Evaluation of adnexal masses by Three-Dimensional ultrasound multi-slice view: Do we really need it?

Thai Journal of Obstetrics and Gynaecology

Ahmed Nasr¹  Hassan Salah Kamel¹  Kamal M. Zahran¹  Ahmed Mohamed Abbas¹ 

[1] Woman’s Health Center, Assiut University, Assiut, Egypt.;

关键词: adnexal mass;    3D ultrasound;    multi-slice view;    tomographic ultrasound;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective:Thepurposeofthisstudyistoevaluatethebenefitofuseofthree-dimensionalultrasound multi-slice view in detailed assessment of adnexal masses morphology. Methods:Two-hundred thirty one patients with adnexal masses elected for surgery at Woman’s Health Center, Assiut, Egypt between October 2012 and October 2013 were recruited for the study.Each patient had 2D ultrasound and detailed morphological evaluation was reported. Then, 3D ultrasound volumes were obtained.The stored 3D volumes were then digitally analyzed using 3D ultrasound multi-slice view. The results of 2D, 3D ultrasound multi-slice were compared to the postoperative histopathological findings.Results:Themeanageofincludedpatientswas30.2±12.7years.Overall,189patients(81.8%)confirmedtohavebenignmasses,and42patients(18.2%)withmalignantmassesaccordingtotheirfinalhistopathologicalanalysis.Subjectiveassessmentby2Dultrasoundcorrectlyclassified95.6%ofbenignmassesand87%ofmalignantmasses.Ondetailedassessmentofthemassesby3Dultrasoundmulti-sliceview,therewasagreementinmorphological assessment of all masses except in 3 cases in which 3D ultrasound multi-slice view permitted better description of their morphological criteria and hence changing the presumed diagnosis and management.Conclusions: Theabilityofdetailedanalysisofthevolumestakenduring3Dultrasoundusing multi-slice view can aid in better morphological assessment of adnexal masses especially in detection of papillary projections in adnexal cysts. This information is valuable in deciding the optimal management of adnexal masses in some cases.

【 授权许可】

Unknown