pedicle artery sign
DESCRIPTION
pedicle artery sign : endometrial polyp assesment with color dopplerTRANSCRIPT
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Dr Arun Gupta Director imaging
Dr Rakhee gupta Dr R K S Gandhi Dr Vinayak Mittal Dr Ritesh Mahajan
PEDICLE ARTERY SIGN( AN OVERVIEW)
ADVANCED USG LOUNGE
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PEDICLE ARTERY
SIGNFeeding artery appreciated in the pedicle of the intracavitary Endometrial lesions on color doppler sonography is called as pedicle artery sign.
Positive pedicle artery helps to identify endometrial polyp s and differentiate them from other lesions like subendometrial fibroid .
This sign can negate the need for sonohysterography
to demonstrate the endometrial polyp .
ECHOGENIC LESION IN ENDOMETRIAL CAVITY WITH POSITIVE PEDICLE ARTERY SIGN SUGGESTIVE OF ENDOMETRIAL POLYP
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PEDICLE ARTERY SIGN•COLOR DOPPLER USED•SOLITARY WELL FORMED ARTERY ENTERS THE PEDICLE OF ECHOGENIC FOCUS IN THE ENDOMETRIAL CAVITY.
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USG APPEARANCE SYMPTOMS
May appear as nonspecific echogenic thickening.
Round echogenic mass in endometrial cavity.
Better appreciated with flluid in endometrial cavity.
Broad based ( short stalk)Pedunculated ( long stalk)Postive pedicle artery
sign on color doppler.
May be asymptomatic
May cause uterine bleeding ( intermenstrual bleed/ menometrorrhagia)
ENDOMETRIAL POLYP
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RENDERED IMAGE : STALK BEING SEEN WITH ENDOMETRIUM INDENTING TOWARDS THE ENDOMETRIAL LESION
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SONOCT ( TOMOGRAPHIC ULTRASOUND IMAGING): HELPS TO DEMONSTARTE THE STALK .
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VOLUME RENDERED IMAGE OF ENDOMETRIAL POLYP WITH STALK
STALK
POLYP
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U LT R A S O U N D O B S T E T G Y N E C O L . 2 0 0 3 A U G ; 2 2 ( 2 ) : 1 6 6 -7 1 .
T H E P E D I C L E A R T E RY S I G N B A S E D O N S O N O G R A P H Y W I T H C O L O R D O P P L E R I M A G I N G C A N R E P L A C E
S E C O N D - S TA G E T E S T S I N W O M E N W I T H A B N O R M A L VA G I N A L B L E E D I N G.
T I M M E R M A N D, V E R G U T S J, K O N S TA N T I N O V I C M L, M O E R M A N P, VA N S C H O U B R O E C K D, D E P R E S T J, VA N
H U F F E L S.
REFERENCE