{"id":92744,"date":"2009-03-04T00:00:00","date_gmt":"2009-03-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-de-la-angiografa%c2%ada-ecografica-con-power-doppler-tridimensional-en-el-manejo-de-masas-anexiales-sospechosas-de-malignidad\/"},"modified":"2009-03-04T00:00:00","modified_gmt":"2009-03-04T00:00:00","slug":"papel-de-la-angiografa%c2%ada-ecografica-con-power-doppler-tridimensional-en-el-manejo-de-masas-anexiales-sospechosas-de-malignidad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ginecologia\/papel-de-la-angiografa%c2%ada-ecografica-con-power-doppler-tridimensional-en-el-manejo-de-masas-anexiales-sospechosas-de-malignidad\/","title":{"rendered":"Papel de la angiograf\u00edaecogr\u00e1fica con power doppler tridimensional en el manejo de masas anexiales sospechosas de malignidad"},"content":{"rendered":"<h2>Tesis doctoral de <strong> David Rodr\u00edguez Morante <\/strong><\/h2>\n<p>Objetivo. El objetivo de este estudio fue explorar la capacidad de la ecograf\u00eda tridimensional con power doppler (3dpd) para discriminar los tumores benignos y malignos dentro del grupo de masas anexiales s\u00f3lido-qu\u00edsticas con vascularizaci\u00f3n central y definir los puntos de corte de los \u00edndices 3dpd que se deben utilizar en un entorno cl\u00ednico. M\u00e9todos. Un total de 143 mujeres consecutivas (edad media, 50,4 a\u00f1os, rango, 17-82 a\u00f1os) con diagn\u00f3stico de lesi\u00f3n s\u00f3lido-qu\u00edstica o s\u00f3lida en modo b y con vascularizaci\u00f3n central en el 2dpd fueron evaluadas con ecograf\u00eda 3d pd antes de la cirug\u00eda. El 3dpd se utiliz\u00f3 para evaluar la vascularizaci\u00f3n en las proyecciones papilares y \u00e1reas s\u00f3lidas . Los \u00edndices vasculares (\u00edndice de vascularizaci\u00f3n [vi], \u00edndice de flujo [fl], y el \u00edndice vascularization-flujo [vfi]) se calculan autom\u00e1ticamente. El diagn\u00f3stico histol\u00f3gico definitivo se obtuvo en cada caso. resultados. Un total de 113 masas (74%) eran malignas y 39 (26%) fueron benignoa. La evaluaci\u00f3n morfol\u00f3gica revel\u00f3 30 uniloculares s\u00f3lidas (19,7%), 43 multilocular s\u00f3lidas (28,3%), y 79 masas s\u00f3lidas (52%). La media vi (9,365% frente al 3,3%, p <.001), fl (34,318 versus 28,794; p <001), y vfi (3,233 frente a 1,15; p <0,01) fueron significativamente mayores en los tumores malignos. No se encontraron diferencias en el \u00edndice de resistencia, \u00edndice de pulsatilidad, y la velocidad pico sist\u00f3lica. El an\u00e1lisis de la curva roc revel\u00f3 un \u00e1rea bajo la curva de 0,77 (intervalo de confianza del 95%, 0.69-0.85), 0,71 (0.60-0.81) y 0.75 (0.66-0.83) para la vi, fl y vfi, respectivamente. Para reducir la tasa de falsos positivos en casi una tercera parte, los valores de sensibilidad para el vi (corte, 1,556%), fl (25,212), y vfi (0,323) fueron 92%, 95% y 93%, respectivamente. conclusiones. Los \u00edndices vasculares con 3dpd son \u00fatiles para reducir la tasa de falsos positivos en lesiones s\u00f3lidas y s\u00f3lido-qu\u00edsticas con vascularizaci\u00f3n central. palabras clave: masa anexial; c\u00e1ncer de ovario; power doppler, 3dpd\n\n\n\n&nbsp;\n\n\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel de la angiograf\u00edaecogr\u00e1fica con power doppler tridimensional en el manejo de masas anexiales sospechosas de malignidad<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel de la angiograf\u00edaecogr\u00e1fica con power doppler tridimensional en el manejo de masas anexiales sospechosas de malignidad <\/li>\n<li><strong>Autor:<\/strong>\u00a0 David Rodr\u00edguez Morante <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/04\/2009<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Luis Alc\u00e1zar Zambrano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: josep Mar\u00eda Lailla vicens <\/li>\n<li>Juan  mario Troyano luque (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de David Rodr\u00edguez Morante Objetivo. El objetivo de este estudio fue explorar la capacidad de la ecograf\u00eda tridimensional [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,957,135,347],"tags":[191745,1264,47574,10311],"class_list":["post-92744","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-farmacologia","category-ginecologia","category-oncologia-clinica","tag-david-rodriguez-morante","tag-josep-maria-lailla-vicens","tag-juan-luis-alcazar-zambrano","tag-juan-mario-troyano-luque"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/92744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=92744"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/92744\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=92744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=92744"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=92744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}