Automated Follicle Monitoring in Ovarian Assessment

Summary

Ovarian assessment traditionally relies on two-dimensional transvaginal ultrasound and serum hormone measurements, yet these approaches suffer from operator variability and limited reproducibility. Automated follicle monitoring harnesses advances in three-dimensional imaging, software-driven volume rendering and Doppler flow analysis to deliver standardised measurements of follicle number, size and vascularisation. These technologies correlate strongly with biochemical markers such as anti-Müllerian hormone and follicle-stimulating hormone, offering streamlined, objective evaluation of ovarian reserve. By reducing scan time and observer bias, automated systems support tailored stimulation protocols, improve clinical workflow in assisted reproduction and enhance prognostic accuracy for patients worldwide.

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Automated Follicle Monitoring in Ovarian Assessment publication trend

The graph below shows the total number of articles in automated follicle monitoring in ovarian assessment across all publications each year (not limited to Nature Index journals).

Technical terms

Sonography-based Automated Volume Count (SonoAVC): Software that automatically identifies, segments and quantifies follicle volumes from three-dimensional ultrasound datasets.

Antral Follicle Count (AFC): The number of small (2–10 mm) follicles visible on ultrasound, used as a key indicator of ovarian reserve.

Three-dimensional Power Doppler Ultrasound (3D-PD-US): An imaging modality combining volumetric ultrasound with Doppler to visualise and quantify blood flow within ovarian structures.

Vascularization Index (VI): A metric representing the proportion of vascularised tissue within a three-dimensional volume, reflecting blood vessel density.

Anti-Müllerian Hormone (AMH): A glycoprotein hormone secreted by granulosa cells of pre-antral and small antral follicles, serving as a serum biomarker of ovarian reserve.

References

  1. Value of Three-Dimensional Power Doppler Ultrasound in Quantitative Assessment of Early Diminished Ovarian Reserve During Perimenopause. Clinical and Experimental Obstetrics & Gynecology (2024).
  2. The Value of Automated Follicle Volume Measurements in IVF/ICSI. Frontiers in Surgery (2014).
  3. Evaluation of three-dimensional SonoAVC ultrasound for antral follicle count in infertile women: its agreement with conventional two-dimensional ultrasound and serum levels of anti-Müllerian hormone. Reproductive Biology and Endocrinology (2017).
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