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Diagnostics
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Ultrasound in Obstetrics and Gynecology
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Ultrasound in Obstetrics and Gynecology

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 3879

Special Issue Editors

Prof. Dr. Dan Bogdan Navolan

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Guest Editor
Department of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy of Timisoara, Timisoara, Romania
Interests: ultrasound imaging; obstetrics and gynecology; prenatal medicine
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Dragos Nemescu

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Guest Editor
Department of Mother and Child Care, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
Interests: maternal–fetal medicine; in utero fetal surgery; prenatal diagnosis; artificial intelligence
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Cringu Ionescu

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Guest Editor
Department of Obstetrics and Gynecology "St Pantelimon" Clinical Emergency Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania
Interests: prenatal screening and diagnosis; maternal fetal medicine; pregnancy complications; preeclampsia, preterm birth screening; IUGR, fetal heart, gynecology

Special Issue Information

Dear Colleagues,

Ultrasound in obstetrics and gynecology has made significant strides in recent years. Ultrasound has become an indispensable tool in various aspects of obstetrics and gynecology, including fetal imaging, screening for birth defects, evaluation of the female reproductive system, and monitoring of pregnancy and fetal growth. The use of ultrasound has revolutionized prenatal care, allowing for early detection and management of complications, as well as providing valuable information for decision making in both routine and high-risk pregnancies. Furthermore, advancements in ultrasound technology and techniques have led to improved image quality, increased diagnostic accuracy, and expanded clinical applications. This Special Issue will bring together cutting-edge research, innovative methodologies, and expert perspectives to showcase the current state of ultrasound in obstetrics and gynecology, while also shedding light on future directions and potential breakthroughs in this rapidly evolving field.

Prof. Dr. Dan Bogdan Navolan
Prof. Dr. Dragos Nemescu
Prof. Dr. Cringu Ionescu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • ultrasound
  • ultrasonography
  • obstetrics and gynecology
  • prenatal medicine
  • maternal fetal medicine

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Published Papers (3 papers)

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12 pages, 2205 KiB  
Article
Fetal Left Ventricle Function Evaluated by Two-Dimensional Speckle-Tracking Echocardiography across Clinical Stages of Severity in Growth-Restricted Fetuses
by Carla Domínguez-Gallardo, Nuria Ginjaume-García, Johana Ullmo, Juan Parra, Ana Vázquez, Mónica Cruz-Lemini and Elisa Llurba
Diagnostics 2024, 14(5), 548; https://doi.org/10.3390/diagnostics14050548 - 5 Mar 2024
Cited by 1 | Viewed by 1261
Abstract
Fetal growth restriction (FGR) can result in adverse perinatal outcomes due to cardiac dysfunction. This study used 2D speckle-tracking echocardiography to assess left ventricle (LV) longitudinal strain across FGR severity stages. A prospective longitudinal cohort study measured global (GLS) and segmental LV longitudinal [...] Read more.
Fetal growth restriction (FGR) can result in adverse perinatal outcomes due to cardiac dysfunction. This study used 2D speckle-tracking echocardiography to assess left ventricle (LV) longitudinal strain across FGR severity stages. A prospective longitudinal cohort study measured global (GLS) and segmental LV longitudinal strain in FGR fetuses, with evaluations conducted at various time points. FGR was classified into subtypes based on published criteria using fetal weight centile and Doppler parameters. A linear mixed model was employed to analyze repeated measures and compare Z-score measurements between groups throughout gestational age. The study included 40 FGR fetuses and a total of 107 evaluations were performed: 21 from small for gestational age (SGA), 74 from the FGR stage I, and 12 from the FGR stage ≥ II. The results indicate that SGA and stage I FGR fetuses exhibit higher LV GLS than stages ≥ II. Throughout gestation, SGA and FGR stage I fetuses showed similar behavior with consistently better LV GLS values when compared to FGR stages ≥ II. No significant differences were observed in LV GLS strain behavior between SGA and FGR stage I. In conclusion, all FGRs show signs of early cardiac dysfunction, with severe cases demonstrating significantly a lower LV GLS when compared to mild cases, suggesting deterioration of cardiac dysfunction with progression of fetal compromise. Full article
(This article belongs to the Special Issue Ultrasound in Obstetrics and Gynecology)
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6 pages, 2272 KiB  
Case Report
Ultrasound Appearance of Intravascular Uterine Smooth Muscle Tumor of Uncertain Malignant Potential (STUMP): A Case Report
by Nina Montik, Camilla Grelloni, Alessandra Filosa, Gaia Goteri, Jacopo Di Giuseppe, Leonardo Natalini and Andrea Ciavattini
Diagnostics 2024, 14(13), 1438; https://doi.org/10.3390/diagnostics14131438 - 6 Jul 2024
Viewed by 880
Abstract
A 43-year-old patient with a history of uterine fibromatosis was referred to our hospital for menometrorrhagia and pelvic pain. At the pelvic ultrasound, a highly-vascularized myometrial lesion in volumetric increase was described. An elongated, solid, hypoechoic, painless, and highly vascularized left parauterine mass [...] Read more.
A 43-year-old patient with a history of uterine fibromatosis was referred to our hospital for menometrorrhagia and pelvic pain. At the pelvic ultrasound, a highly-vascularized myometrial lesion in volumetric increase was described. An elongated, solid, hypoechoic, painless, and highly vascularized left parauterine mass was identified. On histological examination, a uterine smooth muscle tumor of uncertain malignant potential (STUMP) with intravascular invasion of the left uterine vein was diagnosed. The adnexa and peritoneum were free of disease. On a retrospective evaluation of the ultrasound images, we noticed that the intravascular lesion showed sonographic features comparable to the original mass. Moreover, the Color Doppler (CD) analysis revealed an interrupted blood flow within the left uterine vein. In this case, the ultrasound proved to be an accurate diagnostic tool. When inhomogeneous uterine masses are suspected, and a parauterine/paraadnexal mass surrounded by irregular vessels are identified, the sonographer should take into account a risk of intravascular invasion. The patency of uterine and ovarian vessels should be accurately evaluated, to guide a tailored patient surgical approach. Full article
(This article belongs to the Special Issue Ultrasound in Obstetrics and Gynecology)
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12 pages, 4611 KiB  
Interesting Images
Sonographic Features of Uterine Arteriovenous Malformation: A Case Series
by Dhammapoj Jeerakornpassawat, Charuwan Tantipalakorn, Sirinart Sirilert and Theera Tongsong
Diagnostics 2024, 14(9), 873; https://doi.org/10.3390/diagnostics14090873 - 23 Apr 2024
Viewed by 1212
Abstract
Uterine arteriovenous malformation (AVM) is very rare but potentially life-threatening. Early and accurate diagnosis is the cornerstone of its management. The objective of this study is to encourage sonographers to become familiar with a variety of grayscale sonographic features, facilitating rapid recognition of [...] Read more.
Uterine arteriovenous malformation (AVM) is very rare but potentially life-threatening. Early and accurate diagnosis is the cornerstone of its management. The objective of this study is to encourage sonographers to become familiar with a variety of grayscale sonographic features, facilitating rapid recognition of the patterns and prompting them to apply color flow Doppler for a diagnosis of uterine AVM and possible further investigations or interventions. We present six cases of uterine AVM presenting with abnormal uterine bleeding at varying degrees of severity, from abnormal menstruation to life-threatening bleeding following curettage. All initially provided some clues of uterine AVM upon grayscale ultrasound, leading to the application of color Doppler flow to support a diagnosis, with confirmation using abdominal computer tomography angiography (CTA) in most cases, resulting in definitive treatment using uterine artery embolization or other interventions. Most importantly, this study provides various sonographic features of uterine AVM, such as appearances of small tubular structures, spongy patterns, a conceptive-product-like appearance, and spaghetti-like patterns. Hopefully, familiarity with these sonographic features can facilitate practitioners to make an early diagnosis, leading to proper further investigation and intervention, and to prevent serious complications from potentially being caused by this subtle but very serious disorder. Full article
(This article belongs to the Special Issue Ultrasound in Obstetrics and Gynecology)
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