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Maitray D. Patel, MD
Aunt Minnie's Ovary: Patterns, Pearls, and Pitfalls in Adnexal Imaging
Maitray D. Patel, MD
04/21/2014 | Time : 54 min
About This Lecture:

The speaker discusses methods to confidently and accurately diagnose gynecologic pathology. Discuss criteria that allow a confident diagnosis of pelvic pathology. Discuss the sonographic appearance of various types of physiologic and pathologic adnexal cysts. Discuss key sonographic features of a hemorrhagic ovarian cyst.

Topics mentioned in this video : Disclosure statement, Objective, Basic categories of adnexal dz, Sonologist’s basic approach to adnexal mass, Pattern recognition works, The choice is yours, …get out your calculators, Sonographic analysis of adnexal mass, Is the mass a unilocular cyst?, Risk of malignancy of unilocular cyst, Is the mass a unilocular cyst?, Predicting non-neoplastic cyst, Predicting non-neoplastic cyst: Stability, Predicting non-neoplastic cyst: Location, Predicting non-neoplastic cyst: Size, How big is this cyst?, ,Predicting non-neoplastic cyst: Hormonal/Clinical Status, Is the mass a unilocular cyst?, 2009 SRU Consensus Conference, Is the mass a unilocular cyst?, 55 yo asymptomatic woman, Is the mass a unilocular cyst?, ,2009 SRU Consensus Conference, Is the mass a unilocular cyst?, Could findings be due to physiologic process?, Adjoining cysts, Involution, Sonographic images, Hemorrhage, Key features in US of HOC, Fibrin strands – often described as lace-like or fish net appearance, Retracting clot, Key features in US of HOC, Other useful US features of HOC, Is the mass a unilocular cyst?, Resolution with time, 2009 SRU Consensus Conference, Is the mass a unilocular cyst?, Endometrioma, ,Key US features of endometrioma, Low level echoes (LLE), Features of endometriomas that help to distinguish from HOC, Sonographic image, DX criteria: LLE, no neoplastic features, with hyperechoic wall foci, Sonographic images, Small risk of future cancer, Recommendations, SRU recommendations, Is the mass a unilocular cyst?, Dermoid features, Pitfall: dermoid may go unrecognized by sonographer, Sonographic image, Cystic teratomas, Expert performance using a pattern approach, Expert performance: no hands on, ,How did the mistakes happen?, Another pattern approach, Regional or diffuse bright echoes, Multiples features, Any combination of two or more features, Check for internal blood flow, Sonographic image, Other relevant data, SRU recommendations, Is the mass a unilocular cyst?, Features suggesting hydrosalpinx, Chart, Sonographic image, Is the mass a unilocular cyst?, Peritoneal inclusion cyst, Sonographic image, Is the mass a unilocular cyst?, Sonographic images, Models to predict malignancy, IOTA full model, IOTA simple model, IOTA data, Summary: Considerations in assessing chance of malignancy, Is the mass a unilocular cyst?,

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Keywords : adnexal mass, ascites, CA-125, color Doppler, corpus luteum, cystic ovarian neoplasm, cystic teratoma, dermoid, endometrioma, hemorrhagic ovarian cyst, Hydrosalpinx, International Ovarian Tumor Analysis Group, IOTA, leiomyoma, lipoleiomyoma, multilocular septated mass, ovarian cyst, ovarian mass, papillary projection, paraovarian cyst, Pelvic Ultrasound, peritoneal inclusion cyst, simple ovarian cyst, Society of Radiologists in Ultrasound, spectral Doppler, SRU, transvaginal ultrasound, TVUS, unilocular ovarian cyst

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