The aim of this study was to evaluate the diagnostic accuracy of conventional ultrasonography integrated with color flow mapping in a group of patients scheduled for surgery due to pelvic masses. One hundred and twenty-six women were examined prior to performing laparotomy; the results of subsequent histologic evaluation revealed 74 benign tumors; 22 primary ovarian cancers; 22 uterine fibromas; 4 tubo-ovarian abscesses; two malignant retroperitoneal tumors and two uterine sarcomas. When the presence of a malignant sonographic pattern and of an intra or peritumoral vascularisation of an RI <0.5 were considered suspicious for malignancy, a sensitivity of 92 percent and specificity of 96 percent were obtained. The authors belive that in spite of the diagnostic accuracy of this multiparametric evaluation, the utility of Doppler ultrasound with color flow imaging could be limited to complex cystic neoformations. The value of this technique is, however, subordinate to the traditional sonography. Useful results can be otained only by integrating all diagnostic parameters.
|Number of pages||6|
|Journal||Giornale Italiano di Ultrasonologia|
|Publication status||Published - 1996|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging