FW: uterine artery embolization
From: DuBose, Terry (DuboseTerryJ@uams.edu)
Fri Aug 17 11:03:47 2001
Annette Malston, your question: "I am searching for information on the roll
of ultrasound in identifying the uterine arteries. Any info will be much
appreciated. Annette."
Actually the textural changes we see in the uterine myometrium throughout
the menses is due primarily to changes in the vessel diameters and their
resulting reflectivity. Similar topics have been discussed on
Ultrasound@OBGYN.net... see the following message and you can do a search on
key words in this Forum for more information.<?xml:namespace prefix = o ns "urn:schemas-microsoft-com:office:office" />
http://forums.obgyn.net/ultrasound/ULTRASOUND.0107/0084.html
<http://forums.obgyn.net/ultrasound/ULTRASOUND.0107/0084.html>
Also, you can do a Medline search from: http://www.obgyn.net/medline.asp
<http://www.obgyn.net/medline.asp>
I did a search on your question there using the following query:
"information on the roll of ultrasound in identifying the uterine arteries"
and got this:
RESULT SET: 200 documents displayed out of 323920 documents found
DATE RANGE: 1995 to 2001
Below are three of the resulting articles. Most of the articles do deal
with perfusion in pregnancy, but a few do also look at the non-pregnant
uterus.
We did quite a lot of research on sonography of the arcuate uterine vessels
back in the 1980's. You can find a discussion of our research in DuBose,
FETAL SONOGRAPHY, W. B. Saunders Co. 1996, Chapter 16 "Extrafetal structures
of pregnancy", p. 345-351.
Also see:
--
DuBose TJ, Dickey D, Martin M, Butschek C, Hill L & Porter L; Normal
Menstrual Changes in Arcuate Uterine Blood Vessels; J Ultrasound in
Medicine; 7:S205, 1988, October
DuBose TJ, Hill LW, Hennigan HW Jr., Nichols DH, Mezaraups GG, Porter L,
Marley L, Butschek CM, Karnaze GC, Walser E, Reyes K & Cunyus JA; Sonography
of Arcuate Uterine Blood Vessels; J Ultrasound in Medicine; 4:229-233, 1985,
May
DuBose TJ, Hill LW, Cunyus JA, Nichols DH, Hennigan W Jr., Butschek CM,
Porter L, Dickey, D, Mezaraups GG, Karnaze GC & Walser E; Sonography of
Menstrual Changes in Arcuate Uterine Blood Vessel Diameters;J of
Cardiovascular Ultrasonography; 4:243-251, 1985
It is an interesting question. I have always believed that sonography is
not utilized enough to study the perfusion of the uterus in infertility
cases. There is room for research in this area.
I hope this helps.
Peace, Terry J. DuBose, M.S., RDMS, APS
Assistant Professor & Director, Diagnostic Medical Sonography Program
CHRP, University of Arkansas for Medical Sciences
Little Rock, Arkansas, USA
501-686-6510
<http://www.io.com/~dubose/> http://www.io.com/~dubose/
<http://www.uams.edu/CHRP/dmshome.htm> http://www.uams.edu/CHRP/dmshome.htm
<http://www.obgyn.net/us/panel/panel.htm>
http://www.obgyn.net/us/panel/panel.htm
From: "Annette Malston" <deans@iquest.net>
To: <info@obgyn.net>
Subject: uterine artery embolization
Date: Thu, 16 Aug 2001 20:12:57 -0500
X-Mailer: Microsoft Outlook Express 5.00.2919.6600
I am searching for information on the roll of ultrasound in identifying the
uterine arteries. Any info will be much appreciated. Annette.
<mailto:deans@iquest.net> deans@iquest.net
Forwarded to you from Aries Systems Corporation <KWEB-SERVER> at the request
of * ELECOMM CORPORATION <DuBose@io.com[harungursoy@tr.net]>
UI - 20420548
TI - Vascular impedance of uterine, inferior vesicle, and ophthalmic
arteries in postmenopausal women receiving hormonal replacement therapy:
comparative Doppler study.
SO - Croat Med J 2000 Sep;41(3):235-9
TA - Croat Med J
VI - 41
IP - 3
PG - 235-9
DP - 2000
AU - Bekavac I
AU - Kupesic S
AU - Mihaljevic D
AU - Kurjak A
AD - Department of Obstetrics and Gynecology, Medical School University of
Zagreb, Holy Ghost Hospital, Sveti Duh 64, 10000 Zagreb, Croatia.
asim.kurjak@public.srce.hr.
AB - AIM: To investigate the effects of combined hormone replacement therapy
(HRT) on vascular impedance of the uterine, the inferior vesicle, and the
ophthalmic arteries. METHODS: Thirty-five postmenopausal patients were
divided in two groups: 21 patients with 1-5 years of menopause and 14
patients with =6 years of menopause. Each group was examined in basal
condition and after 1, 3, and 6 months of HRT. Blood flow impedances of the
uterine, the inferior vesicle, and the ophthalmic arteries were analyzed by
color Doppler. Estradiol plasma concentrations were assayed on the day of
Doppler examination. RESULTS: Analysis of the uterine and inferior vesicle
arteries flow velocities showed a significant positive correlation between
the resistance index (RI) and years of menopause. Higher impedance values
were found in patients with longer menopause duration (p<0.05). In
patients with =6 years of menopause, impedances of the uterine and the
inferior vesicle arteries were 0. 9!
4+/-0.03 and 0.91+/-0.04, respectively, whereas in patients with 1-5 years
of menopause impedances were 0.89+/-0.04 and 0.98+/-0.02, respectively. We
noticed no significant correlation between baseline RI and duration of
menopause at the level of the ophthalmic artery in either group (0.72 vs.
0.73, respectively; p<0.05). After six months of HRT, plasma estradiol
concentrations inversely correlated with RI of the uterine (r=0.2556;
p=0.021), the inferior vesicle (r=0.2653; p=0.023), and the ophthalmic
(r=-0.2211; p=0.017) arteries. CONCLUSION: Doppler studies of the uterine,
the inferior vesicle, and the ophthalmic arteries can provide specific and
precise pathophysiological information to assess blood flow variations in
correlation with combined HRT.
IS - 0353-9504
MJ - Bladder [blood supply]
MJ - Hormone Replacement Therapy
MJ - Ophthalmic Artery [drug effects] [ultrasonography]
MJ - Uterus [blood supply]
MN - Analysis of Variance
MN - Bladder [drug effects] [ultrasonography]
MN - Blood Flow Velocity
MN - Drug Therapy, Combination
MN - Estradiol [blood]
MN - Linear Models
MN - Middle Age
MN - Postmenopause
MN - Ultrasonography, Doppler, Color
MN - Uterus [drug effects] [ultrasonography]
RN - 50-28-2 (Estradiol)
MT - Female; Human; Support, Non-U.S. Gov't
LA - English
PT - Journal Article
EM - 200012
UI - 95333225
TI - Transvaginal Doppler examination for the differential diagnosis of
solid pelvic tumors.
SO - J Ultrasound Med 1995 May;14(5):377-80
TA - J Ultrasound Med
VI - 14
IP - 5
PG - 377-80
DP - 1995
AU - Sladkevicius P
AU - Valentin L
AU - Marsal K
AD - Department of Obstetrics and Gynecology, University Hospital MAS,
Malmo, Sweden.
AB - To evaluate the ability of transvaginal Doppler examination to
discriminate between different types of solid pelvic tumors, 55 women
scheduled for laparotomy because of a solid pelvic mass underwent
transvaginal sonographic examination, including color and spectral Doppler
techniques. Arteries in the wall and core of each mass were examined. The
histological diagnoses were as follows: uterine myoma (n = 28), malignant
ovarian tumor (n = 19), and benign ovarian tumor (n = 8). Pulsatility index
values tended to be highest in the malignant ovarian tumors, albeit with
considerable overlap with respect to the other tumor types. The respective
median pulsatility index values for arteries in the wall and core of the
malignant ovarian tumors were 0.93 and 0.87, versus 0.65 and 0.51 in the
benign ovarian tumors and 0.80 and 0.67 in the myomas. Time-averaged maximum
velocity did not differ significantly among the three types of tumor. We
conclude that Doppler measurement of bloo!
d flow velocity in tumor arteries does not add substantial information to
the differential diagnosis between myomas and benign or malignant solid
ovarian tumors.
IS - 0278-4297
MJ - Leiomyoma [ultrasonography]
MJ - Ovarian Neoplasms [ultrasonography]
MJ - Uterine Neoplasms [ultrasonography]
MN - Adult
MN - Aged, 80 and over
MN - Aged
MN - Arteries [ultrasonography]
MN - Blood Flow Velocity
MN - Carcinoma [blood supply] [ultrasonography]
MN - Diagnosis, Differential
MN - Laparotomy
MN - Leiomyoma [blood supply]
MN - Middle Age
MN - Ovarian Neoplasms [blood supply]
MN - Postmenopause
MN - Premenopause
MN - Pulsatile Flow
MN - Ultrasonography, Doppler, Color
MN - Ultrasonography, Doppler [methods]
MN - Uterine Neoplasms [blood supply]
MN - Vagina
MT - Female; Human; Support, Non-U.S. Gov't
LA - English
PT - Journal Article
EM - 199508
UI - 97037664
TI - Uterine arcuate artery Doppler and decidual microvascular pathology in
pregnancies complicated by type I diabetes mellitus.
SO - Ultrasound Obstet Gynecol 1996 Aug;8(2):98-103
TA - Ultrasound Obstet Gynecol
VI - 8
IP - 2
PG - 98-103
DP - 1996
AU - Barth WH
AU - Genest DR
AU - Riley LE
AU - Frigoletto FD
AU - Benacerraf BR
AU - Greene MF
AD - Department of Obstetrics and Gynecology, Brigham and Women's Hospital,
Harvard Medical School, Boston, USA.
AB - The objective was to correlate Doppler indices from the uterine arcuate
arteries with an analysis of the decidual vascular histology in patients
with type I diabetes. Pulsed wave Doppler was used to sample the uterine
arcuate artery system beneath the placenta within 8 days of delivery in 47
patients with type I diabetes mellitus. A placental pathologist, without
knowledge of either clinical outcome or Doppler information, classified the
histological appearance of the decidual arteries as normal, type A
(hyalinization, mural thickening), or type B (fibrinoid necrosis, atherosis,
thrombosis). Patients were then grouped according to the histology of the
decidual arteries. An analysis of variance (ANOVA) of the systolic/diastolic
(S/D) ratios (log. S/D) showed significant variation (p < 0.025). A
multiple range comparison test showed that patients with normal or only
mildly abnormal (type A) vessels had similar values, whereas those with
severe vasculopathy (type B) ha!
d significantly higher S/D ratios (p < 0.05). The study confirmed a
relationship between arcuate artery Doppler indices and downstream decidual
vascular pathology.
IS - 0960-7692
MJ - Decidua [blood supply]
MJ - Diabetes Mellitus, Insulin-Dependent [physiopathology]
MJ - Pregnancy in Diabetics [physiopathology]
MJ - Ultrasonography, Doppler, Color
MJ - Uterus [blood supply]
MN - Arteries [pathology] [ultrasonography]
MN - Blood Flow Velocity
MN - Decidua [pathology]
MN - Diabetes Mellitus, Insulin-Dependent [pathology]
MN - Microcirculation [pathology]
MN - Pregnancy in Diabetics [pathology]
MN - Pregnancy
MN - Ultrasonography, Prenatal
MN - Uterus [ultrasonography]
MT - Comparative Study; Female; Human
LA - English
PT - Journal Article
EM - 199701
