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Journal of Ultrasound in Medicine, Vol 12, Issue 1 41-48, Copyright © 1993 by American Institute of Ultrasound in Medicine
Color Doppler sonography of ovarian masses: a multiparameter analysis
A. C. Fleischer, W. H. Rodgers, D. M. Kepple, L. L. Williams and H. W. Jones 3rd
Department of Radiology and Radiological Sciences, Henry-Joyce Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2675.
This study analyzed vessel location, maximum systolic velocity, impedance,
and waveform shape in 25 benign and 25 malignant surgically excised and
pathologically examined ovarian masses as depicted by transvaginal or
transabdominal color Doppler sonography, or both. Those parameters that
achieved statistical significance (P > 0.05) between the two types of
masses included vessel location, impedance, and waveform shape. Malignant
masses typically were characterized by centrally located vessels that had
low impedance without a diastolic "notch" in the waveform. Maximum systolic
velocities are statistically similar in benign and malignant lesions.
Multiparameter analysis may improve the diagnostic specificity and
sensitivity of this technique in distinguishing benign from malignant
ovarian masses.
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