MODERN ULTRASOUND CAPABILITIES IN THE DIAGNOSIS OF UTERINE FIBROIDS: 2D, 3D AND DOPPLER ULTRASOUND

Abstract

Uterine fibroids are one of the most common benign tumors of the female reproductive system, occurring, according to various authors, in 20–40% of women of reproductive age (Stewart E.A., 2020). Fibroids occupy a leading position in the structure of gynecological morbidity and remain the main cause of surgical interventions in women over 35 years of age. Modern diagnostics of uterine fibroids is unthinkable without the use of ultrasound methods. Ultrasound is the "gold standard" for the primary detection of fibroid nodes, allowing one to determine their location, size, number, blood supply, and assess growth dynamics. According to a study by Salim R. et al. (2018), the diagnostic accuracy of 3D ultrasound in assessing submucosal fibroids is 94–96%, which is significantly higher compared to the 2D method (approximately 80%). Thus, the relevance of this topic is determined by the need for a comprehensive approach to ultrasound diagnostics of uterine fibroids using both 2D and 3D modes, as well as Doppler technologies.