ABSTRACT

Aim: To determine the accuracy of doppler ultrasound in patients presenting with ovarian masses.

Methods: A total of 110 female cases who were referred to the department of radiology for evaluation of ovarian masses, aged 30 to 70 years were included. The study was conducted from Feb-2020 to Oct-2020 in radiology department of Ib-nae Sieena hospital. Doppler US was done for determining the nature of lesions. The US was suggestive of malignancy when RI was <0.4 at any point. Final diagnosis of malignancy was made using histopathology evaluation of resected biopsy samples.

Results:Mean age was 43.21±8.61 years. On doppler US, RI <0.4 was found in 86 cases, and in remaining 24 cases the RI was >0.4. On histopathology, malignancy was diagnosed in 91 patients and remaining 19 patients had benign lesions. The overall sensitivity of doppler US RI was 92.3%, specificity 89.5%, PPV 97.7% and NPV 70.8%.

Conclusion: Doppler US is a highly effective tool for initial evaluation of ovarian masses and for differentiation of malignant from benign masses.

Keywords: Ovarian Masses, Doppler Ultrasonography, malignancy.