An atlas of three- and four-dimensional sonography in by David Jackson, Asim Kurjak

By David Jackson, Asim Kurjak

Because the use of three-d ultrasound in scientific perform raises, the necessity for a reference protecting this and different rising applied sciences additionally raises. The publication offers third-dimensional ultrasound pictures in complete color followed through broad captions and professional textual statement. It offers authoritative assurance of the most recent advancements in three-d ultrasound to be used in obstetrics and gynecology and highlights state of the art applied sciences similar to 4-dimensional ultrasound

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Extra resources for An atlas of three- and four-dimensional sonography in obstetrics and gynecology

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Eighty-one of our patients had benign ovarian conditions. The most common ovarian lesions in premenopausal patients were ovarian endometriomas (26 of 58) and dermoid cysts (19 of 58), whereas the most common ovarian tumor during the postmenopausal period was serous cystadenoma (22 of 28). In contrast to the findings in a group of patients with malignant neoplasms, in patients with benign ovarian lesions the vessels were usually straight and regularly branching, and usually generated from a hilar vessel running along the surface of the tumor (Figures 19–22).

THREE-AND FOUR-DIMENSIONAL ULTRASOUND IN HUMAN REPRODUCTION 35 Figure 25 Normal secretory endometrium demonstrated in the coronal plane. Note the regular appearance of the uterine cavity and convex shape of the fundal region Another study of our group10 clearly showed that obstetric complications were more frequent among patients with a septate uterus than among other women. The benefit of removing the intrauterine septum in patients suffering from infertility and recurrent pregnancy wastage has been clearly demonstrated.

Transvaginal 3D ultrasound is currently the best non-invasive tool for obtaining multiplanar images of the uterine cavity and external contours of lesions. By obtaining a coronal view of the uterus and through meticulous analysis of three orthogonal planes, one can detect uterine causes of infertility such as uterine anomalies, submucous leiomyomas and intracavitary adhesions. With 3D ultrasound, a volume of sonographic data is rapidly acquired and stored. These volume data can be analyzed retrospectively after the examination has been completed, enabling the introduction of teleconsultation.

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