ROLE OF CONTRAST ENHANCED ULTRASOUND (CEUS) IN THE DIAGNOSIS OF GYNECOLOGIC PATHOLOGIES- A CASE SERIES

The aim of this case series is to evaluate the role and illustrate diagnostic superiority of Contrast Enhanced Ultrasound (CEUS) over B-mode and/or Doppler ultrasound in the diagnosis of structural gynaecologic pathologies, unknown pelvic masses, differentiation of Benign and Malignant lesions and correlation with Histopathology. Over the past decade, contrast-enhanced ultrasound (CEUS) has gained immense popularity. This technique is based on the real-time evaluation of microcirculation in selected areas of interest, and further assists in comparison with vascularity pattern of normal tissues. It is relatively easy to use in clinical practice, minimally invasive, relatively less costly and, it improves the detection and characterization of various diseases, reducing the need for additional imaging examinations such as computed tomography (CT) or magnetic resonance imaging (MRI). Literature data on Contrast tuned imaging (CnTI) applications in gynaecological pathologies are relatively few. The development of more sophisticated methods of qualitative as well as quantitative analysis of the time-intensity curves (TIC) could open new perspectives for the application of CnTI-SonoVue in gynecologic diseases. The purpose of this study was to describe the sonographic patterns of SonoVue distribution in the microcirculation in different gynaecologic lesions analysed by the CnTI technology using vascular parameter calculating software.