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Int J Gynaecol Obstet. 2007 Dec;99(3):201-5. Epub 2007 Apr 24.

Three-dimensional ultrasound and three-dimensional power Doppler in the assessment of ovarian tumors.

Author information

1
Department of Gynecology and Obstetrics, Taibah University, Saudi Arabia. laban63@yahoo.com

Abstract

OBJECTIVE:

To determine preoperative method that predicts nature of ovarian tumors.

METHODS:

Fifty patients with complex pelvic masses assessed preoperatively with two-dimensional ultrasound (2DUS), two-dimensional power Doppler (2DPD), three-dimensional ultrasound (3DUS), three-dimensional power Doppler (3DPD), color Doppler.

RESULTS:

All patients underwent exploration, 19 (38%) had benign tumors, 31 (62%) had ovarian cancer. 2DUS identified 29 cases suspicious for malignancy giving sensitivity, specificity, PPV and accuracy of 80%, 78%, 86%, and 80%. 2DUS with 2DPD identified 28 suspicious cases giving sensitivity, specificity, PPV and accuracy of 80%, 84%, 89%, and 82%. 3DUS identified 31 suspicious cases including 28 cancers giving sensitivity, specificity, PPV and accuracy of 90%, 84%, 90%, and 88%. 3DUS with 3DPD, identified 34 suspicious cases including all 31 cancers giving sensitivity, specificity, PPV and accuracy of 100%, 84%, 91%, and 94%. Color Doppler RI of 0.48 identified 28 cases of 31 cancers giving sensitivity of 90%.

CONCLUSION:

Evaluation by 3DUS with 3DPD improves diagnostic accuracy of ovarian tumors.

PMID:
17459388
DOI:
10.1016/j.ijgo.2007.03.027
[Indexed for MEDLINE]

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