Search

Ovarian cancer mortality remains high mainly due to late diagnosis. Methods Screening by CDTV ultrasound was annually performed in asymptomatic women with no family history of ovarian cancer. 62%of the patients had normal levels of CA 125, measured after the lesions were detected by CDTV ultrasound study. [Extracted from the article]

Ovarian stromal edema with or without peripherally displaced antral follicles was reported in 52/69 (75.4%) patients, the whirlpool sign in 22/69 (31.9%) patients, absent colour Doppler signals in the twisted organ in 37/69 (53.6%) patients and the follicular ring sign in 15/69 (21.7%) patients. Free fluid in the pouch of Douglas was detected in 35/69 (50.7%) patients. Most patients with adnexal torsion are of reproductive age and present with acute or subacute pelvic pain. [Extracted from the article]

Adenomyosis patients presented translesional vascularity in 26.2% of cases, and demonstrated worse PR (28.1 versus 51.1%; P = 0.025) and LBR (25.0 versus 41.1%; P = 0.105) than the rest of patients. To evaluate reproductive results of patients presenting adenomyosis under Morphological Uterus Sonographic Assessment (MUSA) criteria who underwent assisted reproductive techniques (ART) using oocyte donation or preimplantation genetic testing for aneuploidies (PGT-A). [Extracted from the article]

Objective: To establish the accuracy of three-dimensional ultrasound (3D-US), compared with magnetic resonance imaging (MRI), for diagnosing uterine anomalies, using the European Society of Human Reproduction and Embryology-European Society for Gynaecological Endoscopy (ESHRE-ESGE) consensus on the classification of congenital anomalies of the female genital tract.Methods: Sixty women with uterine anomalies suspected after examination by conventional two-dimensional ultrasound were evaluated with 3D-US and MRI. These data were analyzed retrospectively to confirm the presence and type of uterine malformation in accordance with the ESHRE-ESGE consensus. Sensitivity, specificity and positive (PPV) and negative (NPV) predictive values were calculated, using MRI as the gold standard, and agreement between the two methods was evaluated by kappa index.Results: Compared with MRI, for the diagnosis of normal uteri, 3D-US had a sensitivity of 83.3%, specificity of 100%, PPV of 100%, NPV of 98.2% and kappa index of 0.900. For dysmorphic uteri and for hemi-uteri, the sensitivity, specificity, PPV and NPV were all 100%, and kappa was 1.00. For septate uteri, the sensitivity was 100%, specificity was 88.9%, PPV was 95.5%, NPV was 100% and kappa was 0.918. For bicorporeal uteri, the sensitivity was 83.3%, specificity was 100%, PPV was 100%, NPV was 98.2% and kappa was 0.900.Conclusions: 3D-US is highly accurate for diagnosing uterine malformations, having a good level of agreement with MRI in the classification of different anomaly types based on the ESHRE-ESGE consensus. [ABSTRACT FROM AUTHOR]

An abstract for the article "Diagnosis of septate uterus by 3D US using the ESHRE-ESGE consensus on classification of congenital anomalies in the female genital tract" by B. Graupera and others, is presented.

An abstract for the article "Transvaginal colour Doppler ultrasound in early diagnosis of ovarian cancer: a sixteen-year experience" by M. Pascual and others is presented.

VP07.02: Ultrasonographic diagnosis of adenomyosis associated at Müllerian anomalies We believe that in patients with Müllerian anomalies a thorough search for adenomyosis must be performed, especially in the cases of hemi-uterus. The objective of our study is to evaluate the presence of adenomyosis in patients who had Müllerian anomalies (CUAs). [Extracted from the article]

Methods Screening by CDTV ultrasound was annually performed in asymptomatic women with no family history of ovarian cancer. Ovarian cancer mortality remains high mainly due to late diagnosis. 61 percent of the patients had normal levels of CA 125, measured after the lesions were detected by CDTV ultrasound study. [Extracted from the article]

The purpose of this paper is to assess the efficiency of CDTV ultrasound to detect ovarian cancer in early stages. Screening by CDTV ultrasound was annually performed in asymptomatic women with no family history of ovarian cancer. 64 percent of the patients had normal levels of CA 125, measured after the lesions were detected by CDTV ultrasound study. [Extracted from the article]

OC29.07: Diagnosis of functional cavity in the hemi-uterus by 3D-US using the ESHRE-ESGE consensus on classification of congenital anomalies in the female genital tract Rudimentary horn was sonographically diagnosed in 77 (68.8%) women of the 112 who had a hemi-uterus diagnosis. In women with hemi-uterus 3DUS allows triage of women who should undergo surgery due to a functional cavity in a rudimentary horn. [Extracted from the article]

Ovarian cancer mortality remains high mainly due to late diagnosis. The purpose of this paper is to assess the efficiency of CDTV ultrasound to detect ovarian cancer in early stages. Sixty-five percent of the patients had normal levels of CA 125, measured after the lesions were detected by CDTV ultrasound study. [Extracted from the article]

The association between endometriotic ovarian cysts (EOC) and deep infiltrating endometriosis (DIE) is well known, although DIE is still often under diagnosed. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for DIE diagnosis relative to surgical results. One hundred twenty-six (40.9%) patients had RS lesions, 13 (4.2%) with sigmoid lesions, 5 (1.6%) with rectum lesions, 33 (10.7%) with RVS lesions, 110 (55.8%) with uterosacral ligaments lesions, 12 (3.9%) with vaginal fornix lesions, 1 (0.3%) with posterior uterine wall lesions, 3 (1%) with anterior uterine wall and 5 (1.6%) with vesicouterine region lesions. [Extracted from the article]

Objective: To compare the diagnostic performance of two‐dimensional transvaginal sonography (TVS) and saline contrast sonohysterography (SCSH) for the diagnosis of endometrial polyps in studies that used both tests in the same group of patients. Methods: This was a systematic review and meta‐analysis. An extensive search was conducted of Medline (PubMed), Cochrane Library and Web of Science, for studies comparing the diagnostic performance of TVS and SCSH for identifying endometrial polyps, published between January 1990 and December 2019, that reported a definition of endometrial polyp on TVS and SCSH and used pathologic analysis as the reference standard. Quality of the included studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies‐2 (QUADAS‐2) tool. A random‐effects model was used to determine pooled sensitivity, specificity and positive and negative likelihood ratios of TVS and SCSH in the detection of endometrial polyps. Subanalysis according to menopausal status was performed. Results: In total, 1278 citations were identified; after exclusions, 25 studies were included in the meta‐analysis. In the included studies, the risk of bias evaluated using QUADAS‐2 was low for most of the four domains, except for flow and timing, which had an unclear risk of bias in 13 studies. Pooled sensitivity, specificity and positive and negative likelihood ratios for TVS in the detection of endometrial polyps were 55.0% (95% CI, 46.0–64.0%), 91.0% (95% CI, 86.0–94.0%), 5.8 (95% CI, 3.9–8.7) and 0.5 (95% CI, 0.41–0.61), respectively. The corresponding values for SCSH were 92.0% (95% CI, 87.0–95.0%), 93.0% (95% CI, 91.0–95.0%), 13.9 (95% CI, 9.9–19.5) and 0.08 (95% CI, 0.05–0.14), respectively. Significant differences were found when comparing the methods in terms of sensitivity (P < 0.001), but not for specificity (P = 0.0918). Heterogeneity was high for TVS and moderate for SCSH. On subanalysis according to menopausal status, SCSH was found to have higher diagnostic accuracy in both pre‐ and postmenopausal women; sensitivity and specificity did not differ significantly between the groups for either TVS or SCSH. Conclusion: Given that SCSH has better diagnostic positive and negative likelihood ratios than does TVS in both pre‐ and postmenopausal women, those with clinical suspicion of endometrial polyps should undergo SCSH if TVS findings are inconclusive. © 2020 International Society of Ultrasound in Obstetrics and Gynecology This article's abstract has been translated into Spanish and Chinese. Follow the links from the abstract to view the translations. [ABSTRACT FROM AUTHOR]

An abstract of the article "Role of transvaginal colour Doppler ultrasound in early diagnosis of ovarian cancer: our experience since 1999," by M. Pascual and colleagues is presented.

An abstract of the article "Intraobserver variability of uterine measurements in congenital uterine anomalies with three-dimensional ultrasound," by B. Graupera and colleagues is presented.

An abstract of the article "Transvaginal ultrasound evaluation in a Cesarean scar defect and their complications," by B. Graupera, M. Pascual, L. Hereter, P. Barri-Soldevila, C. Pedrero, and A. Rivero is presented.

The article presents a case study of a 45 year oId woman who came for a gvnecologic examination and was diagnoised with an ovarian vein thrombosis. It is a pathologic condition associated with vague symptoms and high risk factors. It is found in puerperium state, in the setting of post-abortion infection, pelvic inflammatory disease, and associated with gynecological malignancies. It can be diagnosed by Color Doppler ultrasonography and magnetic resonance imaging.

A reply from the authors of the article "Accuracy of three-dimensional ultrasound compared with magnetic resonance imaging in diagnosis of Müllerian duct anomalies using ESHRE-ESGE consensus on the classification of congenital anomalies of the female genital tract" in a 2015 issue is presented. [ABSTRACT FROM AUTHOR]

An abstract of the article "Role of transvaginal colour Doppler ultrasound in early diagnosis of ovarian cancer: A 15-year experience" by M. Pascual and others is presented.

An abstract of the article "Role of two-dimensional ultrasound to detect uterine canalisation defects in infertile women" by B. Graupera and others, is presented.

An abstract of the research paper "Evaluation Of Uterine Transverse Diameter In MüLlerian Duct Anomalies," by M. Pascual and colleagues is presented.

An abstract of the research paper "Three-dimensional ultrasound in diagnosis of congenital uterine anomalies comparing with magnetic resonance imaging," by B. Graupera and colleagues is presented.

An abstract of the research paper "Early diagnosis in ovarian cancer: role of transvaginal color Doppler ultrasound. A fourteen year experience," by M. Pascual and colleagues is presented.

An abstract of the research paper "Endometrial hyperplasia: ultrasonographic features using IETA (International Endometrial Tumor Analysis) terms," by L. Hereter and colleagues is presented.

An abstract of the research paper "Decidualization of endometrioma during pregnancy mimicking a malignant ovarian tumor," by B. Graupera and colleagues is presented.

An abstract of the article "Role of transvaginal color Doppler ultrasound in early diagnosis of ovarian cancer: our experience since 1999," by M. Pascual, B. Graupera, L. Hereter, F. Tresserra, M. Cusido, and I. Rodríguez is presented.

An abstract of the article "Color Doppler transvaginal ultrasonography for detecting endometrial polyps," by B. Graupera, M. Pascual, L. Hereter, A. Úbeda, C. Pedrero, and M. Fernández-Cid is presented.

Objective: To assess the diagnostic performance of a three-step strategy proposed by the International Ovarian Tumor Analysis (IOTA) Group for discriminating between benign and malignant adnexal masses.Methods: This was a prospective observational study, performed at two tertiary-care university hospitals, of women diagnosed with an adnexal mass on transvaginal or transabdominal ultrasound between December 2012 and December 2014. Women were scheduled for an ultrasound evaluation, which was initially performed by non-expert examiners. The examiner had to classify the mass using 'simple descriptors' (first step) and, if not possible, using 'simple rules' (second step). For inconclusive masses, an expert examiner classified the mass according to their subjective impression (third step). Masses were managed expectantly, with serial follow-up examinations, or surgically, according to ultrasound findings and clinical symptoms. Histology was used as the reference standard. Masses that were managed expectantly with at least 1 year of follow-up were considered as benign for analytical purposes. Women with less than 1 year of follow-up were not included in the study.Results: Six hundred and sixty-six women were included (median age, 41 (range, 18-81) years) of whom 514 were premenopausal and 152 were postmenopausal. Based on the three-step strategy, 362 women had surgical removal of the mass (53 malignant and 309 benign), 71 masses resolved spontaneously and 233 persisted. Four hundred and forty-eight (67.3%) of 666 masses could be classified using simple descriptors and, of the 218 that could not, 147 (67.4%) were classified using simple rules. Of the remaining 71 masses, the expert examiner classified 45 as benign, 12 as malignant and 14 as uncertain. Overall sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of the three-step strategy were 94.3%, 94.9%, 18.6 and 0.06, respectively.Conclusion: The IOTA three-step strategy, based on the sequential use of simple descriptors, simple rules and expert evaluation, performs well for classifying adnexal masses as benign or malignant. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd. [ABSTRACT FROM AUTHOR]

An abstract of the article "Early diagnosis in ovarian cancer: role of transvaginal color Doppler ultrasound, twelve years experience," by M. Pascual and colleagues is presented.

An abstract of the article "Three dimensional ultrasound in diagnosis of unicornuate uterus," by B. Graupera and colleagues is presented.

An abstract of the article "Incidence and regression of haemorrhagic ovarian cysts," by M. Pascual and colleagues is presented.

An abstract of the conference paper "Transvaginal color Doppler ultrasound in early diagnosis of ovarian cancer," by L. Hereter and colleagues is presented.

An abstract of the conference paper "Adenomyosis: an underestimated pathologhy," by C. Pedrero and colleagues is presented.

An abstract of the conference paper "Three-dimensional ultrasound in diagnosis of septate uterus in patients with suspected congenital uterine anomalies," by M. Horiya and colleagues is presented.

An abstract of the conference paper "Incidence and regression of functional ovarian cysts," by M. Pascual and colleagues is presented.

An abstract of the conference paper "Early diagnosis in ovarian cancer: role of transvaginal color Doppler ultrasound. Ten years' experience," by M.A. Pascual, and colleagues is presented.

An abstract of the conference paper "Uterine cavity: role of 3D ultrasonography in improving diagnostic accuracy," by M.A. Pascua and colleagues is presented.

An abstract of the conference paper "Atypical ultrasonographic presentation of ovarian vein thrombosis simulating a paraovarian cyst," by B. Graupera and colleagues is presented.

An abstract of the research paper "3D Ultrasonographic Features in Endometriotic and Hemorrhagic Cysts" by M.A. Pascual and colleagues is presented.

The article presents a case study of a 35-year-old pregnant woman diagnosed with an adult type granulosa cell tumour (GCT) in the ovary. The patient had undergone power Doppler transabdominal ultrasound scan to project the peripheral vascularisation of the lesion and laparoscopic left adnexectomy surgery to remove the intact lesion. It also mentions that GCT adult type appears in postmenopausal and perimenopausal women with treatment option utilizing conservative surgery.

The article presents a case study of a 34-year-old woman with minimal deviation adenocarcinoma (MDA) as displayed by post coital hemorrhage and spotting for two months. After using Doppler color studies, a nodular cervical lesion was revealed and the diagnosis was of myoma with an increased vascularization. The difficulty of imaging techniques in the diagnosis of (MDA) and its association with the Peutz-Jeghers syndrome characterized by gastrointestinal polyps are also discussed.