The Diagnostic Value of MRI in the Adenomyosis

Objective Analysis on the performance of uterine adenomyosis in MRI,Analysis on the clinical symptom of uterine adenomyosis and the relationship between theuterine adenomyosis and CA125,PRL,to improve the diagnostic accuracy of adenomysosis. Methods A retrospective analysis of 62 cases of the patients with uterine adenomyosis between January 2011 and June 2011, including MRI and clinical data,57 cases confirmed by surgery pathology,5 cases through interventional embolization of symptoms after surgery. Results In 62 cases,diffuse uterine adenomyosis 45 cases,linited type of 17 cases of uterine adenomyosis. Diffuse expression is more diffuse enlargement of uterus,belt thickening,and is no clear boundary between muscular layer and slightly low signal in T2 WI,T1WI signal,high signal in multiple point,is snow change;Limited type of uterine limitations may be enlarged,and the corresponding belt thickening,and is no clear boundary between muscular layer and slightly low signal in T2 W,T1W,such as signal,the sigal can be uniform or non-uniform,uneven for multiple point in high signal.Major clinical manifestations in the uterus increases(55/62,88.7%), progressive dysmenorrhea(48/62,77%),menstrual abnormalities(25/62,40%),abdominal pain(20/62,32%) and infertility(10/62,16%).CA125,PRL secretion increased,uterine adenomyosis patients may be associated with the pathogenesis of uterine adenomyosis. Conclusion MRI in the diagnosis of uterine adenomyosis has high clinical value to diagnosis uterine adenomyosis;Preoperative CA125 and elevated PRL helps to imrove the accurate of uterine adenomyosis.