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Online ISSN
1305-3124

Established
1993

Editors-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

Statistics Editor
Resul Arısoy

Accuracy of power Doppler ultrasonography for detecting intrauterine focal lesions: a correlation with doppler ultrasound and hysteroscopic hystopathology

Ebru Çöğendez, Meryem Eken, Osman Temizkan, Ecmel Işık Kaygusuz, Dilşad Herkiloğlu, Mustafa Eroğlu, Murat Muhçu

Article info

Accuracy of power Doppler ultrasonography for detecting intrauterine focal lesions: a correlation with doppler ultrasound and hysteroscopic hystopathology. Perinatal Journal 2014;22(3):SE52 DOI: 10.2399/prn.14.S001084

Author(s) Information

Ebru Çöğendez1,
Meryem Eken1,
Osman Temizkan2,
Ecmel Işık Kaygusuz3,
Dilşad Herkiloğlu1,
Mustafa Eroğlu1,
Murat Muhçu1

  1. Zeynep Kamil Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Bölümü- İstanbul TR
  2. Şişli Etfal Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Bölümü- İstanbul TR
  3. Zeynep Kamil Eğitim ve Araştırma Hastanesi, Patoloji Bölümü- İstanbul TR
Correspondence

Ebru Çöğendez, Zeynep Kamil Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Bölümü- İstanbul TR,

Publication History
Conflicts of Interest

No conflicts declared.

Objective
To compare power Doppler flow mapping characteristics of endometrial polyps and submucosal fibroids and analyze whether different power Doppler characteristics can help to differentiate these focal endometrial lesions.
Methods
Fifty-eight women (median age, 37 years; range, 25–51 years) presenting with abnormal uterine bleeding and infertility on transvaginal ultrasund suggested focal endometrial lesions underwent sonohysterography were included in this prospective study. Three different vascular patterns were defined: Pattern A: single-vessel pattern, Pattern B: rim-like vessel pattern C: multiple vessel pattern. These were compared with the final histopathological diagnosis.
Results
Histological diagnoses were as follows: Endometrial polyp 40 (69%), submucousal myoma 18 (31%). Power Doppler signals were observed in 53 of these; they were not observed in five patients with endometrial polyps. We find out 75% pattern A, 2.5% pattern B and 7.5% pattern C in vascularized polyps, and also submucous myomas we find out 5.6% pattern A, 66.7% pattern B and 27.8% pattern C. The sensitivity, specificity and positive and negative predictive values for single vessel pattern in diagnosing endometrial polyps were 80, 100, 100, and 69.23%; for multiple vessels pattern in diagnosing submucousal myomas were 27.78, 92.5, 62.5 and 74%; for rim-like vessel pattern in diagnosing submucosal fibroids, they were 72.22, 100, 100 and 88.9%, respectively.
Conclusion
Power Doppler blood flow mapping is reasonable in the diagnosis of intrauterine focal lesions and is practical in distinguishing endometrial polyps and submucosal fibroids.
Keywords

Power Doppler, hysteroscopy, focal intrauterine lesions.