2011-10-03 08:29:08
date last changed
2017-01-01 06:33:09
@article{029296ea-33d5-4a5a-a04d-89f9e789d01c,
  abstract     = {Objective Saline infusion sonohysterography has been reported to suppress the color signal within the endometrium at color or power Doppler evaluation. The aim of this study was to evaluate if gel-instillation sonography (GIS) affects the power Doppler signal in patients with endometrial polyps. Methods Ultrasound volumes of the uterus, obtained by three-dimensional ultrasound imaging of 25 women with histologically confirmed endometrial polyps, were assessed offline by six gynecologists with a special interest in gynecological ultrasound. Each woman contributed four volumes: one gray-scale volume and one power Doppler volume before GIS, and one gray-scale volume and one power Doppler volume at GIS. Power Doppler features before and after gel infusion were compared. Results At unenhanced ultrasound a pedicle artery was seen in 27-46% of cases, whereas, after gel infusion the examiners reported a pedicle artery in 30-46% of cases (Exact McNemar's test P-values ranged from 0.50 to 1.00). The level of agreement between unenhanced ultrasound and GIS ranged from 59 to 91% (Cohen's kappa values ranged from 0.17 to 0.79). There was no tendency for a pedicle artery to be identified less often at GIS than before gel instillation. Conclusion Gel infusion does not affect the power Doppler signal in patients with endometrial polyps. Copyright. (C) 2011 ISUOG. Published by John Wiley & Sons, Ltd.},
  author       = {Van den Bosch, T. and Van Schoubroeck, D. and Luts, J. and Bignardi, T. and Condous, G. and Epstein, Elisabeth and Leone, F. P. and Testa, A. C. and Valentin, Lil and Van Huffel, S. and Bourne, T. and Timmerman, D.},
  issn         = {1469-0705},
  keyword      = {Doppler ultrasound,endometrial polyp,gel-infusion sonography,three-dimensional imaging,ultrasonography},
  language     = {eng},
  number       = {3},
  pages        = {355--359},
  publisher    = {John Wiley & Sons},
  series       = {Ultrasound in Obstetrics & Gynecology},
  title        = {Effect of gel-instillation sonography on Doppler ultrasound findings in endometrial polyps},
  url          = {http://dx.doi.org/10.1002/uog.9043},
  volume       = {38},
  year         = {2011},
}