臨床婦人科産科67巻6号

2013年06月発行

今月の臨床 産婦人科超音波診断―新しい技法とその臨床応用

超音波3次元情報の応用

3．婦人科診断への応用

著者： 関谷隆夫¹ 藤井多久磨²

所属機関： ¹藤田保健衛生大学医学部周産期医学 ²藤田保健衛生大学医学部産婦人科学

ページ範囲：P.556 - P.566

文献概要

●3次元法を活用して，内性器の直交3断面同時表示・連続多断面表示・厚みをもった任意断面像を体感する．

●造影法やドプラ法を組み合わせ，さらに演算機能も活用して，3次元法の最大限のパフォーマンスを臨床応用する．

●3次元法は，立体画像による診断に加えて，今後は画像情報管理の基本的ツールとなる．

参考文献

1） Baba K, Satoh K : Development of the system for ultrasonic fetal three-dimensional reconstruction. Acta Obstet Gynecol Jpn 38 : 1385, 1986

2） 馬場一憲 : 3次元超音波．マスター3次元超音波．馬場一憲編．メジカルビュー社，東京，pp12―29，2001

3） Cariskan E, Ozkan S, Cakiroglu Y, et al : Diagnostic Accuracy of Real-Time 3D Sonography in the Diagnosis of Congenital Mullerian Anomalies in High Risk Patients With Rwspect to the Phase of the Menstrual Cycle. J Clin Ultrasound 38 : 123―127, 2010

4） Deichert U, Van De Sandt M, Lauth G, et al : Transvaginal Contrast Hysterosonography. A New Diagnostic Procedure for the Differentiation of Intrauterine and Myometrial Findings. Geburtshilfe und Frauenheilkunde 48 : 835―844, 1988

5） 関谷隆夫 : 子宮内腔の異常と3次元超音波．マスター3次元超音波．馬場一憲編．メジカルビュー社，東京，pp82―91，2001

6） Alcázar JL, Jurado M : Three-dimensional ultrasound for assessing women with gynecological cancer : A systematic review. Gynecol Oncol 120 : 340―346, 2011

7） Chou CY, Hsu KF, Wang ST, et al : Accuracy of three-dimensional ultrasonography in volume estimation of cervical carcinoma. Gynecol Oncol 66 : 89―93, 1997

8） Alcazar JL, Jurado M, Lopez-Garcia G : Tumor vascularization in cervical cancer by 3-dimensional power Doppler angiography : correlation with tumor charackeristics. Int J Gynecol Cancer 20 : 393―397, 2010

9） Oder M, Vainerovsky I, Grinin V, et al : Three-dimensional endometrial volume and 3-dimensional power Doppler analysis in predicting endometrial carcinoma and hyperplasia. Gynecol Oncol 106 : 348―353, 2007

10） Merce LT, Alcázar JL, Lopez C, et al : Clinical usefulness of 3-dimensional sonography and power Doppler angiography for diagnosis of endometrial carcinoma and hyperplasia. J Ultrasound Med 26 : 1279―1287, 2007

11） Saarelainen SK, Vuento MH, Kirkinen P, et al : Preoperative assessment of endometrial carcinoma by three-dimensional power Doppler angiography. Ultrasound Obstet Gynecol 39 : 466―472, 2012

12） Galvan R, Merce L, Jurado M, et al : Three-dimensional power Doppler angiography in endometrial cancer : correlation with tumor characteristics. Ultrasound Obstet Gynecol 35 : 723―729, 2010

13） Gibreel A, Maheshwari A, Bhattacharya S, et al : Ultrasound tests of ovarian reserve ; a systematic review of accuracy in predicting fertility outcomes. Hum Fertil 12 : 95―106, 2009

14） Kupesic S and Kurjak A : Predictors of IVF outcome by three-dimensional ultrasound. Hum Reprod 17 : 950―955, 2002

15） Jayaprakasan KBK, Campbell JS, Clewes, et al : Three-dimensional ultrasound improves the interobserver reliability of antral follicle counts and facilitates increased clinical work flow. Ultrasound Obstet Gynecol 31 : 439―444, 2008

16） Salama S, Arbo E, Lamazou F, et al : Reproducibility and reliability of automated volumetric measurement of single preovulatory follicles using SonoAVC. Fertil Steril 93 : 2069―2073, 2010

17） Deb S, Campbell BK, Clewes JS, et al : Quantitative analysis of antral follicle number and size : a comparison of two-dimensional and automated three-dimensional ultrasound techniques. Ultrasound Obstet Gynecol 35 : 354―360, 2010

18） Raine-Fenning N, Deb S, Jayaprakasan K, et al : Timing of oocyte maturation and egg collection during controlled ovarian stimulation : a randomized controlled trial evaluating manual and automated measurements of follicle diameter. Fertil Steril 94 : 184―188, 2010

19） Bonilla-Musoles F, Raga F, Osborne NG : Three-dimensional ultrasound evaluation of ovarian mass. Gynecol Oncol 59 : 129―135, 1995

20） Hata T, Yanagihara T, Hayashi K, et al : Three-dimensional ultrasonographic evaluation of ovarian tumors : a preliminary study. Hum Reprod 14 : 858―861, 1999

21） Alcazar JL, Garcia-Manero M, Galvan R : Three-dimensional sonographic morphologic assessment of adnexal masses : a reproducibility study. J Ultrasound Med 26 : 1007―1011, 2007

22） Konerding MA, Malkusch W, Klapther B, et al : Evidence of characteristic vascular patterns in solid tumors : quantitative studies using corrosion casts. Br J Cancer 80 : 724―732, 1999

23） Kurjak A, Kupesic S, Anic T, et al : Three-dimensional ultrasound and power Doppler improve the diagnosis of ovarian lesions. Gynecol Oncol 76 : 28―32, 2000

24） Geonimi PM, Kluivers KB, Moret E, et al : Evaluation of adnexal masses with three-dimensional ultrasonography. Obstet Gynecol 108 : 1167―1175, 2006

25） Kudla MJ, Alcazar JL : Does sphere volume affect the performance of three-dimensional power Doppler virtual vascular sampling of predicting malignancy in vascularized solid or cystic-solid adnexal masses? Ultrasound Obstet Gynecol 35 : 602―608, 2010

26） Exacoustos C, Di Giovanni A, Szabolcs B, et al : Automated sonographic tubal patency evaluation with three-dimensional coded contrast imaging（CCI） during hysterosalpingo-contrast sonography（HyCoSy）. Ultrasound Obstet Gynecol 34 : 609―612, 2009

27） Zhou L, Zhang X, Chen X, et al : Value of three-dimensional hystrosalpingo-contrast sonography with SonoVue in the assessment of tubal patency. Ultrasound Obstet Gynecol 40 : 93―98, 2012