Re: Uterine arteries vs ovarian
From: art fougner, md (evsono@pipeline.com)
Mon Jun 13 07:34:10 2005
IN nonpregnant patients, best to insonate the uterine arteries using a
vaginal rather than abdominal approach... possibly also at the
midtrimester scan ... at which time, the cervix could also be
evaluated.
art
At Fri, 10 Jun 2005, DuBose, Terry wrote:
>
>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
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>-----Original Message-----
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>From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
>---------------------------------------------------------------
>evsono@pipeline.com
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>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
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>
>--
>art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere
>else."
>Lawrence Peter Berra
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
