Monday, January 8, 2018

Photo of the day: Three-dimensional sonography-based automated follicle count (SonoAVC) in polycystic ovarian morphology

Automated Volume Count software in three-dimensional volume of left ovary, depicting 67 antral follicles
Three-dimensional Sonography-based Automated Volume Count, GE Medical Systems (SonoAVC) could be a useful adjunct for follicular monitoring in patients with Polycystic ovarian syndrome (PCOS), with a significant saving in time and an accurate prediction over manual counts. 


SonoAVC was introduced in 2008 (GE Medical Systems, Zipf, Austria), and automatically identifies and counts follicles in a given ovarian volume because of hypoechoic nature against hyperechoic ovarian tissue background.

SonoAVC software is either integrated into the ultrasound device or it can be installed separately on a PC for the offline analysis of data sets obtained using an ultrasound device from the same manufacturer. Each volume has its own color, making SonoAVC an ideal tool for studying follicular development within the ovary.

Here is a beautiful picture of the day published on January 3, 2018 in the Journal Ultrasound in Obstetrics and Gynecology, which depicts the stark contrast between Grayscale two-dimensional ultrasound images showing follicles vs. automated follicle counting using Sonography-based Automated Volume Count software in three-dimensional volume of left ovary, depicting 67 antral follicles.  

Grayscale two-dimensional ultrasound images showing follicles


automated follicle counting using Sonography-based Automated Volume Count software

• A transvaginal ultrasound is performed using a 3D imaging probe (RIC 5-9 or RIC 6-12)
• Optimize the gain and harmonics for optimum image quality
• Select 3D imaging mode, adjust quality settings
• Adjust volume angle to include entire ovary and acquire volume
• Adjust 3D box over area of interest
• Select SonoAVC to evaluate the ovarian follicles
• Increase or decrease growth or follicular separation
• Select follicles manually if they are not identified
• Display report and chart

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