Original Paper

Effect of gel-instillation sonography on Doppler ultrasound findings in endometrial polyps

  1. T. Van Den Bosch1,*,
  2. D. Van Schoubroeck1,
  3. J. Luts2,
  4. T. Bignardi3,
  5. G. Condous3,
  6. E. Epstein4,
  7. F. P. Leone5,
  8. A. C. Testa6,
  9. L. Valentin7,
  10. S. Van Huffel2,
  11. T. Bourne1,8,
  12. D. Timmerman1

Article first published online: 10 AUG 2011

DOI: 10.1002/uog.9043

Issue

Ultrasound in Obstetrics & Gynecology

Ultrasound in Obstetrics & Gynecology

Volume 38, Issue 3, pages 355–359, September 2011

Additional Information

How to Cite

Van Den Bosch, T., Van Schoubroeck, D., Luts, J., Bignardi, T., Condous, G., Epstein, E., Leone, F. P., Testa, A. C., Valentin, L., Van Huffel, S., Bourne, T. and Timmerman, D. (2011), Effect of gel-instillation sonography on Doppler ultrasound findings in endometrial polyps. Ultrasound in Obstetrics & Gynecology, 38: 355–359. doi: 10.1002/uog.9043

Author Information

  1. 1

    Department of Obstetrics & Gynecology, University Hospitals KU Leuven, Leuven, Belgium

  2. 2

    Department of Electrical Engineering, ESAT-SCD, KU Leuven, Leuven, Belgium

  3. 3

    Acute Gynaecology, Early Pregnancy Advanced Endosurgery Unit, Nepean Centre for Perinatal Care, Nepean Clinical School, University of Sydney, Sydney, Australia

  4. 4

    Department of Obstetrics & Gynecology, Skåne University Hospital Lund, Lund, Sweden

  5. 5

    Department of Obstetrics & Gynecology, Clinical Science Institute L. Sacco, University of Milan, Milan, Italy

  6. 6

    Department of Obstetrics & Gynecology, Universitá del Sacro Cuore, Rome, Italy

  7. 7

    Department of Obstetrics & Gynecology, Skåne University Hospital, Malmö, Sweden

  8. 8

    Department of Obstetrics & Gynaecology, Imperial College London, Hammersmith Campus, London, UK

*Department of Obstetrics and Gynecology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium

Publication History

  1. Issue published online: 29 AUG 2011
  2. Article first published online: 10 AUG 2011
  3. Accepted manuscript online: 6 MAY 2011 05:31AM EST
  4. Manuscript Accepted: 26 APR 2011

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Keywords:

  • Doppler ultrasound;
  • endometrial polyp;
  • gel-infusion sonography;
  • three-dimensional imaging;
  • ultrasonography

Abstract

Objective

Saline infusion sonohysterography has been reported to suppress the color signal within the endometrium at color or power Doppler evaluation. The aim of this study was to evaluate if gel-instillation sonography (GIS) affects the power Doppler signal in patients with endometrial polyps.

Methods

Ultrasound volumes of the uterus, obtained by three-dimensional ultrasound imaging of 25 women with histologically confirmed endometrial polyps, were assessed offline by six gynecologists with a special interest in gynecological ultrasound. Each woman contributed four volumes: one gray-scale volume and one power Doppler volume before GIS, and one gray-scale volume and one power Doppler volume at GIS. Power Doppler features before and after gel infusion were compared.

Results

At unenhanced ultrasound a pedicle artery was seen in 27–46% of cases, whereas, after gel infusion the examiners reported a pedicle artery in 30–46% of cases (Exact McNemar's test P-values ranged from 0.50 to 1.00). The level of agreement between unenhanced ultrasound and GIS ranged from 59 to 91% (Cohen's kappa values ranged from 0.17 to 0.79). There was no tendency for a pedicle artery to be identified less often at GIS than before gel instillation.

Conclusion

Gel infusion does not affect the power Doppler signal in patients with endometrial polyps. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.

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