FİBROİDLERİN DOPPLER ULTRASONOGRAFİ VE MANYETİK REZONANS GÖRÜNTÜLEMESİNİN KARŞILAŞTIRILMASI

Year 2022, , 33 - 37, 17.01.2022

Pelin Ergenekon

https://doi.org/10.18229/kocatepetip.809315

Abstract

AMAÇ: Bu çalışma, boyut ve büyüme dahil olmak üzere miyomların çeşitli özelliklerinin değerlendirilmesinde Doppler ultrasonografi (USG) ve Manyetik rezonans görüntüleme (MRG) özelliklerini karşılaştırmayı amaçlamaktadır.
GEREÇ VE YÖNTEM: Tanımlayıcı tipteki bu çalışma, Türkiye'de özel bir jinekoloji kliniğine başvuran kadın hastalar üzerinde yapılmıştır. Hastaların Doppler USG ve MRG ölçümleri yapıldı ve aşağıdaki indeksler hesaplandı: diyastolik ortalama oranı (DAR), sistolik/diyastolik oranı (SDR), end-diyastolik velosite (EDV), pik sistolik hız (PSV), hızlanma süresi ( AT), zaman ortalamalı ortalama hız (Tmean), empedans indeksi (LML), akselerasyon indeksi (AI), diyastolik/sistolik oran (DSR), direnç endeksi (RI), pulsatilite indeksi (PI), zaman ortalamalı maksimum hız (TAMX). Bu indeksler tüm çalışma grubunda ve 49 yaşından büyükler arasında değerlendirildi.
BULGULAR: PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indeksleri ve tümör boyutu değişim ortalamalarının Doppler USG ve MRI sonuçları hem çalışma grubunda hem de 49 yaşından daha büyük kadınlarda benzer bulundu. Çalışma grubundaki kadınların Doppler USG ile ölçülen PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indeksleri ve tümör boyutu ile MRG ölçümleri arasında güçlü pozitif korelasyon olduğu bulundu.
SONUÇ: Araştırmada elde edilen sonuçlar Doppler USG'nin miyom tanısında MRG kadar uygun olduğunu ortaya koymuştur.

Keywords

Leiomyoma, Manyetik Rezonans Görüntüleme, Ultrasonografi, Uterus

COMPARISON OF DOPPLER ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING OF FIBROIDS

Abstract

OBJECTIVE: This study aimed to compare Doppler ultrasonography (USG) and magnetic resonance imaging (MRI) in the evaluation of various characteristics of myomas, including size and growth.
MATERIAL AND METHODS: This descriptive study was conducted on female patients admitted to a private gynecology clinic in Turkey. Doppler USG and MRI measurements of the patients were performed and the following indices were calculated: Diastolic average ratio (DAR), Systolic/diastolic ratio (SDR), End-diastolic velocity (EDV), Peak systolic velocity (PSV), Acceleration time (AT), Time-averaged mean velocity (Tmean), Impedance index (LML), Acceleration index (AI), Diastolic/systolic ratio (DSR), Resistivity index (RI), Pulsatility index (PI), Time-averaged maximum velocity (TAMX). These indices were evaluated in the whole study group and also among those older than 49 years.
RESULTS: Doppler USG and MRI results of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indexes and tumor size change averages were found to be similar in both the study group and women older than 49 years. It was found that there were strong positive correlations between Doppler USG and MRI measurements of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indices and tumor size change among the women in the study group.
CONCLUSIONS: The results found in the research revealed that Doppler USG is as convenient as MRI in the diagnosis of myomas.

Keywords

Leiomyoma, Magnetic Resonance Imaging, Ultrasonography, Uterus

References

• 1. Parker WH. Etiology, symptomatology, and diagnosis of uterine myomas. Fertil Steril. 2007;87(4):725-36.
• 2. Doherty L, Mutlu L, Sinclair D, Taylor H. Uterine fibroids: clinical manifestations and contemporary management. Reprod Sci. 2014;21(9):1067-92.
• 3. Testa AC, Di Legge A, Bonatti M, Manfredi R, Scambia G. Imaging techniques for evaluation of uterine myomas. Best Practice & Research Clinical Obstetrics & Gynaecology. 2016;34:37-53.
• 4. Mclucas B. Diagnosis, imaging and anatomical classification of uterine fibroids. Best Practice & Research Clinical Obstetrics & Gynaecology. 2008;22(4):627-42.
• 5. Dueholm M, Lundorf E, Olesen F. Imaging techniques for evaluation of the uterine cavity and endometrium in premenopausal patients before minimally invasive surgery. Obstet Gynecol Surv. 2002;57(6):389-403.
• 6. Mitchell D. Benign disease of the uterus and ovaries. Applications of magnetic resonance imaging. Radiol Clin North Am. 1992;30(4):777-87.
• 7. Terslev L, Torp‐Pedersen S, Savnik A, et al. Doppler ultrasound and magnetic resonance imaging of synovial inflammation of the hand in rheumatoid arthritis: a comparative study. Arthritis & Rheumatology. 2003;48(9):2434-41.
• 8. Hawkes R, Patterson A, Priest A, et al. Uterine artery pulsatility and resistivity indices in pregnancy: Comparison of MRI and Doppler US. Placenta. 2016;43:35-40.
• 9. Kim SH, Sim JS, Seong CK. Interface vessels on color/power Doppler US and MRI: a clue to differentiate subserosal uterine myomas from extrauterine tumors. J Comput Assist Tomogr. 2001;25(1):36-42.
• 10. Champaneria R, Abedin P, Daniels J, Balogun M, Khan KS. Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy. Acta Obstetricia et Gynecologica Scandinavica. 2010;89(11):1374-84.
• 11. Bazot M, Daraï E. Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis. Fertility and Sterility. 2018;109(3):389-97.
• 12. Liu L, Wong L, Mol B, Condous G, Costa F, Leonardi M. Diagnostic accuracy of transvaginal ultrasound and magnetic resonance imaging for the diagnosis of adenomyosis: Systematic review and meta-analysis. Ultrasound in Medicine & Biology. 2019;45:54.
• 13. Sam M, Raubenheimer M, Manolea F, et al. Accuracy of findings in the diagnosis of uterine adenomyosis on ultrasound. Abdominal Radiology. 2020;45(3):842-50.
• 14. Hameed AM. A comparative study of ultrasonography & magnetic resonance imaging with pathological results in diagnosis, localization & measurement of uterine leiomyomas. Muthanna Medical Journal. 2017;4(1):8-19.
• 15. Idowu BM, Ibitoye BO, Adetiloye VA. Uterine Artery Doppler Velocimetry of Uterine Leiomyomas in Nigerian Women. Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):464-70.
• 16. Cho YW, Park SH. Measurement of pulp blood flow rates in maxillary anterior teeth using ultrasound Doppler flowmetry. Int Endod J. 2015;48(12):1175-80.
• 17. Takase-Minegishi K, Horita N, Kobayashi K, et al. Diagnostic test accuracy of ultrasound for synovitis in rheumatoid arthritis: systematic review and meta-analysis. Rheumatology. 2017;57(1):49-58.
• 18. Cotti E, Esposito SA, Musu D, Campisi G, Shemesh H. Ultrasound examination with color power Doppler to assess the early response of apical periodontitis to the endodontic treatment. Clin Oral Investig. 2018;22(1):131-40.
• 19. Dyson A, Jeffrey M, Kluckow M. Measurement of neonatal heart rate using handheld Doppler ultrasound. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2017;102(2):116-9.
• 20. Hansen KL, Møller-Sørensen H, Kjaergaard J, et al. Vector flow imaging compared with conventional Doppler ultrasound and thermodilution for estimation of blood flow in the ascending aorta. Ultrason Imaging. 2017;39(1):3-18.
• 21. Alavi A, Sibbald RG, Nabavizadeh R, Valaei F, Coutts P, Mayer D. Audible handheld Doppler ultrasound determines reliable and inexpensive exclusion of significant peripheral arterial disease. Vascular. 2015;23(6):622-9.
• 22. Cantisani V, Maceroni P, D’andrea V, et al. Strain ratio ultrasound elastography increases the accuracy of colour-Doppler ultrasound in the evaluation of Thy-3 nodules. A bi-centre university experience. Eur Radiol. 2016;26(5):1441-9.