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Background & Method: The aim of this study is to assess the diagnostic accuracy by using B-mode morphology in differentiating benign and malignant ovarian lesions. Criterion for patient exclusion from the study (after ultrasound and Doppler scanning) includes: Patients with pelvic mass that were determined to arise from uterus intraoperatively or on histopathology report, patients who did not undergo fine needle aspiration cytology (FNAC) or histopathology (HPE) or those were lost or follow-up. Patients with ectopic pregnancy were also excluded from the study. Result: Majority of the malignant lesions were in the age group of 6th to 7th decade. Flow on Colour Doppler was present in 76 masses. No flow on colour Doppler was seen in 24 ovarian masses. By using B-mode morphological scoring system 28 lesions were categorized as benign (Score ≤ 2). Using morphology scoring system 12 lesion were categorized as equivocal (Score 3-4). 60 lesions were categorized as malignant by using the morphological scoring system (Score ≥ 5). Conclusion: Hundred cases of masses of ovarian origin were evaluated using B-mode morphological scoring system, colour and Pulsed Doppler. Using B-mode morphological system the ovarian lesions was characterized as benign (score ≤ 2), equivocal (Score 3-4) and suspicious (Score ≥ 5). Most of the masses appeared to be mixed (cystic-solid) or multilocular. A small portion of the masses were solid which overwhelmingly favoured malignancy. [ABSTRACT FROM AUTHOR]

Background & Method: The aim of this study is to evaluate the B-Mode changes in uterine environment and in endometrial morphology in different phases of menstrual cycle. Examination techniques- once the transducer is positioned in the vagina; it must be manipulated to obtain the appropriate image. Result: 70% cases showed myometrial blood flow internal to arcuate vessels on gray scale and almost all of them were fertile. Maximum numbers of cases (76%) have endometrial contractions 3 or more per 2 minute and almost all of them are fertile and almost all cases whom having endometrial contractions 2 or less, belongs to infertile group. Conclusion: The advent of color flow imaging has enabled the detection of neovascularization and change in blood flow in endometrium and myometrium. The absent or poor endometrial vascularity in luteal phase is almost always predictive of unfruitful pregnancy outcome while good endometrial vascularity and low resistance and pulsatility index in luteal phase is associated with fruitful pregnancy outcome. So the success of assisted reproduction program is depends on uterine perfusion and its accurate evaluation. [ABSTRACT FROM AUTHOR]