Color Doppler in Obstetrics and Gynecology Text and Atlas
Color Doppler in Obstetrics and Gynecology Text and AtlasSonal Panchal MD Ultrasound Consultant Dr Nagori's Institute for Infertility and IVF Ahmedabad, Gujarat, India Chaitanya Nagori MD DGO Director Dr Nagori's Institute for Infertility and IVF Ahmedabad, Gujarat, India Foreword Asim Kurjak
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Color Doppler in Obstetrics and Gynecology: Text and Atlas
First Edition: 2019
Medicine today is still a strange mixture of empiricism, unexpurgated tradition and advanced technology, of clinical guesswork and scientific measurement.
In the midst of all this change from the human to the more precise, ultrasound is remarkable for its unique ability to glean diagnostic information without discomfort, indignity or known hazard to the patient. It is not surprising, therefore, that from an exciting novelty, ultrasound has now become an irreplaceable diagnostic tool. Color Doppler sonography represents further “breakthrough” in ultrasound imaging. This technique has radically changed the approach to noninvasive vascular diagnostic. For the first time, it is possible to obtain truly useful information about functional hemodynamic events. Impressive results are particularly encouraging in differentiating tissue characteristics in pelvic tumors and in visualizing blood vessels in tumors. This book clearly shows the dramatic development in the clinical application and I strongly believe will find many grateful readers.
In 1987, my team from University of Zagreb (Croatia) pioneered the use of color Doppler ultrasound in obstetrics and gynecology. A few years ago at the national congress of Indian gynaecologists, I met a young lady asking me to write a dedication for her book Transvaginal color Doppler. Her name was Sonal Panchal and after this very important meeting we made many contacts becoming close co-workers and even friends. One of the most admirable co-worker, she made impressive scientific career, becoming world leader in ultrasound. She is also an excellent teacher and together with Dr Chaitanya Nagori she is running one of the best world institutes for infertility. It is, therefore, my great pleasure and honor to write this foreword for the book of Sonal Panchal wishing to the authors’ best success among the readers. I have no doubt that the readers will like written text from experienced authors and first-class practitioners.
Asim Kurjak MD PhD
Department of Obstetrics and Gynecology
Medical School University of Zagreb
Ian Donald Inter University School of Medical UltrasoundPreface
This book is a practical guide and a quick reference for the obstetricians and gynecologists, to ease out the use of Doppler technology for better diagnosis with ultrasound. It indicates the use of Doppler for the differential diagnosis of different endometrial and myometrial lesions, as well as ovarian and tubal lesions. It gives an idea about Doppler findings that would differentiate between malignant and benign lesions. The important role of Doppler in deciding stimulation protocols for patients on assisted reproductive technology treatment, for assessment of functional maturity of the follicle and endometrium, and also the correlation of these Doppler changes with hormonal level fluctuations have also been described. Doppler has a major role to play for suspected chromosomal and cardiac abnormalities in the first trimester, detection, and differential diagnosis of abnormalities of structural abnormalities in the second trimester. Role of Doppler cannot be underestimated in fetal growth restriction and pregnancy-induced hypertension (PIH) cases, and all these have been discussed in depth in a very simple way.
I sincerely thank my friends and colleagues who have helped me in the process of conceptualizing this book and also helping me by contributing for ultrasound images of a few not very common conditions. Dr Sridevi Kolli (Visakhapatnam, Andhra Pradesh), Dr Kuldip Jasoliya and Dr Sanjay Vasoya (Surat, Gujarat) have always been of a great support to me for the same. Friends, I sincerely thank you for the images that you have contributed for this book to make it complete.
I am grateful to my patients for their support in my Doppler studies. I sincerely acknowledge the encouragement, support, and guidance of my “Guru” Dr Chaitanya Nagori, without which it would have not been possible to complete this project.
Lastly, I would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Ms Chetna Malhotra Vohra (Associate Director-Content Strategy), Prerna Bajaj (Development Editor) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their untiring support.