Clinical usefulness of evaluation of quality parameters of blood flow: pulsation index and resistance index in the uterine arteries in the initial differential diagnostics of pathology within the endometrium

Detection of neoplastic changes in the pelvis minor in early stages is a critical prognostic factor for patients suffering from uterine carcinoma. Due to the problem presented, the evaluation of clinical usefulness of ultrasonographic examination including color Doppler in the process of detecting pathologic changes within the endometrium was the main aim of this paper. Quality parameters of blood flow in the uterine arteries, such as the pulsation index (PI) and resistance index (RI) were evaluated. A group of 100 female patients diagnosed with and treated for abnormal genital bleeding in the Clinic of Gynecological Surgery, Gynecological-Obstetrics Clinical Hospital, Poznan University of Medical Sciences from December 2005 until January 2007 constituted the subjects for this work. Analyzing patients with pathology of the endometrium, we obtained lower values of quality parameters of blood flow in the uterine arteries in comparison to the control group. Reduction of the resistance and pulsation indexes of the uterine arteries may be useful elements in the process of differentiating pathological changes within the endometrium.