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Re: Uterine arteries vs ovarian From: DuBose, Terry (DuboseTerryJ@uams.edu) Fri Jun 10 08:26:31 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Previous message: art fougner, md: "Re: Ob/Gyn US practice in Asian countries" Maybe in reply to: DuBose, Terry: "Uterine arteries vs ovarian" Next in thread: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Reply: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Reply: art fougner, md: "Re: Uterine arteries vs ovarian" I agree, but these measurements are sometimes taken in the non-pregnant patient. Because so many international luminaries Doppler the uterine arteries, I have only a small doubt about the methods. However, when I look in textbooks at the placement of the various arteries, it seems impossible for the uterine artery to cross both the external iliac artery and vein so consistently. I have not seen an explanation that is clear to me yet. Thanks Terry Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm --------------------------------------------------------------- --------------------------------------------------------------- -----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of evsono@pipeline.com Sent: Friday, June 10, 2005 7:17 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Uterine arteries vs ovarian It would seem that the enlarged pregnant uterus affects anatomical relationships - it's the uterine artery. art At Thu, 9 Jun 2005, Allen Worrall wrote: > >Many more knowledgeable than I will answer, I hope, but I think the textbook is talking about the abdominal approach to the uterine artery, and on the abdominal approach is does appear that the uterine artery crosses the external iliac. However, the uterine artery is deep in the pelvis - I do not know why it does not appear deeper in the pelvis, perhaps something to do with the angle of insonation. > >Allen > >>> ----- Original Message ----- > From: DuBose, Terry > To: Multiple recipients of list ULTRASOUND > Sent: Thursday, June 09, 2005 10:13 AM > Subject: Uterine arteries vs ovarian > > I have an anatomical question. We have a new course and textbook: Hofer, Mattthias; Teaching Manual of Color Duplex Sonography, Thieme 2001. > > On page 58 the text states that "The uterine artery is imaged lateral to the uterus at the site where it crosses over the external iliac artery and the external iliac vein." > > However, because the uterine artery originates from the internal iliac artery, it can not cross over the external iliac artery. I suspect that they are actually measuring the flow in the gonadal or ovarian artery, which originates higher in the abdomen from the aorta, where it crosses the iliac arteries. > > See DuBose, p. 347, Figure 16-1; or > > Curry & Tempkin, p. 264, Figure 16-20A. > > I remember Kevin Harrington, who worked with Stewart Campbell, also said measure the uterine artery. See: > http://www.obgyn.net/displaytranscript.asp?page=/avtranscripts/ISUOG98 harrington > > My question is, are they really looking for the physiologic notch in early diastole in the uterine artery or is it the gonadal (ovarian)? Do we see the same notch in both the uterine and ovarian? Where exactly are they doing the Doppler? > > Any help appreciated. Thanks, Terry > > Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM > > Associate Professor & Director > Diagnostic Medical Sonography Program > University of Arkansas for Medical Sciences, CHRP > 4301 West Markham St. Mail Slot #563 > Little Rock, Arkansas, 72205 USA > 501-686-6510 > DuBoseTerryJ@UAMS.edu > http://www.io.com/~dubose/ > http://www.uams.edu/chrp/dms/default.asp > http://www.obgyn.net/us/panel/panel.htm > --------------------------------------------------------------- > > --------------------------------------------------------------- > =20 > --------------------------------------------------------------- > --------------------------------------------------------------- > > --------------------------------------------------------------- > --------------------------------------------------------------- -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Previous message: art fougner, md: "Re: Ob/Gyn US practice in Asian countries" Maybe in reply to: DuBose, Terry: "Uterine arteries vs ovarian" Next in thread: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Reply: bouthina ibrahim: "Re: Uterine arteries vs ovarian" Reply: art fougner, md: "Re: Uterine arteries vs ovarian"

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