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Since the pioneering work of Donald and his first Lancet paper in 1958, the use of ultrasound in obstetrics and gynaecology has evolved rap idly. The introduction of grey scale techniques enhanced our ability to identify different tissues on the basis of their texture. However, it was the introduction of the linear array real-time scanner in the mid seven ties that changed ultrasound from being an "eccentric art form" to a readily available and usable technique. This led to the first reports of the diagnosis of neural tube defects using ultrasound by Campbell, as well as the establishment of fetal biometry. In the midst of this activity the parallel development of the transvaginal probe by Kratochwill went almost unnoticed by most gynaecologists. Yet the application of this technique has since had a major impact on many areas of gyna ecological practice, and on infertility in particular. Since the demon stration of transvaginal follicle aspiration, the vaginal route has become standard for most invasive ultrasound guided gynaecological procedures. The relatively new technical advance of transvaginal colour Doppler may potentially have just as great an impact. The introduction and use of transvaginal colour flow imaging has facili tated the study of vascular changes within the pelvis.
List of contents
I. General Principles.- Principles of Colour Doppler.- Angiogenesis.- Vascular Anatomy of the Pelvis.- The Human Heart - Development of Form and Function.- Vascular Features of Gynaecological Neoplasms.- Vascular Physiology and Pathophysiology of Early Pregnancy.- New Diagnostic and Therapeutic Approaches to Gestational Trophoblastic Tumors.- II. Uterus.- Vascular Changes During the Normal and Artificial Cycle.- Uterine and Endometrial Pathology.- Investigation of the Utero-Placental Circulation.- Transvaginal Colour Doppler in Trophoblastic Disease.- III. Ovaries and Fallopian Tubes.- Vascular Changes During the Ovarian Cycle.- Ovulation and the Periovulatory Follicle.- The Study of Ovarian Tumours.- Transvaginal Color Doppler Ultrasound in Pelvic Inflammatory Disease.- Transvaginal Colour Doppler Studies of Ectopic Pregnancy.- Hystero-Contrast-Salpingography - Colour Doppler and the Study of Fallopian Tube Patency.- IV. Embryo or Fetus.- Assessment of the Early Foetal Circulation.- Transvaginal Examination of the Foetal Heart.- V. Urinary Tract.- Doppler Studies of the Lower Urinary Tract.
Report
"..for the practising doctor who wants to have a critical up-to-date review of what is to be believed and not believed when interpreting data related to colour Doppler...this book will be very useful and informative, and is highly recommended." European Radiology "It is hard to find fault with this book...If you have ever thought about using colour flow, ...then this book is for you." Brit. J. Obstitrics & Gynaec.
