The Use of Doppler to Diagnose Myometrial Masses

Uterine Artery Doppler and Three Dimensional Power Doppler in the Diagnosis of Myometrial Masses

Colour Doppler sonography has also been evaluated in differentiating adenomyosis from fibroids. Two dimensional color Doppler ultrasound revealed that 87% of adenomyosis cases had vessel distributions different from those found in leiomyoma cases, in addition to a high pulsatility index (PI) .Adenomyotic lesions had randomly scattered vessels or intratumoral signals while leiomyomas usually had peripheral scattered or outer feeding vessels.

Because it is more sensitive, less angle-dependent, and not susceptible to aliasing , power Doppler Sonography has the potential to detect fluctuations in blood flow , with results superior to those of frequency-based color Doppler sonography, particularly in situations of low-velocity blood flow. Three dimensional power Doppler ultrasonography can be applied to differentiate between uterine adenomyosis and leiomyoma ,and it may reduce the number of false positives by detailed investigations.

Inclusion Criteria:

• Age between 20 & 60 years.
• Asymptomatic pts which discover the mass accidentally .
• Patients with symptoms like menorrhagia, menometrorrhagia, dysmenorrheal , abdominal masses.
• Patients scheduled for hysterectomy(abdominal/vaginal or Laparoscopic)
• Patients scheduled for myomectomy.

Exclusion Criteria:

• Pregnant patients
• Age over 60 or under 20years.
• Conservative management (Non surgical)