Transvaginal Power Doppler Ultrasound in Pelvic Congestion
A prospective comparison with transuterine venography
Article first published online: 12 MAY 2003
Volume 44, Issue 3, pages 269–274, May 2003
How to Cite
Campbell, D., Halligan, S., Bartram, C. I., Rogers, V., Hollings, N., Kingston, K., Sahdev, A. and Beard, R. W. (2003), Transvaginal Power Doppler Ultrasound in Pelvic Congestion. Acta Radiologica, 44: 269–274. doi: 10.1034/j.1600-0455.2003.00063.x
- Issue published online: 12 MAY 2003
- Article first published online: 12 MAY 2003
- Accepted for publication 23 January 2003.
- female genital tract non-obstetric;
Purpose: Pelvic congestion is diagnosed by transuterine venography, an invasive procedure requiring sedation and irradiation. Ultrasound may be an alternative but is hindered by slow flow within pelvic veins. In an attempt to counter this, we investigated the possible role of transvaginal power Doppler ultrasound.
Material and Methods: 42 women with a clinical suspicion of pelvic congestion underwent transvaginal ultrasound. Adnexal veins were examined and a congestion score established. Planimetric measurements of adnexal vessels were obtained using power Doppler ultrasound, and uterine and ovarian morphology noted. All women then underwent transuterine venography and agreement with the ultrasound congestion score and morphologic features was determined.
Results: There was a trend towards weak positive correlation between ultrasound and venography congestion scores (r = 0.29, p = 0.06). However, agreement between scores was poor on an individual basis (95% limits of agreement, −3.9 to +2.7). Planimetric power Doppler assessments of adnexal vascularity were unrelated to venographic congestion. Instead, there was correlation between the number and diameter of ovarian follicles and venographic congestion: women with congestion tended to have significantly more (0.04) and smaller follicles (p = 0.001).
Conclusion: There was poor individual agreement between ultrasound and venographic estimates of congestion. However, there was a direct relationship between venographic congestion score and ovarian morphology.