Transvaginal Ultrasound in the Diagnosis of Diffuse Adenomyosis
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Transvaginal ultrasound demonstrated 86.6% sensitivity and 96.2% specificity for diagnosing diffuse adenomyosis in women undergoing hysterectomy for benign uterine pathology.
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Abstract
The purpose of this study is to evaluate the diagnostic capability of transvaginal ultrasound in detecting diffuse adenomyosis. One hundred and seventy-five women, mean age 45.8 years (range 37-62), were studied by TV ultrasound before hysterectomy for benign uterine pathology. The sonographer diagnosed adenomyosis in 19 patients, whereas the pathologist diagnosed adenomyosis in 15 women making ex novo diagnoses in 2 cases. The sensitivity of TV ultrasound was 86.6%, the specificity 96.2%, the positive predictive value 68.4%, and the negative predictive value 98%. In conclusion, this study showed that TV ultrasound is an important and advanced tool in the diagnosis of diffuse adenomyosis.
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Cited by (43)
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- Diagnostic Accuracy of Transvaginal Ultrasound and Magnetic Resonance Imaging for Adenomyosis 2021
- Question Mark Sign and Transvaginal Ultrasound Uterine Tenderness for the Diagnosis of Adenomyosis 2020
- Magnetic resonance imaging features influencing high-intensity focused ultrasound ablation of adenomyosis with a nonperfused volume ratio of ≥90% as a measure of clinical treatment success: retrospective multivariate analysis 2018
- The role of T1 perfusion-based classification in predicting the outcome of magnetic resonance-guided high-intensity focused ultrasound treatment of adenomyosis 2017
- Abnormal uterine bleeding in perimenopausal women: Correlation with sonographic findings and histopathological examination of hysterectomy specimens 2016
- The Incidence and Clinical Significance of Adenomyosis 2015
- Accuracy of Hysteroscopic Endomyometrial Biopsy in Diagnosis of Adenomyosis 2015
- Preoperative and Postoperative Clinical and Transvaginal Ultrasound Findings of Adenomyosis in Patients With Deep Infiltrating Endometriosis 2014
- Role of levonorgestrel-releasing intrauterine system in dysmenorrhea due to adenomyosis and the influence on ovarian function 2014
- Effects of the levonorgestrel-releasing intrauterine system on urinary symptoms in patients with adenomyosis 2013
- Ultrasound diagnosis of adenomyosis, leiomyoma, or combined with histopathological correlation 2013
- Analyse von Nervenfasern und Nervenwachstumsfaktoren in der Adenomyose 2013
- Norethindrone Acetate in the Medical Management of Adenomyosis 2012
- Association between etiopathogenesis of morbidly adherent placenta and adenomyosis 2012
- Adenomyosis and subfertility: a systematic review of prevalence, diagnosis, treatment and fertility outcomes 2012
- Elastosonography: a possible new tool for diagnosis of adenomyosis? 2011
- Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy 2010
- Transvaginal Sonographic Criteria for the Diagnosis of Adenomyosis Based on Histopathologic Correlation 2010
- The accuracy of transvaginal ultrasound and uterine artery Doppler in the prediction of adenomyosis 2010
- Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis 2009
- Adenomyose 2008
- The LNG-IUS study on adenomyosis: a 3-year follow-up study on the efficacy and side effects of the use of levonorgestrel intrauterine system for the treatment of dysmenorrhea associated with adenomyosis 2008
- Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities 2008
- Transvaginal ultrasound or MRI for diagnosis of adenomyosis 2007
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- Transvaginal sonography in the diagnosis of adenomyosis: which findings are most accurate? 2007
- Imaging in gynecology 2006
- Therapeutic options for adenomyosis: a review 2006
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- The role of ultrasound in the management of women with acute and chronic pelvic pain 2004
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- The role of ultrasound in the management of menorrhagia 2003
- Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation 2002
- Sonographic Findings in Patients with Adenomyosis: Can Sonography Assist in Predicting Extent of Disease? 2002
- Improved Sonographic Accuracy in the Presurgical Diagnosis of Diffuse Adenomyosis 2002
- A case notes analysis of hysterectomy performed for non-neoplastic indications at Liaquat National Hospital, Karachi. 2001
- Magnetic resonance imaging and transvaginal ultrasonography for the diagnosis of adenomyosis 2001
- Diagnostic et suivi de l’endométriose en consultation : nouveautés 2001
- Medical treatment of a grossly enlarged adenomyotic uterus with the levonorgestrel-releasing intrauterine system 1999
- Transvaginal ultrasound in the diagnosis of diffuse adenomyosis 1998
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