OBJECTIVES: To evaluate whether the Morphological Uterus Sonographic Assessment (MUSA) features of adenomyosis need to be better defined and, if deemed necessary, to reach consensus on the updated definitions. METHODS: A modified Delphi pr…
OBJECTIVE: To evaluate the diagnostic accuracy of transvaginal ultrasound (TVS) in predicting deep endometriosis (DE) following the International Deep Endometriosis Analysis (IDEA) consensus methodology. METHODS: This was an international …
Measuring vascularization in uterine fibroids is important for their diagnosis, treatment and prognosis. Vascularization can be measured by power Doppler ultrasound. The power Doppler signal depends on fibroid characteristics and on a varie…
Endometriosis is a chronic systemic disease that can cause pain, infertility and reduced quality of life. Diagnosing endometriosis remains challenging, which yields diagnostic delays for patients. Research on diagnostic test accuracy in end…
BACKGROUND: Three-dimensional ultrasound (3D-ultrasound) and elastography are imaging techniques facilitating the diagnosis of gynaecological diseases and uterine anomalies. These non-invasive ultrasound applications may be of important add…
Uterine disorders are often presented with overlapping symptoms. The microvasculature holds specific information important for diagnosing uterine disorders. Conventional sonography is an established diagnostic technique in gynecology, but i…
Ultrasound strain sonoelastography assesses tissue stiffness, adding supplemental information to real time dynamic transvaginal ultrasound. Stiffness shows as a colour quantitative elastogram superimposed on a B-mode image. It is a well-est…
BACKGROUND: Adenomyosis is a benign uterine disorder where endometrial glands and stroma are pathologically demonstrated within the uterine myometrium. The pathogenesis involves sex steroid hormone abnormalities, inflammation, fibrosis and …
Uterine contractions may affect the thickness and features of the myometrial wall as well as the shape of the uterine cavity. The transient nature of these changes can be appreciated during real-time two-dimensional ultrasound examination a…
Given the challenges of the current coronavirus (SARS-CoV-2) pandemic and to protect both patients and ultrasound providers (physicians, sonographers, allied professionals), the International Society of Ultrasound in Obstetrics and Gynecolo…
To assess the inter-observer agreement on the Morphological Uterus Sonographic Assessment (MUSA) features among experts and provide improved definitions of the features to facilitate diagnosing adenomyosis. A modified Delphi procedure among…
To evaluate the diagnostic accuracy of transvaginal ultrasound (TVS) to predict overall deep endometriosis (DE) and DE locations by applying the IDEA terminology. This was an international, multicentre prospective diagnostic accuracy study …
BACKGROUND: To illustrate the technical feasibility and diagnostic value of including the assessment of the bladder and the ureters during a standard transvaginal ultrasound examination. METHODS: We present four cases illustrating ureter a…
Contrast-enhanced ultrasound (CEUS) has the ability to visualise the microvasculature by means of intravascular contrast agents. The clinical added value of CEUS has been established in liver, kidney and cardiac imaging, but its value in gy…
To illustrate the technical simplicity and additional diagnostic value of looking at the bladder and the ureters during a standard transvaginal ultrasound examination. We present a case series illustrating ureter and bladder pathology diagn…
OBJECTIVE: To compare the value of using one-stop magnetic resonance imaging (MRI) vs standard radiological imaging as a supplement to transvaginal ultrasonography (TVS) for the preoperative assessment of patients with endometriosis referre…
This report describes a case of a uterine cystic myometrial lesion in a 16-year-old adolescent girl presenting with pelvic pain and severe progressively worsening dysmenorrhoea. Patient's symptoms, ultrasound and MRI were suggestive of juve…
OBJECTIVE: To generate guidance for detailed uterine niche evaluation by ultrasonography in the non-pregnant woman, using a modified Delphi procedure amongst European experts. METHODS: Twenty gynecological experts were approached through t…
STUDY QUESTION: What would be a potential impact of implementing the new ESHRE/European Society of Gynaecological Endoscopy (ESGE) female genital anomalies classification system on the management of women with previous diagnosis of arcuate …
In 2015, the international Morphological Uterus Sonographic Assessment (MUSA) group published a consensus on which terminology to use when describing myometrial lesions seen on ultrasonography1. The use of MUSA terminology to describe ultra…
Transvaginal ultrasonography has become the primary test in the diagnosis of pelvic endometriosis and adenomyosis. A review of the literature on the diagnostic accuracy of ultrasonography in pelvic endometriosis and adenomyosis, as well as …
An 85 year old female patient had a colonoscopy for bright red blood per rectum. She underwent a hysterectomy with pelvic lymphadenectomy for low grade endometrioid adenocarcinoma, stage Ic, 15 years ago. During sigmoidoscopy internal hemor…
To evaluate intra- and interobserver agreement in the reporting of ultrasonographic features associated with ill-defined lesions using the Morphological Uterus Sonographic Assessment (MUSA) terms. Multicentre clinical study, using three-dim…