Ultrasonographic Visualization of the Ovaries to Detect Ovarian Cancer According to Age, Menopausal Status and Body Type

Edward J. Pavlik, Emily Brekke, Justin Gorski, Lauren Baldwin-Branch, Rachel Miller, Christopher P. Desimone, Charles S. Dietrich, Holly S. Gallion, Frederick Rand Ueland, John R. van Nagell

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Because the effects of age, menopausal status, weight and body mass index (BMI) on ovarian detectability by transvaginal ultrasound (TVS) have not been established, we determined their contributions to TVS visualization of the ovaries. A total of 29,877 women that had both ovaries visualized on their first exam were followed over 202,639 prospective TVS exams. All images were reviewed by a physician. While visualization of both ovaries decreased with age, one or both ovaries could be visualized in two of every three women over 80 years of age. Around 93% of pre-menopausal women and ~69% of post-menopausal women had both ovaries visualized. Both ovaries were visualized in ~72% of women weighing over 300 lbs. and in ~70% of women with a BMI over 40. Conclusions: Age had the greatest influence on the visualization of the ovaries. The ovaries can be visualized well past the menopause. Body habitus was not limiting to TVS ovarian imaging, and TVS should be considered capable of imaging one or both ovaries in two of every three women over 80 years of age. Thus, older and obese patients remain good candidates for TVS exams.

Original languageEnglish
Article number128
JournalDiagnostics
Volume12
Issue number1
DOIs
StatePublished - Jan 2022

Bibliographical note

Funding Information:
Acknowledgments: We acknowledge the participation of women in the Kentucky Extension Homemakers Association and their financial support.

Funding Information:
Funding: This research was funded by the Kentucky Department of Health and Human Services grant number 202007161438 and the Telford Foundation.

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Age
  • BMI
  • Body type
  • Detection
  • Menopausal status
  • Ovary
  • Transvaginal ultrasound
  • Visualization
  • Weight

ASJC Scopus subject areas

  • Clinical Biochemistry

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