Color Doppler Ultrasound Indices in Endometriotic Cysts

Problem statement: There have been considerable interests on using non-invasive techniques to detect endometriosis. A few studies were evaluated the Doppler ultrasound findings of endometriosis. This study aimed to characterize the grayscale and Doppler ultrasound findings of endometriosis. Approach: During present prospective study, gray scale and Doppler ultrasound findings of 37 women with final diagnosis of endometriosis were evaluated. Patients with probable diagnosis of endometriosis underwent conventional transvaginal and color Doppler assessment. After laparascopic confirmation of endometriosis, gray scale and color Doppler ultrasonographic data of patients considered for analysis. Results: Finally data of 37 subjects' data with suspected endometriosis was analyzed. Twenty nine of lesions were endometriosis, five hydrosalpinx, four paraovarian adhesion cysts and one peritoneal inclusion cyst according to laparoscopic exploration. Out of 29 endometriotic cysts, flow was detected in 58.62%. The mean of RI and PI were 0.67±0.15 (0.46-1.00) and 1.49±0.85 (0.66-3.11), respectively. Conclusion: In our experience, transvaginal sonography with color Doppler interrogation is a useful technique in the diagnosis of pathologic ovarian conditions, including cystic endometriosis.