Apports a la gynecologie du Doppler transvaginal en modes couleurs et pulses. Etude de la vascularisation ovarienne. [Value in gynecology of transvaginal pulsed and color Doppler. Study of ovarian vascularization]

Details

Serval ID
serval:BIB_4EACAA818468
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Apports a la gynecologie du Doppler transvaginal en modes couleurs et pulses. Etude de la vascularisation ovarienne. [Value in gynecology of transvaginal pulsed and color Doppler. Study of ovarian vascularization]
Journal
Contracept Fertil Sex
Author(s)
de Ziegler  D., Bessis  R., Caetano  J., Frydman  R.
ISSN
1165-1083
Publication state
Published
Issued date
01/1993
Volume
21
Number
1
Pages
63-70
Notes
English Abstract
Journal Article
Review --- Old month value: Jan
Abstract
Recently, pulsed Doppler has become available on high resolution vaginal ultrasound probes for studying ovarian blood flow. Doppler studies of ovarian blood flow are based on: semiquantitative analysis of Doppler flow waves recorded over the ovarian artery at its entry into the ovary; color Doppler mapping of intraovarian vessels. Semiquantitative analysis of the ovarian artery Doppler flow waves suffers from frequent difficulties at properly identifying the ovarian artery, particularly in multiparous women. Mapping of intraovarian vessels however, appears a most promising feature of vaginal Doppler for studying ovarian blood flow, provided that the proper ultrasound equipment is used. Specifically, transvaginal color Doppler mapping of intraovarian vessels allows for a positive visual detection of the onset of the ovulatory process prior to the actual follicular rupture. Thus, color Doppler mapping of ovarian vessels permits an improved and simplified approach for timing intercourses and inseminations in infertility patients. In controlled ovarian hyperstimulation (COH) used for in vitro fertilization (IVF), mapping of intraovarian vessels by color Doppler offers a fascinating new insight into normal and pathological responses of ovarian follicles to hCG. Finely, color Doppler appears a very promising asset to transvaginal ultrasounds for sorting suspicious ovarian cysts from their benign counter parts. In conclusion, we think that vaginal Doppler should be considered as a marvelous refinement of ultrasounds rather than as a truly new diagnostic tool. Yet vaginal color Doppler carries the potential for markedly improving the sensitivity and the specificity of vaginal ultrasound, particularly for diagnosing benign from potentially malignant ovarian conditions.
Keywords
Arteries *Blood Flow Velocity Female Gynecology Humans Ovarian Diseases/epidemiology/physiopathology/ultrasonography Ovary/*blood supply/*ultrasonography Ovulation Detection/methods Ovulation Induction/methods Parity Sensitivity and Specificity Ultrasonography, Doppler, Color/*methods Ultrasonography, Doppler, Pulsed/*methods Vagina
Pubmed
Web of science
Create date
28/02/2008 11:37
Last modification date
20/08/2019 14:04
Usage data