The role of three-dimensional ultrasonography in assisted reproduction

Czech version

Authors: T. Žáčková ¹; T. Mardešič ²; L. Krofta ¹; J. Řezáčová ¹; J. Feyereisl ¹
Authors‘ workplace: Ústav pro péči o matku a dítě, Praha, přednosta doc. MUDr. J. Feyereisl, CSc. ¹; Sanatorium Pronatal, Praha, vedoucí lékař doc. MUDr. T. Mardešič, CSc. ²
Published in: Ceska Gynekol 2011; 76(2): 128-134

Overview

Objective:
Clarifying the role of three-dimensional transvaginal sonography in diagnosis sterility and assisted reproduction treatment.

Design:
Review.

Setting:
Institute for the Care of Mother and Child, Department of IVF, Charles University, Prague.

Methods:
Study of current literature.

Summary:
With arrised frequency of ovarian, uterus and another pelvic patologies remains the three-dimensional transvaginal sonography in diagnosis of sterility wommen very actuall in the fields of reproductive medicine. Actually the assesment of ovarian reserve belong to the essentials investigations in the diagnosis of primary and secondary sterility at this time. The advance in the three-dimensional transvaginal sonography allows to assess the endometrial volume, echogenity, endometrial vascularity and endometrial receptivity. There is a significant importace of 3D power dopler angiography by meassurment of folicular and ovarian vascularity with three indices (VI, FI, VFI) and provides the calculation of ovarian vascularity from the volume. New Sono-Automatic Volume Calculation (Sono-AVC) software that identifies and quantifies hypoechoic regions within a three-dimensional dataset and provides automatic estimation of their absolute dimensions, mean diameter and volume. An unlimited number of volumes can theoretically be quantified, which makes it an ideal tool for assessment of the ovarian volume and the antral follicle count (AFC) in women undergoing controlled ovarian stimulation.

Key words:
transvaginal ultrasonography (TVUS), folliculometry, ovarian reserve, endometrial receptivity, 3D UZ power doppler angiography, ultrasound hysterosalpingography (HSG UZ), uterus endometrial contractility.

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