Re: Uterine vs ovarian - Jim S
From: Latha Natarajan (nattu@vsnl.com)
Wed Jun 15 22:25:34 2005
> Thanks Jim.
LN.
> -----Original Message-----
> From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
> James Smeltzer
> Sent: Wednesday, June 15, 2005 11:30 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: Uterine vs ovarian - James Smeltzer
>
> Depends on the patient, machine I'm on, tweaking the machine right and
> my patience level.
> Aloka 5000 thin usually
> Fat, GE 400 Never
> Voluson Expert Usually
> BTW don't try IP by TVS, better to look at the tubal vessel arcade
> that
> is the anastomosis of the uteroovarian via that route. The power
> doppler usually will give a better signal to acquire & then sort out
> arteries from veins with duplex.
>
> I did not speak of phases of twisting, as this is all ischemic phase.
> Total obstruction is a no flow situation. This leads to the problem
> of
> documenting the absence of something - much harder than seeing it.
> This
> is exactly the same difference between a basic & targeted scan...
> JimS
>
> > James S. Smeltzer, MD, FACOG, SMFM
> Consultant, Maternal Fetal Medicine
> Wellstar Physicians' Group
> Northwest Women's Care
> 787 Campbell Hill St
> Marietta GA 30060
> James.Smeltzer@wellstar.org
> VM 678-290-3035
> Off 770-528-0260
> Page 404-318-3451
>
> >>> nattu@vsnl.com 6/15/2005 5:42:26 AM >>>
> Dear Jim.
> Very interesting reading.......your mail. Esp. the Low indices
> during
> the initial phase of "twisting".
> How often do you trace the Inf. pelvic vessels under normal
> circumstances.?
>
> Thanks for the details.
> LN.
>
> Dr. Latha Natarajan,
> Physician and Sonologist,
> Bangalore,
> India.
>
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