An algorithm including results of gray-scale and power Doppler ultrasound examination to predict endometrial malignancy in women with postmenopausal bleeding

Ultrasound in Obstetrics and Gynecology

Volumn 20, Issue 4, 2002, Pages 370-376

  Epstein, E ^a,c   Skoog, L ^a   Isberg, P E ^a   De Smet, F ^b   De Moor, B ^b   Olofsson, P A ^a   Gudmundsson, S ^a   Valentin, L ^a  

^a LUND UNIVERSITY   (Sweden)

^b UNIVERSITY OF LEUVEN   (Belgium)

^c LUND UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Endometrial cancer; Logistic regression; Postmenopausal bleeding; Power Doppler ultrasound; Vascularity index

Indexed keywords

AGED; ALGORITHM; ARTICLE; CALCULATION; CANCER DIAGNOSIS; COMPUTER ANALYSIS; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DOPPLER FLOWMETRY; ENDOMETRIUM CARCINOMA; FEMALE; GRAY SCALE ECHOGRAPHY; HORMONE SUBSTITUTION; HUMAN; MAJOR CLINICAL STUDY; MENOPAUSAL SYNDROME; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OUTCOMES RESEARCH; PRIORITY JOURNAL; PROBABILITY; STANDARDIZATION; TREATMENT OUTCOME; VASCULARIZATION;

EID: 0036035120     PISSN: 09607692     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1469-0705.2002.00800.x     Document Type: Article

References (28)

1. Berek J. Novak's Gynecology. Baltimore: Williams & Wilkins 1996
2. Danero S, Ricci MG, La Rosa R, Massafra C, Franchi F, Pitino C, Giovani M, Onnis GL. Critical review of dilatation and curettage in the diagnosis of malignant pathology of the endometrium. Eur J Gynaecol Oncol 1986; 7: 162-5
3. O'Connell LP, Fries MH, Zeringue E, Brehm W. Triage of abnormal postmenopausal bleeding: a comparison of endometrial biopsy and transvaginal sonohysterography versus fractional curettage with hysteroscopy. Am J Obstet Gynecol 1998; 178: 956-61
4. Smith-Bindman R, Kerlikowske K, Feldstein VA, Subak L, Scheidler J, Segal M, Brand R, Grady D. Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. JAMA 1998; 280: 1510-7
5. Epstein E, Ramirez A, Skoog L, Valentin L. Transvaginal sonography, saline contrast sonohysterography and hysteroscopy for the investigation of women with postmenopausal bleeding and endometrium > 5 mm. Ultrasound Obstet Gynecol 2001; 18: 157-62
6. Sheth S, Hamper UM, Kurman RJ. Thickened endometrium in the postmenopausal woman: Sonographic-pathologic correlation. Radiology 1993; 187: 135-9
7. Hulka CA, Hall DA, McCarthy K, Simeone JF. Endometrial polyps, hyperplasia, and carcinoma in postmenopausal women: Differentiation with endovaginal sonography. Radiology 1994; 191: 755-8
8. Dubinsky TJ, Stroehlein K, Abu Ghazzeh Y, Parvey HR, Maklad N. Prediction of benign and malignant endometrial disease: Hysterosonographic-pathologic correlation. Radiology 1999; 210: 393-7
9. Bernard JP, Lecuru F, Darles C, Robin F, de Bievre P, Taurelle R. Saline contrast sonohysterography as first-line investigation for women with uterine bleeding. Ultrasound Obstet Gynecol 1997; 10: 121-5
10. Kurjak A, Shalan H, Sosic A, Benic S, Zudenigo D, Kupesic S, Predanic M. Endometrial carcinoma in postmenopausal women: Evaluation by transvaginal color Doppler ultrasonography. Am J Obstet Gynecol 1993; 169: 1597-603
11. Bourne TH, Campbell S, Steer CV, Royston P, Whitehead MI, Collins WP. Detection of endometrial cancer by transvaginal ultrasonography with color flow imaging and blood flow analysis: A preliminary report. Gynecol Oncol 1991; 40: 253-9
12. Sladkevicius P, Valentin L, Marsal K. Endometrial thickness and Doppler velocimetry of the uterine arteries as discriminators of endometrial status in women with postmenopausal bleeding: A comparative study. Am J Obstet Gynecol 1994; 171: 722-8
13. Sheth S, Hamper UM, McCollum ME, Caskey CI, Rosenshein NB, Kurman RJ. Endometrial blood flow analysis in postmenopausal women: Can it help differentiate benign from malignant causes of endometrial thickening? Radiology 1995; 195: 661-5
14. Chan FY, Chau MT, Pun TC, Lam C, Ngan HY, Leong L, Wong RL. Limitations of transvaginal sonography and color Doppler imaging in the differentiation of endometrial carcinoma from benign lesions. J Ultrasound Med 1994; 13: 623-8
15. Martinoli C, Derchi LE, Rizzatto G, Solbiati L. Power Doppler sonography: General principles, clinical applications, and future prospects. Eur Radiol 1998; 8: 1224-35
16. Bartolozzi C, Lencioni R, Paolicchi A, Moretti M, Armillotta N, Pinto F. Differentiation of hepatocellular adenoma and focal nodular hyperplasia of the liver: Comparison of power Doppler imaging and conventional color Doppler sonography. Eur Radiol 1997; 7: 1410-5
17. Cheng WF, Lee CN, Chu JS, Chen CA, Chen TM, Shau WY, Hsieh CY, Hsieh FJ. Vascularity index as a novel parameter for the in vivo assessment of angiogenesis in patients with cervical carcinoma. Cancer 1999; 85: 651-7
18. Orden MR, Gudmundsson S, Kirkinen P. Contrast-enhanced sonography in the examination of benign and malignant adnexal masses. J Ultrasound Med 2000; 19: 783-8
19. Raza S, Baum JK. Solid breast lesions: Evaluation with power Doppler US. Radiology 1997; 203: 164-8
20. Szpurek D, Sajdak S, Moszynski R, Roszak A. Estimation of neovascularisation in hyperplasia and carcinoma of endometrium using a 'power' angio-Doppler technique. Eur J Gynaecol Oncol 2000; 21: 405-7
21. Wu CH, Hsu MM, Chang YL, Hsieh FJ. Vascular pathology of malignant cervical lymphadenopathy: Qualitative and quantitative assessment with power Doppler ultrasound. Cancer 1998; 83: 1189-96
22. Richardson DK, Schwartz JS, Weinbaum PJ, Gabbe SG. Diagnostic tests in obstetrics: A method for improved evaluation. Am J Obstet Gynecol 1985; 152: 613-8
23. Hanley JA, McNeil BJ. A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 1983; 148: 839-43
24. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982; 143: 29-36
25. Weiderpass E, Adami HO, Baron JA, Magnusson C, Bergstrom R, Lindgren A, Correia N, Persson I. Risk of endometrial cancer following estrogen replacement with and without progestins. J Natl Cancer Inst 1999; 91: 1131-7
26. Ferrazzi E, Torri V, Trio D, Zannoni E, Filiberto S, Dordoni D. Sonographic endometrial thickness: A useful test to predict atrophy in patients with postmenopausal bleeding. An Italian multicenter study. Ultrasound Obstet Gynecol 1996; 7: 315-21
27. Amit A, Weiner Z, Ganem N, Kerner H, Edwards CL, Kaplan A, Beck D. The diagnostic value of power Doppler measurements in the endometrium of women with postmenopausal bleeding. Gynecol Oncol 2000; 77: 243-7
28. Wu YC, Yuan CC, Hung JH, Chao KC, Yen MS, Ng HT. Power Doppler angiographic appearance and blood flow velocity wave-forms in invasive cervical carcinoma. Gynecol Oncol 2000; 79: 181-6