Transvaginal gynecologic ultrasound with Elastography

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Transvaginal Ultrasound of the Pelvic Organs + Elastography is a non-invasive imaging method that allows evaluation of the organs and anatomical structures of the female pelvis using a transvaginal ultrasound probe combined with elastography.

The examination allows visualization of the uterus, endometrium, cervix, ovaries and, depending on the indication, other pelvic structures. Elastography provides additional information about tissue elasticity and stiffness, contributing to the characterization of changes identified during the ultrasound examination.

Indications

• assessment of the structure and size of the uterus, endometrium, cervix, and ovaries;
• acute or chronic pelvic pain;
• abnormal uterine bleeding or irregular menstrual cycles;
• painful menstruation;
• suspected ovarian cysts, uterine masses, or other abnormalities of the pelvic organs;
• evaluation of the endometrium and its changes;
• suspected endometriosis or other gynecological conditions;
• evaluation of masses or other tissue changes identified on ultrasound;
• additional characterization of certain masses by assessing tissue elasticity;
• monitoring the progression of known gynecological conditions;
• evaluation of the pelvic organs during the postoperative period, as recommended by the physician;
• other clinical situations, as recommended by the physician.

Procedure

The examination is performed transvaginally using a specialized ultrasound probe. The physician evaluates the pelvic organs by ultrasound, while elastography, when indicated, is used to assess the elasticity and stiffness of tissues or identified masses. The results of the examination are documented in an ultrasound report.

Limitations

• image quality and elastography results may be influenced by anatomical features and individual characteristics of the patient;
• elastography measurements may vary depending on the method used, the area examined, and the technical conditions of the examination;
• elastography alone cannot determine whether a mass is benign or malignant;
• some abnormalities may require additional investigations to establish a diagnosis;
• the results should be interpreted in the context of symptoms, medical history, and other investigations;
• the examination does not replace a gynecological consultation.

Contraindications

• the examination may be contraindicated or postponed in cases of acute vaginal infections or lesions, depending on the physician’s assessment;
• severe pain or other situations in which the examination cannot be performed safely and comfortably;
• other individual clinical situations determined by the physician.

Advantages

• non-invasive method without exposure to ionizing radiation;
• allows detailed evaluation of the pelvic organs;
• provides real-time imaging;
• allows the necessary measurements to be performed;
• elastography provides additional information about tissue elasticity and stiffness;
• may contribute to the additional characterization of masses or abnormalities identified on ultrasound;
• combines conventional ultrasound assessment with additional information obtained through elastography.
   

Sources:

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/pelvic-ultrasound
https://my.clevelandclinic.org/health/diagnostics/4993-transvaginal-ultrasound
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267844/
https://www.healthline.com/health/transvaginal-ultrasound
 

IMPORTANT!

It's crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any pain or exacerbation of a medical condition, it is essential to consult a healthcare professional for proper diagnostic testing and treatment. Only a qualified specialist can make an accurate diagnosis and determine the appropriate course of treatment. To obtain the most accurate and consistent assessment of test results, it is recommended to have them conducted at the same laboratory, as different laboratories may use varying methods and units of measurement for similar tests.