Assessment of gestational trophoblastic disease by Doppler ultrasonography

YALÇIN Ö. T., Ozalp S., Tanir H. M.

European Journal of Obstetrics and Gynecology and Reproductive Biology, vol.103, no.1, pp.83-87, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 103 Issue: 1
  • Publication Date: 2002
  • Doi Number: 10.1016/s0301-2115(02)00026-x
  • Journal Name: European Journal of Obstetrics and Gynecology and Reproductive Biology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.83-87
  • Keywords: Doppler ultrasonography, gestational trophoblastic disease, human chorionic gonadotropin, COLOR-FLOW DOPPLER, TUMORS, CHEMOTHERAPY, SONOGRAPHY, ULTRASOUND, NEOPLASIA, INDEX
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Objectives: To relate uterine artery blood flow characteristics to serum human chorionic gonadotropin (hCG) levels in patients with gestational trophoblastic disease (GTD). Study design: Twenty-one patients with GTD were investigated by serum hCG titers and Doppler ultrasonography of uterine arteries. The relations between the Doppler indices and the serum hCG titers were evaluated by paired-t, Mann-Whitney U tests, and Pearson's correlation analysis. Results: Significant but weak negative correlations were observed between systole/diastole (S/D) ratios, resistance indices (RIs) and pulsatility indices (PIs) and the absolute values of serum hCG levels with correlation coefficients of -0.31, -0.37, and -0.33 (P<0.05). However, the same Doppler indices had more significant and strong negative correlations with the logarithmic values of the serum hCG levels with correlation coefficients of -0.65, -0.58, and -0.63, respectively (P<0.01). Five patients who received chemotherapy had significantly lower Doppler indices than those 16 patients with spontaneous regression (P<0.001). Conclusions: Uterine artery Doppler indices might be used for the surveillance of the patients with GTD. © 2002 Elsevier Science Ireland Ltd. All rights reserved.