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Characterization of normal and polycystic ovaries using three-dimensional power Doppler ultrasonography

Jarvela, IY; Mason, HD; Sladkevicius, Povilas LU ; Kelly, S; Ojha, K; Campbell, S and Nargund, G (2002) In Journal of Assisted Reproduction and Genetics 19(12). p.582-590
Abstract
Purpose: To evaluate the characteristics of polycystic compared to normal ovaries using three-dimensional (3-D) power Doppler ultrasonography. Methods: We recruited 42 volunteers, all of whom were commencing IVF treatment. Each patient was examined in the cycle preceeding the start of drug therapy during the late follicular phase. IF eight or more subcapsular follicles of 2-8 mm in diameter in one two-dimensional (2-D) plane were detected in either of the ovaries, the patient was categorized as having polycystic ovaries (PCO); otherwise the ovaries were considered normal. The parameters examined were volume of the ovary, vascularization index (VI), flow index (FI), vascularization flow index (VFI), and mean greyness (MG). IN addition, the... (More)
Purpose: To evaluate the characteristics of polycystic compared to normal ovaries using three-dimensional (3-D) power Doppler ultrasonography. Methods: We recruited 42 volunteers, all of whom were commencing IVF treatment. Each patient was examined in the cycle preceeding the start of drug therapy during the late follicular phase. IF eight or more subcapsular follicles of 2-8 mm in diameter in one two-dimensional (2-D) plane were detected in either of the ovaries, the patient was categorized as having polycystic ovaries (PCO); otherwise the ovaries were considered normal. The parameters examined were volume of the ovary, vascularization index (VI), flow index (FI), vascularization flow index (VFI), and mean greyness (MG). IN addition, the ovary was arbitrarily divided into cortex and stroma, and thereafter volume, VI, FI, VFI, and MG were calculated for these two regions. Results: Twenty-eight women had normal ovaries and 14 had PCO. The comparison between normal and PCO showed that as a group the PCO were larger, without any differences in VI, FI, VFI, or MG. In patients with PCO, the right ovary was larger than the left one. In patients with normal ovaries, FI was higher on the left side. Division into cortex and stroma revealed that there were no differences in cortical or stroma VI, FI, VFI, or MG between normal and PCO on either side. Conclusions: The ovaries defined as polycystic were larger than normal ovaries, but there was no difference in the echogenicity of the stroma between polycystic and normal ovaries. We were also unable to demonstrate that the polycystic ovarian stroma was more vascularized than the stroma in the normal ovaries. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
transvaginal color Doppler, three-dimensional ultrasound, three-dimensional power Doppler, transvaginal ultrasound
in
Journal of Assisted Reproduction and Genetics
volume
19
issue
12
pages
582 - 590
publisher
Kluwer
external identifiers
  • wos:000179387700007
  • pmid:12503891
  • scopus:0036911397
ISSN
1058-0468
DOI
10.1023/A:1021267200316
language
English
LU publication?
yes
id
3503de7c-dd98-48ae-b503-394b350a4329 (old id 892296)
date added to LUP
2008-01-23 15:59:00
date last changed
2017-01-01 07:22:33
@article{3503de7c-dd98-48ae-b503-394b350a4329,
  abstract     = {Purpose: To evaluate the characteristics of polycystic compared to normal ovaries using three-dimensional (3-D) power Doppler ultrasonography. Methods: We recruited 42 volunteers, all of whom were commencing IVF treatment. Each patient was examined in the cycle preceeding the start of drug therapy during the late follicular phase. IF eight or more subcapsular follicles of 2-8 mm in diameter in one two-dimensional (2-D) plane were detected in either of the ovaries, the patient was categorized as having polycystic ovaries (PCO); otherwise the ovaries were considered normal. The parameters examined were volume of the ovary, vascularization index (VI), flow index (FI), vascularization flow index (VFI), and mean greyness (MG). IN addition, the ovary was arbitrarily divided into cortex and stroma, and thereafter volume, VI, FI, VFI, and MG were calculated for these two regions. Results: Twenty-eight women had normal ovaries and 14 had PCO. The comparison between normal and PCO showed that as a group the PCO were larger, without any differences in VI, FI, VFI, or MG. In patients with PCO, the right ovary was larger than the left one. In patients with normal ovaries, FI was higher on the left side. Division into cortex and stroma revealed that there were no differences in cortical or stroma VI, FI, VFI, or MG between normal and PCO on either side. Conclusions: The ovaries defined as polycystic were larger than normal ovaries, but there was no difference in the echogenicity of the stroma between polycystic and normal ovaries. We were also unable to demonstrate that the polycystic ovarian stroma was more vascularized than the stroma in the normal ovaries.},
  author       = {Jarvela, IY and Mason, HD and Sladkevicius, Povilas and Kelly, S and Ojha, K and Campbell, S and Nargund, G},
  issn         = {1058-0468},
  keyword      = {transvaginal color Doppler,three-dimensional ultrasound,three-dimensional power Doppler,transvaginal ultrasound},
  language     = {eng},
  number       = {12},
  pages        = {582--590},
  publisher    = {Kluwer},
  series       = {Journal of Assisted Reproduction and Genetics},
  title        = {Characterization of normal and polycystic ovaries using three-dimensional power Doppler ultrasonography},
  url          = {http://dx.doi.org/10.1023/A:1021267200316},
  volume       = {19},
  year         = {2002},
}