ABSTRACT
Objective: The aim of this study was to evaluate postmenopausal endometrial polyp (EP) and submucosal myoma (SMM) vascularity with two-dimensional transabdominal ultrasonography (TAUSG) - Superb Microvascular Imaging (SMI) Doppler and to correlate with histopathological findings. Material and Methods: 11 cases with postmenopausal bleeding and increased endometrial thickness were included in the study. Endometrial vascularity was assessed by TAUSG with conventional and SMI Doppler and Vascularity Index (VI) was calculated. The number of vessels and histopathological findings were correlated. Results: VI was 0.2 (0-2) ± 0.6 in conventional colour Doppler, 0.2 (0-2) ± 0.6 in power Doppler, 2.5 (0-8) ± 3 in colour-SMI and 3.8 (0-12) ± 4.2 in monochrome SMI. VI was found to be significantly lower in the traditional Doppler group than the SMI Doppler group (p=0.018). Pathological examination revealed EP in 8 patients (72.7%) , SMM in three patients (27.2%).In the comparison of the number of vessels observed in the VI and pathological sections, the rate of capturing the vessels was significantly lower in the traditional, colour and monochrome SMI Doppler groups (p=0.03, p=0.07, p=0.016). In the correlation between Body Mass Index and VI, VIs were found to be low in all cases and there were no statistically significant differences between the traditional, colour and monochrome SMI Doppler measurements and weight measurements (p=0.2273, p=0.848, p=0.999). Conclusion: We found that TAUSG-SMI Doppler may be not enough for imaging of lesion vascularity. Uterus is a deeply located organ so trans abdominal route may be not be a proper option in overweight women.