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Intelligent Ovarian Detection and Classification in Ultrasound Images Using Machine Learning Techniques
Published in Ayodeji Olalekan Salau, Shruti Jain, Meenakshi Sood, Computational Intelligence and Data Sciences, 2022
V. Kiruthika, S. Sathiya, M.M. Ramya
Classification of ovarian images as cystic, polycystic and normal forms a vital part in infertility treatment. During image interpretation, an ambiguity arises between the classification of a normal ovarian follicle and an ovarian cyst due to common features. Ovarian cyst, if not detected at right time, can lead to ovarian cancer. Similarly, polycystic ovaries can also lead to severe infertility in women. Misclassification may occur if diagnosis solely relies on image characteristics obtained using ultrasound scans. Classification of ovaries is indispensable for the medical experts for subsequent treatment and decision-making. Also, diagnosis of ovulatory disorders is carried out using demographic and diagnostic data along with image interpretations.
A Functional Approach to Gynecologic Pain
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
As most painful ovarian cysts are physiologic, short-term watchful waiting is often the best option. The integrative clinician can play an important role in destigmatizing the ovarian cyst and explaining the normal physiology and helping the patient with short-term pain relief. The standard medical approach to recurrent physiologic cyst formation, and indeed most conditions associated with gynecologic pelvic pain, is in the form of hormonal contraception. Controlling the hypothalamic–pituitary axis and inhibiting ovulation will prevent the formation of most physiologic cysts. However, many integrative clinicians object to the use of the synthetic hormones in birth control.
Ultrasonography in Bovine Gynecology
Published in Juan Carlos Gardón, Katy Satué, Biotechnologies Applied to Animal Reproduction, 2020
Giovanni Gnemmi, Juan Carlos Gardón, Cristina Maraboli
The cyst of ovarian bursa is a pathology that does not seem to negatively affect the fertility of the cow. These are cystic formations of varying diameter (they can reach 10–15 cm in diameter), which form in the ovarian bursa and are clearly distinguished from the cystic degeneration of the ovary. Ultrasound diagnosis is relatively simple, but above all it allows a differential diagnosis with ovarian cysts.
Clinical efficacy of ultrasound-guided interventional therapy in patients with benign ovarian cysts: a meta-analysis
Published in Journal of Obstetrics and Gynaecology, 2023
Yukun Lu, Zuoxi He, Yuedong He
Ovarian cysts are a common benign gynaecological condition that is common in women of all ages. Most of these lesions are benign (Hizkiyahu et al.2020). The prevalence in premenopausal and postmenopausal women is 35% and 17%, respectively (Pavlik et al.2013). Some studies have shown that benign ovarian cysts may resolve spontaneously when they are <5 cm in diameter, but surgery may be an option for cysts >5 cm in diameter or larger and complex cysts (American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins-Gynecology 2016). If left untreated, the cyst may rupture due to torsion of the tip, resulting in an acute abdomen (Wang et al.2012). Currently, laparoscopic surgery is the gold standard for the treatment of benign ovarian cysts (Kostrzewa et al.2019). And several studies (Eltabbakh et al.2008) have confirmed the feasibility and safety of laparoscopic surgery for the treatment of large (≥10 cm) and benign ovarian cysts in women. Laparoscopy of benign ovarian cysts has been established as an alternative to open surgery; however, it also involves anaesthesia and hospitalization, and has some limitations, including ovarian cyst rupture, tumour overflow, incomplete tumour resection, trocar site metastasis, and direct cancer cell implantation (Tanaka et al.2008).
The rate of oocytes with granular cytoplasm is higher in women with endometrioma in ICSI cycles
Published in Journal of Obstetrics and Gynaecology, 2022
Bulent Emre Bilgic, Meryem Kurek Eken, Şule Ayla, Ayşe Kose, Tayfun Kutlu, Gülşah İlhan
The study material was obtained from 114 ICSI cycles, and in total 644 mature oocytes were included in the analysis. All participants underwent a general assessment (transvaginal ultrasound and blood tests) the month preceding the treatment cycle. The presence of ovarian cysts was systematically recorded at this baseline evaluation. The diagnosis of presumed endometrioma was made before starting the treatment cycle. Endometrioma was defined as a round-shaped cystic mass with a minimum diameter of 10 mm, with thick walls, regular margins, homogeneous low echogenic fluid content with scattered internal echoes and without papillary projections ( Benaglia et al. 2018). Lesions had to be documented at least twice at two months apart. Patients with previous surgical treatment for endometrioma pre-diagnosis, frozen embryo transfer cycles, cycles cancelled before oocyte retrieval due to poor response, uterine fibroids, polycystic ovary syndrome, previous oophorectomy or salpingectomy and doubtful cases (Benaglia et al. 2018) were excluded from the study.
Leak-proof technique in laparoscopic surgery for large ovarian cysts
Published in Journal of Obstetrics and Gynaecology, 2021
Ovarian cysts are one of most common gynaecologic tumours, and usually occurs in young women. With recent advances in surgical instrumentation and technique, benign cysts can be removed laparoscopically with excellent postoperative outcomes in most cases (Sisodia et al. 2015). However, large ovarian cysts preclude the laparoscopic surgery because the size of the cyst interferes with adequate visualisation of the pelvic anatomy and confines the mobilisation of laparoscopic devices. A more important concern is the inadvertent intraoperative rupture, resultant spillage, and dissemination of its contents with a probability of malignancy (Goudge et al. 2009; Kim et al. 2013). Therefore, a laparotomy with long midline incision is frequently performed to treat patients with extremely large ovarian cysts (diameter ≥15 cm) and subsequently causes more morbidity and unfavourable aesthetic outcome.