Aim: To analyse sonological accuracy in defining various benign and malignant ovarian neoplasm with doppler and histopathological correlation.

Materials and Methods: The present prospective study was conducted in the Department Of Radio-Diagnosis, at Muzaffarnagar Medical College from April 2019 to September 2020. The study group was consisted of 30 patients, referred from Gynecology and Surgery Department for a period of 18 months, to evaluate ovarian neoplasms.

Results: Maximum subjects were in the age group of 41-50 years (30%) followed by 51-60 (26.67%) as well as 20-30 years (26.67%). Pain along with abdominal swelling was revealed in 63.3% of the subjects. Abdominal swelling and pain was reported among 13.3% and 23.3% of the subjects respectively. According to histopathological diagnosis; benign and malignant lesion was reported among 56.7% and 43.3% of the subjects respectively. Sensitivity, specificity, positive predictive value and negative predictive value of B Mode Ultrasonography was 92.80%, 51.74%, 55.80% and 93.08% respectively and sensitivity, specificity, positive predictive value and negative predictive value of Doppler flow was 93.50%, 90.60%, 88.85% and 92.50% respectively when histopathological diagnosis was considered as gold standard.

Conclusion: An area of overlap exists between the range of values of benign and malignant masses with both on morphologic as well as haemodynamic assessment. In the overall scenario, Doppler flow is more accurate followed by B mode USG in predicting the nature of a mass.