Sonographic depiction of ovarian vascularity and flow: current improvements and future applications.

The objective of this image presentation is to update the reader with the current clinical applications and future developments concerning the sonographic depiction of ovarian vascularity and flow. This topic is discussed and illustrated using numerous figures that show actual images and their histologic correlation as well as illustrative drawings of central concepts. Color Doppler sonography is an accurate means to depict ovarian vascularity and flow. This information can be used to detect ovarian cancer and adnexal torsion. Future developments include the use of sonographic contrast agents and three-dimensional imaging. This report describes the current state of the art regarding Color Doppler sonography of ovarian vascularity and flow. It also describes areas for future research and development.