The publication of University of Health Sciences Istanbul Sisli Hamidiye Etfal Application and Research Center.


Online article submission system has been turned over to eJManager. We kindly request you to submit your current article or new articles via eJManager system

          VOLUME 48 / ISSUE 3


The Journal is Indexed in


2 - Preoperative evaluation of doppler ultrasound indices in postmenopausal ovarian masses

Burçin Demirel, Veli Mihmanlı, Gözde Toprakçı, Mehmet Fatih Fındık, Orhan Özen, Fatih Kantarcı

Objective: The aim of this study was to evaluate the value of quantitative spectral Doppler ultrasound (DUS) flow measurements in ovarian tumors in postmenopausal women.

Material and Method: This prospective study included 23 postmenopausal women with preoperative diagnosis of ovarian tumor. Patients were examined with transvaginal DUS 2 to 4 days before surgery. The resistive index (RI) and pulsatility index (PI) of the mass were evaluated by transvaginal DUS examination.

Results: The histopathologic examination of the surgical specimens revealed 8 malignant, 13 benign and 1 borderline tumor. The mean RI and PI for malignant tumors were 0.37 (range 0.35-0.45) and 0.61 (range 0.43-0.85), respectively. The mean RI and PI for benign tumors were 0.61 (range 0.30-0.91) and 1.21 (range 0.36-3.02), respectively. The Mann-Whitney U test revealed a statistically significant (p<0.05) correlation between the DUS measurements and histopathologic results. The sensitivity, specificity, positive and negative predictive cut-off values for RI less than 0.4 was 77%, 85%, 77%, and 85% respectively, in the diagnosis of malignant lesions. The sensitivity, specificity, positive and negative predictive cut-off values for PI less than 0.7 was 77%, 78% 70%, and 84% respectively.

Conclusion: Quantitative transvaginal DUS flow measurements provides sensitive and specific results in differentiating benign from malignant ovarian tumors in postmenopausal women.

Keywords: Ovarian neoplasm, benign, malignant, doppler ultrasound, resistive index, pulsatility index

To read full article click


Home Page       Editorial       Editorial Board       Advisory Board       Information for Authors       Contact       Archive

Copyright ® 2011 Sisli Etfal Hastanesi Tıp Bülteni