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CEUS in Gynecology

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Contrast-Enhanced Ultrasound

Abstract

Precise evaluation of microvascularity with contrast-enhanced ultrasound (CEUS) facilitates diagnosis of the diseases of the myometrium, endometrium, and adnexa. The value of CEUS in endometrial hyperplasia, invasive carcinoma, endometrial polyps, uterine fibroids, focal and diffuse adenomyosis, leiomyosarcoma, cyst, borderline tumors, and ovarian cancers are discussed in this chapter. Quantitative analysis of CEUS data increases its diagnostic capacity. Patients after uterine artery embolization or ablation with high-intensity focused ultrasound (HIFU) are reported to be effectively followed up with CEUS. Sonohysterosalpingography with contrast agents is analyzed in depth. Much attention is paid to CEUS for studies of ovarian and varicose pelvic veins in patients with pelvic congestion syndrome, evaluation of vein grafts after surgery, and detection of blood clots in pelvic venous plexus.

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12.1 Electronic Supplementary Materials

Endometrial cancer. CEUS cine loop at ×1.5 speed (MP4 40401 kb)

Uterine fibroid. CEUS cine loop at ×1.5 speed (MP4 36545 kb)

Cervical cancer. CEUS cine loop at ×1.5 speed (MP4 39391 kb)

Diffuse adenomyosis. CEUS cine loop at ×1.5 speed (MP4 38842 kb)

Normal ovary. CEUS cine loop at ×1.5 speed (MP4 36565 kb)

Ovarian serous cystadenoma. CEUS cine loop at ×1.5 speed (MP4 38766 kb)

Endometriotic cysts of the ovary. CEUS cine loop at ×1.5 speed (MP4 39114 kb)

CEUS cine loop at ×1.5 speed (MP4 37144 kb)

HyCoSy images. Normal fallopian tubes. Patient A. CEUS sine loop (MP4 8185 kb)

HyCoSy images. Normal fallopian tubes. Patient B. CEUS sine loop (MP4 5857 kb)

Varicose pelvic veins. CEUS cine loop (MP4 30251 kb)

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Fedotkina, E.P. et al. (2022). CEUS in Gynecology. In: Sencha, A.N., Patrunov, Y.N. (eds) Contrast-Enhanced Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-91764-7_12

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  • DOI: https://doi.org/10.1007/978-3-030-91764-7_12

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