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Gynecological ultrasonography

Ultrasonography is a harmless and painless but very informative diagnostic procedure in which harmless high-frequency sound waves (ultrasound) are used to obtain images. With this examination, it is possible to evaluate the structure of various organs and soft tissues. Ultrasonography is a quick examination that can also be used by pregnant women without risk.

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Gynecological ultrasonography: allows detection of women's gynecological diseases.

Performed by dr. R. Ozoliņa, gynecologists-obstetrics specialists dr. J. Iljenkovs, dr. R. Parādnieks.


Pregnancy ultrasonography: in the first, second and third trimesters of pregnancy. Helps early detection of possible complications of pregnancy, as well as congenital fetal pathologies. Performed by dr. R. Ozoliņa.

 

Preparation for the examination: For gynecological and pregnancy ultrasonography, no special preparation is required.

Ģinekoloģiska ulatrasonogrāfija

Ultrasonography of mammary glands

Ultrasonography of mammary glands

Ultrasonography of mammary glands uses ultrasound waves to obtain images of the internal structures of the glands. It is used as an auxiliary diagnostic method in cases where formations or other deviations from the norm are found in an X-ray examination (mammogram), magnetic resonance examination or physical examination. Ultrasonography is a safe and non-invasive examination method that does not use radiation.

Ultrasonography is a good way of examining breast tissue, but it does not replace mammography with tomosynthesis, either in terms of sensitivity or specificity.

Many types of breast cancer are not visible on ultrasound. Many structures that can be seen on x-ray or magnetic resonance imaging are not visible on ultrasonography.

In what cases is breast ultrasonography used?
  • It is necessary to diagnose an unclear palpatory finding, for example, a dense formation in the mammary gland or discharge from the nipple.

  • It is necessary to better evaluate formations found during mammography or magnetic resonance of the mammary glands.

  • It is necessary to distinguish a dense formation from a cavity or liquid-containing formation.

  • It is necessary to examine pregnant women who should not undergo mammography.

  • It is necessary to examine women with dense mammary glands.

  • It is necessary to perform a biopsy of the breast formation.

  • It is the examination method of choice after breast implant placement operations, especially in cases of their damage.

  • For women over 25, breast ultrasonography is usually performed after a mammogram or other examination, but for women younger than 25 with small breasts, breast sonography is usually the first choice.

Breast ultrasonography is recommended as the primary examination method:
  • For pregnant women

  • For women with breast implants

  • For women younger than 25 with small breasts

 
Advantages of breast ultrasonography:
  • Ultrasonography is a non-invasive examination method (no injections, no needles).

  • Sometimes discomfort may appear during it, but it is temporary.

  • Ultrasound examinations are very safe and do not use radiation.

  • During ultrasonography, you can better examine soft tissues that cannot be seen as well with X-rays.

  • Ultrasonography can help better examine women with dense breast tissue.

  • Ultrasonography can help to see and investigate masses that cannot be properly interpreted by mammography.

  • The mammary glands can be examined in their entire extent.

  • .

How will the examination look like?
  • No special preparation is required for this examination. As you will need to remove your necklaces and remove your clothes to the waist before the examination, please wear something comfortable.

  • Ultrasonography is usually quick, easy and painless.

  • The examination usually lasts 30 minutes.

  • If the doctor uses Doppler ultrasonography, you will hear a louder, pulsating sound during the examination.

  • During the examination, the doctor may ask you to change your body position.

  • After the examination, you can immediately resume your daily activities.

Ultrasonography of mammary glands is performed by Dr. Zane Verdina
Krūšu dziedzeru ultrasonogrāfija

Dopplerography of blood vessels of the head and neck

Vascular dopplerography is vascular ultrasonography, during which the direction and speed of blood flow in the blood vessels is evaluated. Vascular dopplerography (or duplex dopplerography) is necessary in the diagnosis of various acquired and congenital vascular anomalies. The examination allows the detection of blood vessel narrowings, blockages, atypical curvatures, deformations, areas affected by atherosclerosis, aneurysms, varicose veins or dilated veins, venous blood return disorders, venous thrombosis, etc. pathologies, allows to evaluate the thickness, shape, homogeneity, diameter and mobility of blood vessel walls.

 

Dubultu Doktorāts performs duplex dopplerography examination with the latest generation equipment for head and neck or brachiocephalic blood vessels, as well as veins and arteries of arms and legs.

 

When is it needed?


The main indication for head and neck blood vessels is the assessment of blood flow in the carotid arteries. Early detection of carotid artery stenosis can help reduce the risk of stroke in the future. Other stroke risk factors are: arterial hypertension, diabetes, hyperlipidemia, unfavorable heredity.

Duplex dopplerography of the head and brachiocephalic vessels is also indicated in the following cases:

  • After carotid endarterectomy and stenting;

  • Before planned heart surgery;

  • In case of chronic headaches;

  • If there is a difference in blood pressure in both upper extremities;

  • If tumor-like formations in the neck have been detected;

  • For patients after a stroke;

  • After head or neck injuries;

  • After losing consciousness;

  • If there are complaints of dizziness or noises in the head or ears;

  • For patients suffering from spondylosis of the cervical spine;

 

How is a head and brachiocephalic artery scan performed?


Duplex dopplerography of the head and brachiocephalic arteries is performed with the patient in the supine position. A special gel is applied to the skin of the area to be examined, which helps guide the ultrasound signal, and the doctor, using a special ultrasound probe, conducts the examination by guiding the probe along the skin of the head and neck. Thus, images of blood vessels are obtained on the screen of the ultrasound machine, as well as data on the direction and strength of blood flow in them.

Head and neck vascular dopplerography is performed by Dr. Veiss, Dr. Krauce

Dupleksdoplerogrāfija (Galvas un kakla asinsvadu doplerogrāfija).

Dopplerography of the blood vessels of the lower extremities

Vascular dopplerography is vascular ultrasonography, during which the direction and speed of blood flow in blood vessels is evaluated. Vascular dopplerography (or duplex dopplerography) is necessary in the diagnosis of various acquired and congenital vascular anomalies. The examination allows the detection of blood vessel narrowings, blockages, atypical curvatures, deformations, areas affected by atherosclerosis, aneurysms, varicose veins or dilated veins, venous blood return disorders, venous thrombosis, etc. pathologies, allows to evaluate the thickness, shape, homogeneity, diameter and mobility of blood vessel walls.

Dubultu Doktorāts performs duplex dopplerography examination with the latest generation equipment for head and neck or brachiocephalic blood vessels, as well as veins and arteries of arms and legs.

We examine:
  • trunk blood vessels (abdominal aorta, renal arteries, pelvic arteries and veins);

  • arteries of the legs;

  • leg veins;

When it is needed?

Duplex Doppler examination is especially necessary before vein surgery to determine the source of the disease, the site of reflux (retrograde blood flow), the diameter and length of the damaged venous segment. Only after a thorough duplex doppler examination can the operation be properly planned.

Duplex dopplerography of the legs is also indicated in the following cases:
  • Diabetics are advised to do it once a year;

  • Patients with complaints of chronic unpleasant sensations in the legs - regular tingling, pain, coldness, swelling, leg fatigue, restless legs syndrome, etc.

  • For the assessment of atherosclerotic changes in elderly people.

  • In congenital pathologies.

  • Vascular blockages and their degree would be evaluated, blood clots could be detected.

  • Evaluate blood vessels after performed operations, incl. stenting and bypassing.

How is duplex dopplerography of the lower extremities performed?

Duplex dopplerography of the legs is performed while the patient is sitting or lying down. A special gel is applied to the skin of the area to be examined, which helps guide the ultrasound signal, and the doctor, using a special ultrasound probe, conducts the examination by guiding the probe along the skin. Thus, images of blood vessels are obtained on the screen of the ultrasound machine, as well as data on the direction and strength of blood flow in them.

The dopplerography of the blood vessels of the lower extremities is performed by Dr.Pastars

Limfatiskas slimības (Vēnu duplekssonogrāfija)
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