Role of Colour Doppler Imaging in Utero-Ovarian Blood Flow in Fertile and Infertile Females
Publication Date: 14/12/2018
Author(s): Dr. Sonali Sharma, Vishal sharma, Saima Sadiq, Manjit Arora.
Volume/Issue: Volume 1 , Issue 1 (2018)
Abstract:
Background: the recent incorporation of color Doppler processing in transvaginal transducer/probes extends the scope of sonographic imaging from an anatomic to a physiological basis. With such versatility, it is tempting to employ the technique for ever more demanding applications and to try to measure increasingly subtle changes in the maternal and fetal circulations. The ability to assess utero-ovarian blood flow has several applications in the assessment of women with fertility problems. Materials and Methods: the present study was conducted in Department of Radiodiagnosis & Imaging, Acharya Shri Chander College of Medical Sciences, Jammu (J&K) from October 2012 to September 2013. In the present observational prospective study, 40 infertile females after exclusion of all the possible causes of infertility and 40 fertile females were recruited. The age of these women ranged from 16-40 years. Doppler blood flow indices studied during days 2-5 of the menstrual cycle included Resistivity index (RI), Peak systolic velocity (PSV, V1) and Minimal diastolic velocity (MDV, V2). Comparative study was performed in the taken parameters between the fertile and infertile females and various conclusions drawn in ovarian vessels, uterine myometrium and endometrium. Results: the Peak systolic velocities (PSV,V1); Minimal Diastolic Velocity (MDV, V2) and resistivity index (RI) in infertile and fertile females expressed as mean +/- standard deviation was taken in the left as well as right ovary and compared. In the left ovary, the (PSV, V1), (MDV, V2) of infertile females was 18.80+/-10.01, 5.99+/-4.28 and 0.68+/-0.13 while that for the fertile group was 10.98+/-3.01, 3.28+/-2.38 and 0.62+/- 0.12 whereas in the right ovary the PSV,V1; MDV, V2 and RI in infertile females was 17.20+/-10.22, 5.95+/-5.20 and 0.65+/-0.10 while that in fertile females was 12.10+/-3.90, 3.28+/-1.08 and 0.64+/-0.10. Conclusions: The infertile and fertile females re-established the fact that there is a variation in the blood flow in the ovarian vessels with the Peak Systolic Velocity and the Minimal Diastolic Velocity being higher in the infertile females on days 2-5 of the menstrual cycle. However, the Resistivity index showed no significant variation in infertile and fertile females. Also, it is also observed that no significant difference in the blood flow parameters was found in the endometrial and myometrial vessels on the days 2-5 of the menstrual cycle in contrast to definite variation observed in the follicular phase of the cycle.
