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Index

A
Abdallah, Y. , 321 Abdelazim, I.A. , 248 Abdominal myomectomy , 126 Abdominal pregnancy , 334–335 Abnormal uterine bleeding
(AUB) , 168 Abramov, Y. , 311 Absorption , 4 Abuzeid, M.I. , 310 Acoustic impedance , 4 Adams, J.M. , 76 Agrawal, R. , 151 Alborzi, S. , 155 Allemand, M.C. , 70 Alsamarai, S. , 80 Amer, A. , 272 American Association of Gynecologic Laparoscopists
(AAGL) , 136 American College of Obstetrics and Gynecology
(ACOG) , 136, 168 American Fertility Society , 102–103 American Institute of Ultrasound in Medicine
(AIUM) , 41, 94, 168 American Society of Reproductive Medicine
(ASRM) , 41–42 Amer, M.I. , 161 Ang, E.S.B.C. , 10 AntiMullerian hormone (AMH) , 65 Antral follicle count (AFC)
3D US SonoAVC , 56–58 ovarian hyperstimulation syndrome (OHSS)
defi nition , 304 gonadotropin stimulation , 304 oocytes retrieval , 304 PCOS ovary , 304, 305 sensitivity and specifi city , 303
size of , 303 Arap, M.A. , 220 Arcuate uterus , 104 Asherman, J. , 151 Asherman’s syndrome. See Intrauterine adhesions (IUAs) Assisted reproductive techniques
(ART) , 143–145 3D US, applications of , 22–23 4D US techniques , 22
follicle monitoring, 2D ultrasound
vs. 3D ultrasound , 259 endometrial proliferation , 258–259 mature oocytes , 257–258 methods for, maturation , 253 need for , 252 normal folliculogenesis , 252–253 with power Doppler , 259–260 size and volume , 255 standard ultrasound monitoring program ,
253–256
triggering ovulation , 255–256
follicle monitoring, 3D ultrasound
advantages of , 265–266 cervical length scan , 263, 264 controlled ovarian hyperstimulation ( see
Controlled ovarian hyperstimulation) endometrial receptivity , 266–268 FSH , 265 GNRH agonists , 264 increased mature oocytes , 263 outpatient monitoring , 276–277 ovarian reserve , 269–270 pituitary downregulation , 264 polycystic ovary syndrome (PCOS) , 268–269 principle of , 266 SONO-AVC , 273–276
ovarian scanning , 8–9 TI for soft tissue , 8
Atlee, W. , 126
B
Baba, K. , 18 Badu-Peprah, A. , 154 Baerwald, A. , 239 Barnhart, K.T. , 331 Bassil, S. , 36 Battaglia, C. , 29 Bellingham, F.R. , 159 Benaceraf, B.R. , 269 Bergh, C. , 257 Bermejo, C. , 109 Bettocchi, S. , 156 Beyler, S.A. , 191 Bicornuate uterus , 104
L.A. Stadtmauer, I. Tur-Kaspa (eds.), Ultrasound Imaging in Reproductive Medicine, DOI 10.1007/978-1-4614-9182-8, © Springer Science+Business Media New York 2014
351
352
Index
Bioeffects
acoustic intensity , 4 continuous-wave (CW) Doppler equipment , 7 inertial cavitation , 6 instruments outputs , 4–5 in vitro models , 6 mammalian species, studies of , 7 nonmammalian organisms , 6–7 ODS , 7–8 PRF , 4
stable cavitation , 6 Bonney, V. , 126 Bosteels, J. , 144 Bozdag, G. , 145
C
Cantineau , 236 Capella-Allouc, S. , 157 Carmignani, L. , 218 Casper, R.F. , 271 Cavitation , 6 Centers for Medicare and Medicaid Services (CMS) , 42 Cervical pregnancy , 332 Chan, S.S. , 136 Chason, R.J. , 160 Check, J.H. , 144, 259 Chien, L.W. , 29 Coccia, M.E. , 159 Colacurci, N. , 158 Combison 330 , 18 Condous, G. , 317 Congenital uterine anomalies
arcuate uterus , 104
bicornuate uterus , 104
clinical presentation of , 104–105
didelphys uterus , 103–104
2DUS , 106
3DUS , 106–109
female reproductive tract, embryology of , 101–102
hysterosalpingography , 106
incidence of , 101
Müllerian anomalies, classifi cation of
agenesis and hypoplasia , 102 American Fertility Society , 102–103
lateral and vertical fusion defects , 102 pelvic MRI , 106 prevalence rates , 101 reproductive outcomes, in women , 110–111 saline infusion sonography , 106 septate uterus , 104 sonohysterography , 169–170 surgical intervention , 111–112 unicornuate uterus , 103 urinary tract imaging , 109–110
Contart, P. , 29, 30 Controlled ovarian hyperstimulation (COH)
follicle growth , 271 follicular aspiration , 272 follicular asynchrony , 272 follicular maturation , 271
hCG administration , 272 IVF protocols , 270
ovarian size , 271 Copperman, A.B. , 153 Coroleu, B. , 291 Coulam, C.B. , 235 Cryptorchidism , 215–216
D
Danninger, B. , 305 Dawood, A. , 152, 156 2D Doppler ultrasound
endometrial blood fl ow
color Doppler imaging , 29 power Doppler imaging , 29, 30 uterine blood fl ow , 28–29
ovarian stromal blood fl ow , 36–37 Deb, S., 276 De Geyter , 259 de Kroon, C.D. , 154 Dermoid cyst , 69 Deutch, T.D. , 273 Dewailly, D. , 70 Dickey, R.P. , 237 Didelphys uterus , 103–104 Digital Imaging and Communications in Medicine
(DICOM) , 22 Doldi, N. , 143, 145 Dorn, C. , 33, 35 3D power Doppler ultrasound
endometrial and subendometrial blood fl ow , 30–35 normal ovary , 58
corpus luteum , 60–61 of preovulatory follicle , 60
ovarian stromal blood fl ow , 37
E
Early pregnancy
β-hCG
ectopic pregnancy , 317 intrauterine pregnancy (IUP) , 317
transabdominal ultrasound (TAU/S) , 318–319 case scenario , 315–316 complications , 316 history and physical examination , 316 progesterone , 319 ultrasound
algorithm for , 321, 322
early fetal pole , 319, 320
ectopic pregnancy , 320, 321
fetal cardiac activity , 319, 321
for fi rst trimester , 319
gestational sac , 319
heterotopic pregnancy , 322, 323
intrauterine pregnancy of unknown viability , 324
in normal intrauterine pregnancy , 320, 321
pregnancy failure , 324
pregnancy of unknown location (PUL) , 323–324
yolk sac , 319, 320
Index
353
Ectopic pregnancy
abdominal pregnancy , 334–335 after hysterectomy , 338–339 cervical pregnancy , 332 cesarean scar , 335–336 hCG level , 329 interstitial , 337–338 ovarian pregnancy , 332–334 transvaginal ultrasound
endometrial echo , 331 intradecidual sign , 329, 330 intrauterine pseudosac , 329, 330
yoke sac , 330, 331 Ectors, F.J. , 272 Ejaculatory duct obstruction , 220–222 El-Mazny, A. , 153 Embryo transfers
anteverted uterus , 295, 296 disadvantages of, ultrasound guided , 300–301 pre-ET vaginal US measurement , 295, 296 tactile ET vs. ultrasound-guided ET , 296–298 training in
abdominal US , 299, 300
coaxial catheter US-guided ET
approach , 299
marker bubbles , 298
transvaginal vs. transabdominal ultrasound , 298 T-shaped uterus , 295
Endometrial polyps
abnormal uterine bleeding , 133, 136, 145 cervical polyps , 136 cornual polyps , 133, 135 diagnosis of
ART cycles , 143–145
artifacts , 142
computed tomography scanning , 140
3D SIS , 139
3D TV sonography , 139–140
hysterosalpingography , 140
hysteroscopy , 140, 146
infertility , 142–143
recurrent implantation failure , 145
sonohysterography , 138
transient endometrial changes , 140–142
TVUS , 136–138
T2-weighted MRI , 140
endometrial ablation , 135 incidence of , 133 malignancy , 135–136 molecular mechanisms , 133 multiple polyps and submucosal
fi broids , 133, 134 natural course of , 133 prevalence of , 133 progestin treatment , 133, 135 sessile/pedunculated polyps , 133, 134 single polyp , 133, 134 uterine fundus , 133, 135
Engmann, L. , 36 Epididymal cysts , 209 Epididymis , 211–212
F
Faivre, E. , 109 Fallopian tube
anatomy of , 189–190 fi mbrial phimosis , 190 function , 190
hydrosalpinx ( see Hydrosalpinx) Fedele, L. , 153 Fetal imaging , 4 Fimbrial phimosis , 190
G
Gambadauro, P. , 162 Gargett, C.E. , 162 Genital tuberculosis , 152 Glass-body rendering (GBR) , 20 Gleicher, N. , 288 Goldstein, S. , 168 Goswamy, R.K. , 153 Goudas, V.T. , 286 Grimbizis, G.F. , 140, 142 Gunabushanam, G. , 307
H
Hackeloer, B.J. , 251 Healthcare fraud , 44 Healy, D.L. , 162 Hemorrhagic cysts , 68, 69 Hendricks , 65 Herwig, R. , 222 Hurley, V.A. , 290 Hurst, B.S. , 117–129, 159 Hydrocele , 209, 211 Hydrosalpinx
assisted reproduction , 195–196
color Doppler sonography , 193–194
defi nition , 190–191
effects on pregnancy , 191–192
hysterosalpingogram (HSG) , 192–193
prevalence and etiology , 190–191
signs and symptoms , 191
surgery utility , 195
ultrasound appearance , 193 Hysterosalpingo-contrast-sonography (HyCoSy) , 22,
174, 175 advantages , 183 balloon catheter , 182 blood-fl ow and Doppler imaging , 184–186 cervix cleaning, aseptic solution , 182 contrast agent , 181–182 contrast medium injection , 183 conventional B-mode transvaginal scan , 183 Cusco’s (bivalve) speculum insertion , 182 documentation , 183 vs. laparoscopy , 183 with SonoVue
®
dye , 181 three-dimensional coded contrast imaging , 184, 185 verbal consent , 182 with water and air , 181
354
Index
Hysterosalpingography (HSG)
congenital uterine anomalies , 106 cornual polyps , 135 endometrial polyps , 140 hydrosalpinx , 192–193 intrauterine adhesions , 153–155 tubal patency
bilateral peritoneal spillage , 180 disadvantages of , 180–181 follicular phase of , 180 vs . laparoscopy , 180
uterine fundus , 135
Hysteroscopic myomectomy, uterine
fi broids , 125–126
Hysteroscopy, endometrial polyps , 140, 146
I
Insurance fraud , 44 Interstitial ectopic pregnancy , 337–338 Intracytoplasmic sperm injection (ICSI) , 144–145 Intrascrotal hemangioma , 209 Intratesticular cysts , 216 Intrauterine adhesions (IUAs)
causes , 151–152 classifi cation , 151 diagnosis of
3D ultrasound and HSG , 153–154 hydrosonography , 155 hysterosalpingography , 153–155 hysteroscopy , 153 SCHS , 154–155 sonohysterography , 154, 171 sonohysterosalpingography , 155
transvaginal sonography , 153 effects of , 152 incidence of , 151 manifestation , 151 prevention of
bipolar resection , 162
fl uid barriers , 161
fresh/dried amnion grafts , 161
IUCD and Foley catheter , 161
postoperative estradiol , 162 risk factors , 152 treatment of
hysteroscopic adhesiolysis , 155–158
PLUG technique , 159
preoperative endometrial sonography , 159
radiographic methods , 160
Intrauterine contraceptive device (IUCD) , 160, 161 Intrauterine synechiae. See Intrauterine adhesions (IUAs) In vitro fertilisation (IVF)
3D US in , 22, 23 endometrial blood fl ow
changes in , 35–36
2D colour Doppler ultrasound , 29
2D power Doppler ultrasound , 29, 30
3D power Doppler ultrasound , 30–35
intrauterine laser Doppler technique , 27
uterine blood fl ow , 28–29 multiple follicular development , 27 ovarian responses, prediction of , 36 ovarian stromal blood fl ow
2D Doppler ultrasound , 36–37
3D power Doppler ultrasound , 37 uterine fi broids , 120–121
IUAs. See Intrauterine adhesions (IUAs) Ivanovsky, D. , 235 IVF. See In vitro fertilisation (IVF)
J
Jadaon, J.E. , 260 Järvelä, I.Y. , 33, 35, 85 Jayaprakasan, K. , 81, 235, 306 Jinno, M. , 27 Jirge, P.R. , 245
K
Kamel, H.S. , 138 Kan, A.K. , 290 Kauffman, E.C. , 212 Khanna, A. , 151 Kim, A.H. , 168, 236 Kirk, E. , 317 Knopman, J. , 153 Kohlenberg, C.F. , 286 Kowalczyk, D. , 154 Kratochwil, A. , 49 Kretz, P. , 18 Kupesic, S. , 29, 33, 35, 139 Kyei-Mensah, A. , 272
L
Lam, P.M. , 81 Laparoscopic myomectomy , 126–128 Lass, A. , 67, 144 Lee, P.A. , 215 Lense, J. , 167 Lenz, S. , 288 Leventhal , 237 Lieng, M. , 143 Litigation and liability
billing fraud , 41 equipment maintenance , 42 fi rst-trimester ultrasound , 43–44 general supervision , 42 healthcare fraud , 44 image acquisition and retention , 42 malpractice, elements of , 41 personal supervision , 42 personnel, inadequate training of , 41–42 study interpretation and reporting , 43 ultrasound study, adequacy of , 42
Lynch syndrome , 133
Index
355
M
Madani, T. , 144 Magnetic resonance-guided focused ultrasound
(MRgFUS) , 128 adenomyosis , 346 clinical outcomes , 348–349 complication rates , 342 exclusion criteria , 343 FDA protocols , 344 fi broids location , 345 future fertility , 346 inclusion criteria , 344, 345 patient preparation , 347 sonication process , 343 technical suitability for , 346 thermal dose applied vs. biological outcome , 343, 344 treatment , 347–348 uterine fi broid symptoms quality of life
questionnaire , 343 vs . UAE and myomectomy , 341, 342
Magnetic resonance imaging (MRI)
congenital uterine anomalies , 106 uterine fi broids , 124
Mahadevan, M. , 9 Makhlouf, H.H. , 248 Makris, N. , 154 Male infertility
assisted reproductive techniques , 222 defi nition , 207 ultrasound
Doppler use , 208, 209 patient positioning , 208 probes selection , 208 scrotal ultrasonography ( see Scrotal
ultrasonography)
shadowing , 208 transrectal ultrasonography ( see Scrotal
ultrasonography; Transrectal ultrasonography)
Man, A. , 311 Manzi, D.S. , 237 March, C.M. , 156 Maugey-Laulon, B. , 30 Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome , 104 Mechanical index (MI) , 7–8 Mercè, L.T. , 34, 35 Microlithiasis , 218 M-mode , 5 Mol, B.W.J. , 192 Moohan, J.M. , 305 Moon, M.H. , 215 Müllerian anomalies (MA). See Congenital uterine
anomalies
Mumps orchitis , 217 Murtinger, M. , 17–24, 263–274, 276, 278
N
Nagori, C.B. , 162 Narayan, R. , 153
Nargund, G. , 235, 260 National Electrical Manufacturers Association
(NEMA) , 7 Ng, E.H.Y. , 27–34, 37 Nilsson, L. , 271
O
OmniView , 20 Orchitis , 216–217 Orhue, A.A. , 161 Output Display Standard (ODS) , 7–8 Ovarian cancer , 69–70 Ovarian cysts
corpus luteum , 68 dermoid cyst , 69 endometrioma , 68–69 functional/follicular cyst , 68 hemorrhagic cysts , 68, 69 ovarian cancer , 69–70
Ovarian hyperstimulation syndrome (OHSS) ,
36, 64–65, 70
anti-Mullerian hormone (AMH) , 303 antral follicle count
defi nition , 304 gonadotropin stimulation , 304 oocytes retrieval , 304 PCOS ovary , 304, 305 sensitivity and specifi city , 303
size of , 303 with ascites , 306, 307 clinical fi ndings of , 306 cyst rupture , 308 fl uid shifts , 308 hemoconcentration and resultant
hypercoagulability , 308
management and treatment
autotransfusion, ascitic
fl uid , 310 B hCG , 309 chest X-ray (CXR) , 311 hCG trigger dosing , 309 outpatient management , 310 thoracentesis , 311 ultrasound-guided paracentesis ,
309–310 vaginal ultrasound , 310
ovarian vasculature , 305
ultrasound and prevention of , 85–86 Ovarian pregnancy , 332–334 Ovarian reserve
antral follicle count , 64–65
3D ultrasound
ovarian stromal blood fl ow , 68
and ovarian volume , 65–67 endocrine markers of , 65 female reproductive ageing , 64 follicles, subtypes of , 63 primordial follicles , 63
356
Index
Ovary , 8–9
3D power Doppler vascularization
corpus luteum , 60–61 fl ow index , 60 of preovulatory follicle , 60 vascularization-fl ow index , 60 vascularization index , 58, 60
3D US
antral follicle count , 56–58 cumulus oophorus , 58, 59 dominant follicle , 57–59
volume measurement , 56, 57 transabdominal ultrasound , 49 transvaginal color Doppler
corpus luteum , 54–56
ovarian artery , 53–54
in preovulatory phase , 54 transvaginal ultrasound
corpus luteum , 50, 53
early fi rst phase , 50, 51
endovaginal technique , 49–50
follicular phase , 51–52
ovulation , 52–53
postmenopausal ovaries , 50
premenarchal ovaries , 50–51
Ovulation induction. See also Ultrasound
baseline scan
adnexal masses , 239, 240
endometrioma , 240
ovarian cyst/hydrosalpinx , 241–242
ovarian reserve , 240–241
ovarian teratomas , 240, 241 clomiphene citrate
antiestrogenic effect of , 244–245
and HMG , 248
treatment schema and monitoring , 245–246 gonadotrophic therapy
monitoring of , 246–247
patients selection , 246
principles of , 246 growth rate , 239, 240 intrauterine insemination (IUI)
optimal timing of , 236
premature luteinization , 236–237 medications , 239 patients selection , 242 scanning tips
follicle , 243
ovaries , 242
sono AVC , 243 transvaginal sonography , 239 ultrasound complications
multiple pregnancies , 248
ovarian hyperstimulation , 248
P
Paltnik, L. , 246 Parsons, J.H. , 167 Patel, A. , 193
Patil, R.S. , 245 Perez-Medina, T. , 143 Petitti, D.B. , 12 Piketty, M. , 158 Polycystic ovary syndrome (PCOS) , 70–71
clinical phenotypes of , 75 diagnosis of , 75 ovarian stromal blood fl ow , 83–84 ovarian volume , 79–81 polycystic ovarian morphology
AMH concentrations , 77 asymptomatic women , 76–77 defi nition of , 76 follicle number and size , 77–81 multicystic ovaries , 76
OHSS , 77 stromal area and echogenicity , 82–83 ultrasound and
assisted reproduction outcome , 84–85
OHSS, prevention of , 85–86 uterine size and perfusion , 84
Popovic-Todorovic, B. , 29, 37 Popp, L. , 50 Poujade, O. , 152 Pressure lavage under ultrasound guidance
(PLUG) , 159 Pulsatility index (PI) , 28–29 Pulsed-wave Doppler (PWD) , 83 Pulse repetition frequency (PRF) , 4 Purohit, R.S. , 221
Q
Quigley, M.M. , 271
R
Rabinovici, J. , 346 Raine-Fenning, N.J. , 36, 67, 71, 80, 243, 273, 274 Randolph, J.R. , 167 Recurrent implantation failure (RIF) , 145 Registered Diagnostic Medical Sonographer
(RDMS) , 41 Rein, D.T. , 160 Resistance index (RI) , 28–29 Rodriguez-Fuentes, A. , 67, 274, 276 Roest, J. , 277 Rone, H.M. , 168 Rova, R. , 307 Roy, K.K. , 157
S
Sahakian, V. , 167 Sakamoto, H. , 214 Salat-Baroux, J. , 159 Salim, R. , 136 Saline contrast hysterosonography (SCHS),
intrauterine adhesions , 154–155 Saline infusion sonography, endometrial polyps , 138
Index
357
Saline infusion sonohysterography (SIS), uterine
fi broids , 124 Saravelos, S.H. , 110 Scheffer, G.J. , 270 Schild, R.L. , 30, 33 Schlaff, W.D. , 159 Scott, R.T. , 272 Scrotal hydroceles , 216 Scrotal ultrasonography
CBAVD , 214 cryptorchidism , 215–216 epididymal cysts , 209 epididymis , 211–212 hydrocele , 209, 211 intrascrotal hemangioma , 209 intratesticular cysts , 216 microlithiasis , 218 mumps orchitis , 217 vs. normospermic men , 209, 211 orchitis , 216–217 scrotal hydroceles , 216 testicular microlithiasis , 209 testicular torsion/trauma , 218–220 testicular tumor , 209, 217–218 testicular volume , 214–215
varicoceles , 209, 212–214 Selub, M.R. , 272 Septate uterus , 104 Session, D.R. , 283–286, 292 Shah, D.K. , 298 Shalev, E. , 283, 286 Sharma, J.B. , 152 Sheiner, E. , 121 Sherbahn, R. , 273 SHG. See Sonohysterography (SHG) Shoham, Z. , 247 Shokeir, T.A. , 157 Shrestha, S.M. , 234 Sikov, M.R. , 7, 10 Smith, S.W. , 18 Soares, S.R. , 154 Society for Reproductive Endocrinology and Infertility
(SREI) , 168
Sonography-based automated volume calculation
(SONO-AVC) , 22, 24 antral follicle count , 71–72 normal ovary
antral follicle count , 56–58 dominant follicle , 57–59
ovarian volume , 67
Sonohysterography (SHG)
AIUM and ACOG guidelines for , 168 congenital uterine anomalies , 169–170 2D vs. 3D SHG , 172–174 endometrial polyps , 138 hydroxyethylcellulose gel , 174 vs. hysteroscopy , 167–168 indications and contraindications , 168 intrauterine adhesion , 171 intrauterine adhesions , 154
pain-free procedure , 174–175 polyps , 171–172
procedures , 168–169 Sonohysterosalpingography , 155 Spandorfer, S.D. , 331 Spatiotemporal image correlation (STIC) , 20 Speckle reduction imaging (SRI) , 21 Spiewankiewicz, B. , 144 Stamatellos, I. , 143 Steer, C.V. , 29 Stein, M.W. , 237 Stewart, E.A. , 348 Stoop, D. , 237 Strandell, A. , 194 Strickler, R.C. , 290, 295 Studdiford, W.E. , 335 Suginami, H. , 159 Swanton, A. , 77 Syrop, C.H. , 167
T
Tam, W.H. , 152 Taniguchi, F. , 159 Tasian, G.E. , 215 Teissier, M.P. , 257 Testicular microlithiasis , 209 Thermal index (TI) , 7–8 Thomson, A.J. , 160 Three-dimensional ultrasonography (3D US)
acoustic pulse echo imaging system , 18
advantages and shortcomings of , 21–22
basic techniques of , 19
cardiology and neurology , 24
Combison 330 , 18
congenital uterine anomalies , 106–109
data storage , 17, 21
fetal and gynecologic imaging , 24
gender determination , 24
initial problems , 17
intrauterine adhesions , 153–154
IVF , 22, 23
mechanical assemblies , 19
multiple polyps and submucosal fi broids , 134
normal ovary
antral follicle count , 56–58 cumulus oophorus , 58, 59 dominant follicle , 57–59
volume measurement of , 56, 57 ovarian stromal blood fl ow , 68 ovarian volume , 65–67 in PCOS patients , 70–71 post-processing tools , 18, 21 reconstruction , 19 surgeries/biopsies , 24 three-dimensional visualization , 19 tracked freehand method , 19 untracked freehand systems , 19 uterine myoma , 22, 23 uterus arcuatus , 22, 23
358
Index
Three-dimensional ultrasonography (cont.)
visualization modalities
GRR and 4D techniques , 20 inversion mode , 20 multi-planar view , 19 OmniView , 20–21 transparency mode/maximum mode , 20 TUI/multi-slice technique , 19, 20
VCI , 19 Voluson 730 , 18 Voluson 530D 3D system , 18 19-week fetus, images of , 19
TI for bones (TIB) , 8 TI for soft tissue (TIS) , 8 Timor-Tritsch, I.E. , 194, 331 Tiras, B. , 159 Tomographic ultrasound imaging (TUI) , 19, 20 Transabdominal sonography (TAS)
cervix , 97 ovaries , 49 uterus , 93
Transrectal ultrasonography
ejaculatory duct obstruction , 220–222 prostate cysts , 221 seminal vesicles , 222
Transvaginal color Doppler (TVCD)
and corpus luteum , 54–56 ovarian artery , 53–54 in preovulatory phase , 54
Transvaginal ultrasonography ( TVUS)
abdominal pregnancy , 334–335 cervix , 97 cervical pregnancy , 332 cesarean scar , 335–336 endometrial echo , 331 endometrial polyps , 136–138 interstitial ectopic pregnancy , 337–338 intradecidual sign , 329, 330 intrauterine adhesions , 153 intrauterine pseudosac , 329, 330 ovarian pregnancy , 332–334 ovaries
corpus luteum , 50, 53
in early fi rst phase , 50, 51
endovaginal technique , 49–50
follicular phase , 51–52
ovulation , 52–53
postmenopausal ovaries , 50
premenarchal ovaries , 50–51 uterine fi broids , 93, 123
in lower uterus and cervix , 122
multiple intramural fi broids , 120
pedunculated fi broid , 119
submucous myoma , 119
subserosal fi broid , 118 yoke sac , 330, 331
Tubal patency
hysterosalpingo-contrast-sonography (HyCoSy)
advantages , 183
balloon catheter , 182
blood-fl ow and Doppler imaging , 184–186 cervix cleaning, aseptic solution , 182 contrast agent , 181–182 contrast medium injection , 183 conventional B-mode transvaginal scan , 183 Cusco’s (bivalve) speculum insertion , 182 documentation , 183 vs. laparoscopy , 183 with SonoVue
®
dye , 181
three-dimensional coded contrast imaging ,
184, 185 verbal consent , 182 with water and air , 181
hysterosalpingography (HSG)
bilateral peritoneal spillage , 180 disadvantages of , 180–181 follicular phase of , 180 vs . laparoscopy , 180
laparoscopy and dye test , 179–180 Tur-Kaspa, I. , 63–72, 167–175, 295–301 TVUS. See Transvaginal ultrasonography ( TVUS) Two-dimensional ultrasonography (2D US)
congenital uterine anomalies , 106
cornual polyps , 135
multiple polyps and submucosal fi broids , 134
U
Ultrasound
bioeffects of ( see Bioeffects)
Doppler role
perifollicular blood fl ow (PFBF) , 234–235 perifollicular vascular perfusion , 235 vascular impedance , 235
VOCAL software , 235, 236 embryo/fetus susceptibility , 9–12 follicular selection
antrum, granulosa (GC), and theca cells (TC) , 233
corpus luteum , 233, 234
cumulus oophorus. , 232
dominant follicle theory , 232
FSH and LH levels , 232
hormonal profi le , 232, 233
human menopausal gonadotropin (hMG)
therapy , 232 intrafollicular echoes , 233 optimal follicular size , 233
frequency , 3 hydrosalpinx
contrast medium , 194 three-dimensional , 194–195 waist sign , 193
instruments outputs , 4–6 litigation and liability
billing fraud , 41 equipment maintenance , 42 fi rst-trimester ultrasound , 43–44 general supervision , 42 healthcare fraud , 44 image acquisition and retention , 42
Index
359
malpractice, elements of , 41 personal supervision , 42 personnel, inadequate training of , 41–42 study interpretation and reporting , 43 ultrasound study, adequacy of , 42
male infertility
Doppler use , 208, 209 patient positioning , 208 probes selection , 208 scrotal ultrasonography ( see Scrotal
ultrasonography) shadowing , 208 transrectal ultrasonography ( see Transrectal
ultrasonography)
multiple pregnancies , 237 ovarian scanning ( see Ovary) ovulation induction ( see Ovulation induction) in ovulation induction and early gestation , 12 polycystic ovarian syndrome (PCOS)
classical picture of , 237 etiologies of , 237 incidence of , 237 ovarian volume , 237
power and intensity , 4 pulse repetition frequency , 4 resolution , 3 spatial peak-temporal average , 4 tissue characteristics , 4 ultrasound-guided surgical procedures
bladder draining , 283 embryo transfer , 289–291 hematometra , 286 hydrosalpinx aspiration , 287–288 hysteroscopy , 284 intrauterine device placement and removal , 291 intrauterine foreign bodies , 286 limitations of , 286–287 oocyte retrieval , 288–289 ovarian cyst aspiration , 287 submucosal fi broids , 285–286 synechiae , 286 urethral catheter , 283 uterine septum , 284–285
wavelength , 3 Unicornuate uterus , 103 Uterine anomalies. See Congenital uterine anomalies Uterine artery embolization (UAE) , 128 Uterine fi broids
abdominal myomectomies , 126
color Doppler , 123, 124
and fertility , 119–120
hysterectomy , 341
hysteroscopic myomectomy , 125–126
incidence of , 117
intramural myoma , 117, 118
IVF , 120–121
laparoscopic myomectomy , 126–128
MRgFUS , 128
adenomyosis , 346 clinical outcomes , 348–349
complication rates , 342 exclusion criteria , 343 FDA protocols , 344 fi broids location , 345 future fertility , 346 inclusion criteria , 344, 345 patient preparation , 347 sonication process , 343 technical suitability for , 346 thermal dose applied vs. biological
outcome , 343, 344 treatment , 347–348 uterine fi broid symptoms quality of life
questionnaire , 343 vs . UAE and myomectomy , 341, 342
MRI , 124 observation , 124 obstetrical outcomes , 121–123 pedunculated fi broid , 117–119 prevalence of , 117 saline infusion sonography , 124 submucous myoma , 117, 119 subserosal myomas , 117, 118 symptoms , 118, 123 transvaginal ultrasound ( see Transvaginal
ultrasonography ( TVUS))
UAE , 128 Uterine myoma , 22, 23 Uterus
anatomic components of , 93
anterofl exed uterus , 95
cervix , 97–98
coronal plane , 94, 95
endometrium
late proliferative phase endometrium ,
96, 97 luteal phase endometrium , 96, 97 trilaminar layer , 96
length and height of , 94 midsagittal plane , 94 midtransverse plane of , 94 myometrium , 95–96 orientation of , 94–95 retroverted uterus , 95, 96 TAS and TVS approach , 93
Uterus arcuatus , 22, 23
V
Varasteh, N.N. , 144 Varicoceles , 209 Vascularization fl ow index (VFI) , 84 Vascularization index (VI) , 83 Virtual hysterosalpingography (VHSG)
bilateral hydrosalpinges , 205, 206 cervical pathology
cervical diverticula , 203 cervical synechiae , 202 endocervical polyp , 202, 203 stenotic cervices , 202
360
Index
Virtual hysterosalpingography (cont.)
cervical stricture , 200, 201 complications with
allergic reaction , 201 iodine vs. gadolinium use , 201, 202
radiation during , 202 CT scanners , 199 endometrial cavity pathology
endometrial polyps , 203–204
submucous myomas , 204–205
uterine malformation , 203, 204
uterine synechiae , 203, 204 maximum intensity projection , 199, 200 multiplanar reconstructions , 199, 200 patient preparation and timing , 199 technical parameters, CT equipment , 199, 200 virtual endoscopy algorithm , 200, 201 volume rendering projection , 199–201
Virtual organ computer-aided analysis (VOCAL)
endometrial volume and blood fl ow , 30–31 ovarian volume , 56, 57, 67 ovarian volume calculation , 78–80
Volume contrast imaging (VCI) , 18, 19 von Ramm, O.T. , 18
W
Westendorp, I.C. , 151 Wiley, J. , 321 Wiser, A. , 247 Wu, H.M. , 33, 35, 109
Y
Yaman, C. , 267 Yang, J.H. , 29, 30 Yasmin, H. , 158 Yavas, Y. , 272 Yee, W.S. , 218 Yucebilgin, M.S. , 155 Yu, D. , 157 Yuval, Y. , 30
Z
Zaidi, J. , 36 Zech, N.H. , 17–24, 263–278 Zhang, J. , 349 Ziskin, M.C. , 12 Zuckerman, H. , 283