Journal of Ultrasound in Medicine, Vol 14, Issue 7 529-532, Copyright © 1995 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Transvaginal pulsed and color Doppler sonography for the evaluation of adenomyosis

M. Hirai, K. Shibata, H. Sagai, S. Sekiya and B. B. Goldberg
Department of Obstetrics and Gynecology, Yokaichiba General Hospital, Chiba-city, Japan.

In an earlier paper, we reported our scoring system for the diagnosis of adenomyosis by gray scale transvaginal sonography. In this study we evaluated 44 benign uterine masses (adenomyosis and myomas) and seven uterine malignancies. We used transvaginal color and pulsed Doppler imaging to determine whether this technique is useful to differentiate adenomyosis from uterine malignancies. The peak systolic velocity and the resistive index of intratumoral vessels were studied. The differences in these parameters for adenomyosis and uterine malignancies were statistically significant. Our results suggest that this technique is useful to differentiate adenomyosis from uterine malignancies.

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