Is three-dimensional power Doppler ultrasound useful in the assessment of placental perfusion in normal and growth-restricted pregnancies?

2008 ◽  
Vol 31 (2) ◽  
pp. 171-176 ◽  
Author(s):  
C. Guiot ◽  
P. Gaglioti ◽  
M. Oberto ◽  
E. Piccoli ◽  
R. Rosato ◽  
...  
Keyword(s):  
Doppler Ultrasound ◽  
Power Doppler ◽  
Three Dimensional ◽  
Power Doppler Ultrasound ◽  
Placental Perfusion

scholarly journals Three-dimensional Power Doppler Ultrasound Study of the Placenta

2014 ◽  
Vol 8 (4) ◽  
pp. 400-409
Author(s):  
Toshiyuki Hata ◽  
Sarah Cajusay-Velasco
Keyword(s):  
Blood Flow ◽  
Doppler Ultrasound ◽  
Color Doppler ◽  
Power Doppler ◽  
Three Dimensional ◽  
Morphological Characteristics ◽  
Power Doppler Ultrasound ◽  
Placental Perfusion ◽  
Ultrasound Study ◽  
3D Power Doppler

ABSTRACT Advanced ultrasound technology has been a valuable tool in the assessment of placental anatomy and physiology. Conventional two-dimensional (2D) sonography reveals placental morphological characteristics, 2D color Doppler can assess blood flow in the placenta, 2D power Doppler can evaluate placental vascular trees, and three-dimensional (3D) ultrasound gives more detailed information on the surface anatomy. Recent advances, such as 3D power Doppler with virtual organ computer aided-analysis (VOCAL) and histogram analysis can measure the placental volume, and assess uteroplacental and fetoplacental perfusions. In particular, ‘placental vascular sonobiopsy’ can specifically evaluate the second- and thirdtrimester placental blood flow and vascularity by obtaining several spherical samples from the placenta that will represent the entire placenta. This article presents normal placental development and pathological findings of the placenta using 3D power Doppler ultrasound, and discusses 3D power Doppler assessments of placental perfusion in high-risk pregnancies, such as fetal growth restriction, pregnancy-induced hypertension and preeclampsia, and, from this basis, re-establishes the importance of 3D power Doppler ultrasound as a screening, diagnostic, and surveillance tool in normal and abnormal pregnancies. How to cite this article Tanaka H, Cajusay-Velasco S, Noguchi J, Hata T. Three-dimensional Power Doppler Ultrasound Study of the Placenta. Donald School J Ultrasound Obstet Gynecol 2014;8(4):400-409.

scholarly journals Quantitative analysis of normal fetal brain volume and flow by three-dimensional power Doppler ultrasound

2013 ◽  
Vol 76 (9) ◽  
pp. 504-509 ◽  
Author(s):  
Ju-Chun Hsu ◽  
Yi-Cheng Wu ◽  
Peng-Hui Wang ◽  
Hsing-I Wang ◽  
Chi-Mou Juang ◽  
...  
Keyword(s):  
Quantitative Analysis ◽  
Doppler Ultrasound ◽  
Brain Volume ◽  
Power Doppler ◽  
Three Dimensional ◽  
Fetal Brain ◽  
Power Doppler Ultrasound

Three-dimensional power Doppler ultrasound in the early assessment of response to concurrent chemo-radiotherapy for advanced cervical cancer

2017 ◽  
Vol 58 (9) ◽  
pp. 1147-1154 ◽  
Author(s):  
Yan Xu ◽  
Lijing Zhu ◽  
Tong Ru ◽  
Huanhuan Wang ◽  
Jian He ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Doppler Ultrasound ◽  
Power Doppler ◽  
Three Dimensional ◽  
Complete Response ◽  
Advanced Cervical Cancer ◽  
Power Doppler Ultrasound ◽  
Cervical Lesions ◽  
Early Assessment ◽  
Prospective Longitudinal

Background Three-dimensional power Doppler ultrasound (3D-PDU) imaging has been widely applied to the differentiation of benign and malignant cervical lesions; however, its potential value for predicting response to chemo-radiotherapy has not been fully explored. Purpose To investigate the feasibility of 3D-PDU imaging in predicting treatment response in patients receiving concurrent chemo-radiotherapy (CCRT) for advanced cervical cancer. Material and Methods Fifty-two patients with advanced cervical cancer who received CCRT underwent 3D-PDU examinations at four timepoints: pre-therapy (baseline), 1 week and 2 weeks during, as well as immediately post CCRT. Final tumor response was determined by change in tumor size using magnetic resonance imaging (MRI). Cervical tumor volumes and vascular indices were calculated and compared with the clinical outcome. Results Of the 52 patients, 32 patients who completed all four examinations were included in the analyses: 21 were classified as complete response (CR) and 11 as partial response (PR). During the treatment, the CR group showed that 3D vascular indices (VI and VFI) significantly increased at 1 week ( P = 0.028, P = 0.017, respectively) then decreased at 2 weeks and obviously decreased at therapy completion (both P < 0.001), whereas tumors significantly decreased in volume at 2 weeks after therapy initiation ( P < 0.05). However, no significant differences in 3D vascular indices values were seen in the PR group during the treatment course (all P > 0.05). Conclusion Prospective longitudinal 3D-PDU imaging may have potentials in monitoring early therapeutic response to CCRT in patients with cervical cancer.

scholarly journals Three-Dimensional Power Doppler Analysis of Cerebral Circulation in Normal and Growth-Restricted Fetuses

2009 ◽  
Vol 29 (9) ◽  
pp. 1609-1618 ◽  
Author(s):  
Jose L Bartha ◽  
Eva M Moya ◽  
Blas Hervías-Vivancos
Keyword(s):  
Doppler Ultrasound ◽  
Cerebral Circulation ◽  
Pulsatility Index ◽  
Power Doppler ◽  
Three Dimensional ◽  
Flow Index ◽  
Power Doppler Ultrasound ◽  
3D Power Doppler ◽  
Doppler Indices ◽  
Vascularization Index

The objective of the present study was to evaluate fetal cerebral circulation by using three-dimensional (3D) power Doppler ultrasound in normal and growth-restricted fetuses. A total of 100 normal grown fetuses were compared with other 25 with growth restriction (FGR). Three-dimensional power Doppler ultrasound was used to assess fetal cerebral 3D vascular indices: vascularization index, flow index (FI), and vascularization flow index (VFI). Both FI and VFI correlated positively with gestational age. On average, all the 3D vascular indices were increased in fetuses with FGR. The proportion of fetuses detected as having hemodynamic redistribution was higher when using 3D power Doppler indices than by means of the middle cerebral artery pulsatility index (52% versus 20%, P = 0.002). In conclusion, two of the three indices increased during gestation. All the fetal cerebral 3D vascular indices are increased in fetuses with FGR. In these fetuses, there were more cases suggesting hemodynamic redistribution than expected by conventional Doppler studies.

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