FİBROİDLERİN DOPPLER ULTRASONOGRAFİ VE MANYETİK REZONANS GÖRÜNTÜLEMESİNİN KARŞILAŞTIRILMASI

AMAÇ: Bu çalışma, boyut ve büyüme dahil olmak üzere miyomların çeşitli özelliklerinin değerlendirilmesinde Doppler ultrasonografi (USG) ve Manyetik rezonans görüntüleme (MRG) özelliklerini karşılaştırmayı amaçlamaktadır.GEREÇ VE YÖNTEM: Tanımlayıcı tipteki bu çalışma, Türkiye'de özel bir jinekoloji kliniğine başvuran kadın hastalar üzerinde yapılmıştır. Hastaların Doppler USG ve MRG ölçümleri yapıldı ve aşağıdaki indeksler hesaplandı: diyastolik ortalama oranı (DAR), sistolik/diyastolik oranı (SDR), end-diyastolik velosite (EDV), pik sistolik hız (PSV), hızlanma süresi ( AT), zaman ortalamalı ortalama hız (Tmean), empedans indeksi (LML), akselerasyon indeksi (AI), diyastolik/sistolik oran (DSR), direnç endeksi (RI), pulsatilite indeksi (PI), zaman ortalamalı maksimum hız (TAMX). Bu indeksler tüm çalışma grubunda ve 49 yaşından büyükler arasında değerlendirildi.BULGULAR: PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indeksleri ve tümör boyutu değişim ortalamalarının Doppler USG ve MRI sonuçları hem çalışma grubunda hem de 49 yaşından daha büyük kadınlarda benzer bulundu. Çalışma grubundaki kadınların Doppler USG ile ölçülen PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indeksleri ve tümör boyutu ile MRG ölçümleri arasında güçlü pozitif korelasyon olduğu bulundu.SONUÇ: Araştırmada elde edilen sonuçlar Doppler USG'nin miyom tanısında MRG kadar uygun olduğunu ortaya koymuştur.

Anahtar Kelimeler:

Leiomyoma, Manyetik Rezonans Görüntüleme, Ultrasonografi, Uterus

COMPARISON OF DOPPLER ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING OF FIBROIDS

OBJECTIVE: This study aimed to compare Doppler ultrasonography (USG) and magnetic resonance imaging (MRI) in the evaluation of various characteristics of myomas, including size and growth.MATERIAL AND METHODS: This descriptive study was conducted on female patients admitted to a private gynecology clinic in Turkey. Doppler USG and MRI measurements of the patients were performed and the following indices were calculated: Diastolic average ratio (DAR), Systolic/diastolic ratio (SDR), End-diastolic velocity (EDV), Peak systolic velocity (PSV), Acceleration time (AT), Time-averaged mean velocity (Tmean), Impedance index (LML), Acceleration index (AI), Diastolic/systolic ratio (DSR), Resistivity index (RI), Pulsatility index (PI), Time-averaged maximum velocity (TAMX). These indices were evaluated in the whole study group and also among those older than 49 years.RESULTS: Doppler USG and MRI results of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indexes and tumor size change averages were found to be similar in both the study group and women older than 49 years. It was found that there were strong positive correlations between Doppler USG and MRI measurements of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indices and tumor size change among the women in the study group.CONCLUSIONS: The results found in the research revealed that Doppler USG is as convenient as MRI in the diagnosis of myomas.

Keywords:

Leiomyoma, Magnetic Resonance Imaging, Ultrasonography, Uterus,

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