We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Differentiation of exudate from transudate ascites by Doppler sonography.
- Authors
Komatsuda, T.; Ishida, H.; Konno, K.; Hamashima, Y.; Naganuma, H.; Sato, M.; Suzuki, T.; Shindoh, K.; Watanabe, S.
- Abstract
<bold>Background: </bold>We investigated whether the addition of Doppler sonography (US) increases the diagnostic confidence of US for estimating the nature of ascites.<bold>Methods: </bold>Of the 127 cases reviewed in this study, there were 42 cases of transudate and 85 of exudate ascites. We reviewed the US, power Doppler, and pulsed Doppler images of these cases.<bold>Results: </bold>With US, the transudate ascites was imaged as free of echo in 38 of 42 cases (90.5%). The exudate ascites was imaged as free of echo in 22 of 85 cases (25.9%) and with internal echo spots in 63 of 85 cases (74.1%). With Doppler US, we obtained distinct pulsed signals from the transudate ascites in only two of 36 cases (5.6%). In contrast, we obtained distinct Doppler signals from the exudate ascites in 66 of 79 cases (83.5%). Those 66 cases included 16 of the 22 cases with echo-free ascites.<bold>Conclusion: </bold>The presence or absence of echo spots within the ascites helped differentiate transudate from exudate ascites, as reported in the literature. However, the addition of Doppler US contributed to the differentiation of echo-free exudate (Doppler signals present) from echo-free transudate (Doppler signals absent) ascites.
- Subjects
DOPPLER ultrasonography; DIAGNOSTIC ultrasonic imaging; ULTRASONIC imaging; EXUDATES &; transudates; BODY fluids; ASCITES
- Publication
Abdominal Imaging, 2003, Vol 28, Issue 5, p609
- ISSN
0942-8925
- Publication type
journal article
- DOI
10.1007/s00261-002-0087-2