title: Three-Dimensional Color/Power Doppler Sonography and HD live Silhouette Mode for Diagnosis of Molar Pregnancy.
abstract: We present our experience of using new 3-dimensional color/power Doppler sonography (HDliveFlow; GE Healthcare Japan, Tokyo, Japan) with the HD live silhouette mode for diagnosing complete molar pregnancy in the first trimester and differentiating it from missed abortion with hydropic degeneration. In the case of a complete mole, color Doppler sonography showed numerous vesicles without blood vessels, whereas HDliveFlow with the HD live silhouette mode clearly depicted these vesicles forming a mass with the clear demarcation of its edges and showed no blood flow inside the mass. In contrast to the hydropic abortion, which appeared as some vesicles with many blood vessels around them on color Doppler sonography, HDliveFlow with the HD live silhouette mode showed some vesicles embedded within the abundant blood vessels. The spatial relationship between the vesicles and surrounding highly vascularized uterus could be shown on HDliveFlow with the HD live silhouette mode. This technique might be beneficial as an additional diagnostic tool along with conventional color/power Doppler sonography, and it facilitates the early discrimination of these cases in the first trimester of pregnancy.
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Mohamed Ahmed Mostafa
authors: MA
authors: AboEllail
authors: GE Yokogawa Medical Systems, Hiroshima, Japan.
authors: Mari
authors: M
authors: Ishimura
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Suraphan
authors: S
authors: Sajapala
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Kenta
authors: K
authors: Yamamoto
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Tamaki
authors: T
authors: Tanaka
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Emiko
authors: E
authors: Nitta
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan.
authors: Kenji
authors: K
authors: Kanenishi
authors: Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan toshi28@med.kagawa-u.ac.jp.
authors: Toshiyuki
authors: T
authors: Hata
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000000981:diagnostic imaging*; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D021621:Imaging, Three-Dimensional / Q000379:methods*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D018615:Ultrasonography, Doppler, Color / Q000379:methods*; D014599:Uterus / Q000000981:diagnostic imaging
keywords: HD live silhouette mode; HDliveFlow; color/power Doppler sonography; complete mole; gynecologic ultrasound; missed abortion with hydropic degeneration