Objective: The purpose of this study is to evaluate the benefit of use of three-dimensional ultrasound multi-slice view in detailed assessment of adnexal masses morphology. Methods: Two-hundred thirty one patients with adnexal masses elected for surgery at Woman’s Health Center, Assiut, Egypt between October 2012 and October 2013 were recruited for the study. Each patient had 2D ultrasound and detailed morphological evaluation was reported. Then, 3D ultrasound volumes were obtained. The stored 3D volumes were then digitally analyzed using 3D ultrasound multi-slice view. The results of 2D, 3D ultrasound multi-slice were compared to the postoperative histopathological findings. Results: The mean age of included patients was 30.2 ± 12.7 years. Overall, 189 patients (81.8%) confirmed to have benign masses, and 42 patients (18.2%) with malignant masses according to their final histopathological analysis. Subjective assessment by 2D ultrasound correctly classified 95.6% of benign masses and 87% of malignant masses. On detailed assessment of the masses by 3D ultrasound multi-slice view, there was agreement in morphological assessment of all masses except in 3 cases in which 3D ultrasound multi-slice view permitted better description of their morphological criteria and hence changing the presumed diagnosis and management. Conclusions: The ability of detailed analysis of the volumes taken during 3D ultrasound using multi-slice view can aid in better morphological assessment of adnexal masses especially in detection of papillary projections in adnexal cysts. This information is valuable in deciding the optimal management of adnexal masses in some cases.

Objective: To determine the most discriminating two-dimensional gray-scale and colour Doppler sonographic features that allow differentiation between malignant and benign adnexal masses, and to develop a scoring model that would enable more accurate diagnosis with those features. Methods: A cross sectional prospective study was conducted on patients scheduled for surgery due to presence of adnexal masses at Woman’s Health Center, Assiut University, Egypt between October 2012 and October 2013. All patients were evaluated by 2D ultrasound for morphological features of the masses combined with colour Doppler examination of their vessels. The final diagnosis, based on histopathological analysis, was used as a gold standard. Results: One hundred forty-six patients were recruited, 104 with benign masses, 42 with malignant masses. Features that allowed statistically significant discrimination of benignity from malignancy were; volume of mass, type of mass, presence and thickness of septae, presence and length of papillary projections, location of vessels at colour Doppler and colour score. A scoring model was formulated combining these features together; Assiut Scoring Model (ASM). The cut-off level with the highest accuracy in detection of malignancy, was ≥6, had a sensitivity of 93.5% and specificity of 92.2%. Conclusion: Our Scoring Model; a multiparameter scoring using four gray-scale ultrasound and two colour Doppler features, had shown a high sensitivity and specificity for prediction of malignancy in adnexal masses compared with previous scoring systems.

Objective: To determine the most discriminating two-dimensional gray-scale and colour Doppler sonographic features that allow differentiation between malignant and benign adnexal masses, and to develop a scoring model that would enable more accurate diagnosis with those features. Methods: A cross sectional prospective study was conducted on patients scheduled for surgery due to presence of adnexal masses at Woman’s Health Center, Assiut University, Egypt between October 2012 and October 2013. All patients were evaluated by 2D ultrasound for morphological features of the masses combined with colour Doppler examination of their vessels. The final diagnosis, based on histopathological analysis, was used as a gold standard. Results: One hundred forty-six patients were recruited, 104 with benign masses, 42 with malignant masses. Features that allowed statistically significant discrimination of benignity from malignancy were; volume of mass, type of mass, presence and thickness of septae, presence and length of papillary projections, location of vessels at colour Doppler and colour score. A scoring model was formulated combining these features together; Assiut Scoring Model (ASM). The cut-off level with the highest accuracy in detection of malignancy, was ≥6, had a sensitivity of 93.5% and specificity of 92.2%. Conclusion: Our Scoring Model; a multiparameter scoring using four gray-scale ultrasound and two colour Doppler features, had shown a high sensitivity and specificity for prediction of malignancy in adnexal masses compared with previous scoring systems.

مازال الاختلاف قائما حول كيفية علاج الكسور الغير ثابتة لمدور عظمة الفخذ. وكان من المعتاد استخدام مسمار الحوض الديناميكي في علاج مثل هذه الكسور. منذ وقت قريب بدأ بعض الجراحين باستخدام الاستبدال النصفي لمفصل الحوض في علاج الكسور الغير ثابتة لمدور عظمة الفخذ لأنه يؤدي الى نتائج وظيفية أفضل و يحد من المضاعفات.

مازال الاختلاف قائما حول كيفية علاج الكسور الغير ثابتة لمدور عظمة الفخذ. وكان من المعتاد استخدام مسمار الحوض الديناميكي في علاج مثل هذه الكسور. منذ وقت قريب بدأ بعض الجراحين باستخدام الاستبدال النصفي لمفصل الحوض في علاج الكسور الغير ثابتة لمدور عظمة الفخذ لأنه يؤدي الى نتائج وظيفية أفضل و يحد من المضاعفات.

مازال الاختلاف قائما حول كيفية علاج الكسور الغير ثابتة لمدور عظمة الفخذ. وكان من المعتاد استخدام مسمار الحوض الديناميكي في علاج مثل هذه الكسور. منذ وقت قريب بدأ بعض الجراحين باستخدام الاستبدال النصفي لمفصل الحوض في علاج الكسور الغير ثابتة لمدور عظمة الفخذ لأنه يؤدي الى نتائج وظيفية أفضل و يحد من المضاعفات.

مازال الاختلاف قائما حول كيفية علاج الكسور الغير ثابتة لمدور عظمة الفخذ. وكان من المعتاد استخدام مسمار الحوض الديناميكي في علاج مثل هذه الكسور. منذ وقت قريب بدأ بعض الجراحين باستخدام الاستبدال النصفي لمفصل الحوض في علاج الكسور الغير ثابتة لمدور عظمة الفخذ لأنه يؤدي الى نتائج وظيفية أفضل و يحد من المضاعفات.