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Color doppler blood flow analysis in circumscribed choroidal hemangioma
Lídia Guedes Bezerra1, Maira Saad de Avila Morales1, Maria Helena Mandello Carvalhaes Ramos1
1Department of Ophthalmology & Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Arquivos Brasileiros De Oftalmologia
|January 29, 2025
Summary
Color Doppler ultrasound effectively detects internal blood flow in circumscribed choroidal hemangiomas, regardless of prior treatment. This imaging technique aids in diagnosing these vascular tumors.
Area of Science:
- Ophthalmology
- Medical Imaging
- Vascular Biology
Background:
- Circumscribed choroidal hemangiomas are benign vascular tumors.
- Accurate diagnosis and assessment of vascularity are crucial for management.
- Color Doppler ultrasound is a non-invasive imaging modality.
Purpose of the Study:
- To evaluate the efficacy of color Doppler ultrasound in detecting internal blood flow within circumscribed choroidal hemangiomas.
- To determine if treatment status affects the detection of blood flow.
Main Methods:
- A cross-sectional study involving seven participants with circumscribed choroidal hemangiomas.
- B-scan ultrasound and color Doppler imaging were utilized.
- Assessment included lesion dimensions, location, and internal vascular flow.
Main Results:
- Color Doppler detected internal vascular flow in 100% of the evaluated circumscribed choroidal hemangiomas.
- Lesions averaged a diameter/thickness ratio >2 mm and thickness <5 mm.
- Predominant lesion locations were superior and supero-temporal.
Conclusions:
- Color Doppler ultrasound is a reliable method for detecting internal blood flow in circumscribed choroidal hemangiomas.
- The detection of blood flow by color Doppler is not influenced by the patient's treatment history.

