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Current Medical Imaging


ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

General Research Article

Evaluation of Ovaries in Patients with Polycystic Ovary Syndrome using Shear Wave Elastography

Author(s): Aysegul Altunkeser*, Zeynep Ozturk Inal and Nahide Baran

Volume 16, Issue 5, 2020

Page: [578 - 583] Pages: 6

DOI: 10.2174/1573405615666190114150538

Price: $65


Background: Shear wave electrography (SWE) is a novel non-invasive imaging technique which demonstrate tissue elasticity. Recent research evaluating the elasticity properties of normal and pathological tissues emphasize the diagnostic importance of this technique.

Aims: Polycystic ovarian syndrome (PCOS), which is characterized by menstrual irregularity, hyperandrogenism, and polycystic overgrowth, may cause infertility. The aim of this study was to evaluate the elasticity of ovaries in patients with PCOS using SWE.

Methods: 66 patients diagnosed with PCOS according to the Rotterdam criteria (PCOS = group I) and 72 patients with non-PCOS (Control = group II), were included in the study. Demographic and clinical characteristics of the participants were recorded. Ovarian elasticity was assessed in all patients with SWE, and speed values were obtained from the ovaries. The elasticity of the ovaries was compared between the two groups.

Results: While there were statistically significant differences between the groups in body mass index (BMI), right and left ovarian volumes, luteinizing hormone and testosterone levels (p<0.05), no significant differences were found between groups I and II in the velocity (for the right ovary 3.89±1.81 vs. 2.93±0.72, p=0.301; for the left ovary 2.88±0.65 vs. 2.95±0.80, p=0.577) and elastography (for the right ovary 36.62±17.78 vs. 36.79±14.32, p=0.3952; for the left ovary 36.56±14.15 vs. 36.26±15.10, p=0.903) values, respectively.

Conclusion: We could not obtain different velocity and elastography values from the ovaries of the patients with PCOS using SWE. Therefore, further large-scale studies are needed to elucidate this issue.

Keywords: Imaging technique, shear wave elastography, ovarian elasticity, polycystic ovary syndrome, pelvic ultrasonography, menstrual irregularity.

Graphical Abstract
The Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril 2004; 81: 19-25.
Azziz R, Marin C, Hoq L, Badamgarav E, Song P. Health care-related economic burden of the polycystic ovary syndrome during the reproductive life span. J Clin Endocrinol Metab 2005; 90(8): 4650-8.
[] [PMID: 15944216]
Ehrmann DA. Polycystic ovary syndrome. N Engl J Med 2005; 352(12): 1223-36.
[] [PMID: 15788499]
Lujan ME, Chizen DR, Pierson RA. Diagnostic criteria for polycystic ovary syndrome: pitfalls and controversies. J Obstet Gynaecol Can 2008; 30(8): 671-9.
[] [PMID: 18786289]
Balen A, Michelmore K. What is polycystic ovary syndrome? Are national views important? Hum Reprod 2002; 17(9): 2219-27.
[] [PMID: 12202405]
Saxton DW, Farquhar CM, Rae T, Beard RW, Anderson MC, Wadsworth J. Accuracy of ultrasound measurements of female pelvic organs. Br J Obstet Gynaecol 1990; 97(8): 695-9.
[] [PMID: 2205288]
Bamber J, Cosgrove D, Dietrich CF, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 2013; 34(2): 169-84.
[] [PMID: 23558397]
Arda K, Ciledag N, Aktas E, Aribas BK, Köse K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol 2011; 197(3): 532-6.
[] [PMID: 21862792]
Krouskop TA, Wheeler TM, Kallel F, Garra BS, Hall T. Elastic moduli of breast and prostate tissues under compression. Ultrason Imaging 1998; 20(4): 260-74.
[] [PMID: 10197347]
Athanasiou A, Tardivon A, Tanter M, et al. Breast lesions: quantitative elastography with supersonic shear imaging--preliminary results. Radiology 2010; 256(1): 297-303.
[] [PMID: 20505064]
Friedrich-Rust M, Nierhoff J, Lupsor M, et al. Performance of Acoustic Radiation Force Impulse imaging for the staging of liver fibrosis: a pooled meta-analysis. J Viral Hepat 2012; 19(2): e212-9.
[] [PMID: 22239521]
Yashima Y, Sasahira N, Isayama H, et al. Acoustic radiation force impulse elastography for noninvasive assessment of chronic pancreatitis. J Gastroenterol 2012; 47(4): 427-32.
[] [PMID: 22065162]
Sebag F, Vaillant-Lombard J, Berbis J, et al. Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin Endocrinol Metab 2010; 95(12): 5281-8.
[] [PMID: 20881263]
Ferriman D, Gallwey JD. Clinical assessment of body hair growth in women. J Clin Endocrinol Metab 1961; 21: 1440-7.
[] [PMID: 13892577]
Ciledag N, Arda K, Aktas E, Aribas BK. A pilot study on real-time transvaginal ultrasonographic elastography of cystic ovarian lesions. Indian J Med Res 2013; 137(6): 1089-92.
[PMID: 23852289]
Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab 2004; 89(6): 2745-9.
[] [PMID: 15181052]
Çıracı S, Tan S, Özcan AS, et al. Contribution of real-time elastography in diagnosis of polycystic ovary syndrome. Diagn Interv Radiol 2015; 21(2): 118-22.
[] [PMID: 25616270]
Garra BS. Elastography: history, principles, and technique comparison. Abdom Imaging 2015; 40(4): 680-97.
[] [PMID: 25637125]
Ohmaru T, Fujita Y, Sugitani M, Shimokawa M, Fukushima K, Kato K. Placental elasticity evaluation using virtual touch tissue quantification during pregnancy. Placenta 2015; 36(8): 915-20.
[] [PMID: 26149518]
Wu S, Nan R, Li Y, Cui X, Liang X, Zhao Y. Measurement of elasticity of normal placenta using the Virtual Touch quantification technique. Ultrasonography 2016; 35(3): 253-7.
[] [PMID: 27184654]

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