Avaliação dos parâmetros de imagens de massas anexiais pélvicas em tele-ecografia

• Ano de defesa: 2013
• Autor(a) principal: Gonçalves, Fausto da Silva
• Orientador(a): Oliani, Antonio Hélio
• Banca de defesa: Ferlin, Rejane Maria, Cabrera, Eliana Márcia Sotello
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Faculdade de Medicina de São José do Rio Preto
• Programa de Pós-Graduação: Programa de Pós-Graduação em Ciências da Saúde::6954410853678806574::600
• Departamento: Faculdade 1::Departamento 1::306626487509624506::500
• País: Brasil
• Palavras-chave em Português: Parâmetros Diretos; Ultrassom; Pelve
• Palavras-chave em Inglês: Direct Parameters; Ultrasonics; Pelvis
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::8765449414823306929::600
• Link de acesso: http://bdtd.famerp.br/handle/tede/366

Introduction: According to the World Health Organization, is a diagnostic imaging procedure necessary for the accurate treatment of at least 25% of patients worldwide. While the imaging technology has evolved so dizzying, over 90% of all images required can be performed with simple machines to ultrasound and X- rays. There are data indicating Transvaginal Ultrasonography as one of the most effective methods for detecting ovarian tumors, to be safe, fast, easy to perform and well accepted by patients. It is the most frequently used test for this purpose due to its excellent cost / benefit ratio, being an innocuous and widely used method in the diagnosis of adnexal masses. Numerous studies have been conducted to differentiate adnexal masses and thereby reduce the number of patients subjected to inappropriate treatment. Objectives: Evaluation of sonographic parameters related with the morphological characteristics of pelvic adnexal masses by obtaining two-dimensional images taken by observer presence and sent electronically (via Tele-Ultrasound) in static mode and dynamic observers do not face (distance) for comparative analyzes inter-and intra-observer and validation of a second opinion. Methods: From March to August 2010 50 patients were selected for presenting viewing adnexal mass on ultrasound. The pelvic sonographic examinations were performed by cesarean section and by vaginal Imaging Unit in the Department of Obstetrics and Gynecology, Hospital de Base in São José do Rio Preto. The adnexal masses were evaluated according to their morphological characteristics. Results: There was good inter-rater agreement independent of the modality (dynamic and static) used. Conclusions: The sonographic parameters of the morphological characteristics of pelvic adnexal masses directed by Tele-Ultrasound is capable of being validated for issuing a second opinion. There were no significant differences in the methodology employed in the issue of tele-ultrasound images (static or dynamic) to characterize the composition of pelvic adnexal masses.