The characterization of flow signals from XXXX using intraoperative continuous wave Doppler.

@entity43 @entity1 @entity2670
Ovarian vascular Doppler is a promising screening test for early @entity43 detection. However, disagreements on flow indices used, flow signal shapes and ovarian vessel localization cause continuing controversy. We aimed at clarifying some of this confusion by directly measuring the adnexal arterial blood flow during laparotomy. A 10-MHz continuous Doppler probe was used to examine adnexal vessels in 24 @entity1 undergoing laparotomy for benign gynecological pathology. Resistance (RI) and pulsatility (PI) indices were calculated for each vessel and the shape of the flow signals was noted. The tubal arteries showed a low-velocity flow pattern with relatively high end-diastolic flow when compared to the ovarian artery signals obtained from the infundibulopelvic ligament.The mean RIs for the tubal @entity2670 in the infundibulopelvic ligament were 0.59 +/- 0.02 and 0.73 +/- 0.02, respectively. The mean PIs for the @entity2670 in the infundibulopelvic ligament were 1.11 +/- 0.09 and 1.53 +/- 0.1, respectively. The tubal artery showed a significantly lower RI and PI when compared to the @entity2670 at the infundibulopelvic ligament (p < 0.001 and p = 0.002, respectively) and its hilar branches (p = 0.03 for RI and p = 0.03 for PI). We conclude that tubal artery flow signals, which are measured directly for the first time in this study, are characteristic and are distinct from the ovarian artery signals. Tubal artery signals might be erroneously picked up during transvaginal color Doppler sonography of the ovaries, especially in the presence of conditions causing a decreased impedance to blood flow in the pelvis, such as @entity43 . Recognizing the flow signal from the tubal artery may help in differentiating @entity43 during color Doppler sonography.
