{"paper_id":"c849fafd-fac3-474d-bed9-e54f4d969d38","body_text":"Abstract\nThe aim of this chapter is to overview the normal anatomy of the uterus and the diagnosis and classification of uterine fibroid by MRI, CT, and ultrasonography. All types of fibroids are modified per focused ultrasound ablation procedure, and the MR imaging with different sequences of each type is given, especially for broad ligament fibroid and adenomyomatosis, emphasizing the differential diagnosis between the benign uterine diseases (endometrial polyps, fibroids, adenomyosis, etc.) and the malignant uterine diseases (cervical carcinoma, endometrial carcinoma, and uterine sarcoma). The ultrasound and CT findings of uterine fibroids and their special types with differential diagnoses are described.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nMunro MG, Critchley HO, Broder MS, et al. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3–13.\nThe diagnosis and treatment of uterine fibroids by Chinese experts consensus expert group. Chin J Obstet Gynecol. 2017;12(52):793–800.\nZhao WP, Chen JY, Zhang L, et al. Feasibility of ultrasound-guided high intensity focused ultrasound ablating uterine fibroids with hyperintense on T2-weighted MR imaging. Eur J Radiol. 2013;82(1):e43–9.\nYamashita Y, Torashima M, Takahashi M, et al. Hyperintense uterine leiomyoma at T2-weighted MR imaging: differentiation with dynamic enhanced MR imaging and clinical implications [J]. Radiology. 1993;189(3):721–5.\nOguchi O, Mori A, Kobayashi Y, et al. Prediction of histopathologic features and proliferative activity of uterine leiomyoma by magnetic resonance imaging prior to GnRH analogue therapy: correlation between T2 weighted images and effect of GnRH analogue. J Obstet Gynaecol. 1995;21(2):107–17.\nShuo X, Lin Z. Clinical analysis of 42 cases of uterine fibroid red degeneration associated abdominal pain during pregnancy. J Clin Military Med. 2017;45(8):845–7.\nHuan J, Zhang B, Zhang W, et al. CT diagnosis and differential diagnosis of huge subserous hysteromyoma. J Practical Radiol. 2010;26(9):1308–11.\nYen P, Khong K, Lamba R, et al. Ovarian fibromas and fibrothecomas: sonographic correlation with CT and MRI. J Ultrasound Med. 2013;32:13–8.\nDing CQ, Shi ZW, Dai XY. CT diagnosis of primary malignant ovarian tumors. J Chin Pract Diagnosis Ther. 2006;20(4):263–4.\nPannu HK, Corl FM, Fishman EK. CT evaluation of cervical cancer: spectrum of disease. Radiographics. 2001;21(5):1155–68.\nHusband JE. CT/MRI of nodal metastases in pelvic cancer. Cancer Imaging. 2002;2:123–9.\nRobbins JBB, et al. ACR appropriateness criteria® abnormal uterine bleeding. J Am Coll Radiol. 2020;17(11s):S336–45.\nWoźniak A, Woźniak S. Ultrasonography of uterine fibroids. Prz Menopauzalny. 2017;16(4):113–7.\nTimmerman D, et al. The pedicle artery sign based on sonography with color doppler imaging can replace second-stage tests in women with abnormal vaginal bleeding. Ultrasound Obstet Gynecol. 2003;22(2):166–71.\nMurray HL, Glynn E. A case of complete fibromyomatosis of the corpus uteri. J Obstet Gynecol Br Emp. 1924;31:398–401.\nLapan B, Solomon L. Diffuse fibroidtosis of the uterus precluding myomectomy. Obstet Gynecol. 1979;53:82–4.\nSakhel K, Abuhamad A. Sonography of adenomyosis. J Ultrasound Med. 2012;31:805–8.\nAuthor information\nAuthors and Affiliations\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.\nAbout this chapter\nCite this chapter\nYang, L., Wong, F., Cheng, Y., Yang, Q.S., Fu, Z., Sun, L. (2023). Imaging Diagnosis of Uterine Fibroids. In: Xu, Y., Yang, L., Wong, F. (eds) Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-19-7180-8_2\nDownload citation\nDOI: https://doi.org/10.1007/978-981-19-7180-8_2\nPublished:\nPublisher Name: Springer, Singapore\nPrint ISBN: 978-981-19-7179-2\nOnline ISBN: 978-981-19-7180-8\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}