By Davor Jurkovic, Lil Valentin, Sanjay Vyas
Using ultrasound imaging in gynaecology is going way past basic photo reputation. A skilful gynaecological sonographer will compile test findings and the medical state of affairs to augment sufferer care. This results in precise investigations and, simply as importantly, to innovations for non-intervention. This booklet covers all features of using ultrasound and likewise contains chapters on medical gynaecology, to aid in making the very best use of the know-how.
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Extra resources for Gynaecological Ultrasound in Clinical Practice: Ultrasound Imaging in the Management of Gynaecological Conditions
The differentiation is generally easy, as an ovarian mass is separate from the uterus and sarcoma is exceedingly rare in premenopausal women. Similar ultrasound appearances sometimes occur in uterine fibroids fol lowing embolisation. 11 A calcified intramural fibroid, common in postmenopausal women found in pregnancy. 12). 15 A submucous fibroid expelled into the cervical canal cause pressure effect on surrounding organs, specifically the urinary bladder, causing pain or urinary frequency. Subserous fibroids project from the uterine serosa and they, too, are only problematic when large and indenting surrounding organs.
Transvaginal Doppler sonography: is there a role for this modality in the evaluation of women with postmenopausal bleeding? Maturitas 2005; 50: 111–16. 27. Vuento M H, Pirhonen J P, Makinen J I, Tyrkko J E, Laippala PJ, Gronoos M, et al. Screening for endometrial cancer in asymptomatic postmenopausal women with conventional and colour Doppler sonography. Br J Obstet Gynaecol 1999; 106: 1229–30. 39 28. Chan F Y, Chau M T, Pun T C, Lam C, Ngan H Y, Leong L, et al. Limitations of transvaginal sonography and color Doppler imaging in the differentiation of endometrial carcinoma from benign lesions.
14 found that blind endometrial biopsy in the office setting missed small lesions in up to 50% of cases. It can be concluded from these studies that blind endometrial sampling in the absence of any form of endometrial imag ing has no place in the modern gynaecology clinic. Transvaginal ultrasound Transvaginal ultrasound (tvs) is an accurate, non-invasive diagnostic modality that enables examination of the uterine cavity and endometrium in the outpatient setting. With the uterus visualised in a longitudi nal plane, the thickness of the endometrial echo can be measured.