Noninvasive Diagnosis of Adenomyosis: Magnetic Resonance Imaging (MRI)
Magnetic resonance imaging is a second-line diagnostic tool for adenomyosis, requiring technical expertise and revealing specific markers like signal spots, cysts, and junctional zone indentations on T2W sequences.
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This chapter reviews the role of magnetic resonance imaging (MRI) as a second-line, noninvasive diagnostic modality for adenomyosis when transvaginal ultrasound lacks sufficient diagnostic certainty, emphasizing that high-resolution imaging and low susceptibility to artifacts are key advantages. It describes commonly used MRI diagnostic markers, including high-intensity signal spots, cysts, and indentations at the endometrial-myometrial junction, as well as diffusely demarcated low-intensity areas on T2-weighted sequences, with hemorrhagic components identifiable on T1-weighted sequences. The chapter notes that achieving optimal diagnostic reliability requires meeting technical requirements and having expertise in interpreting adenomyosis MRI features. Relevance to endometriosis: the paper is in a Springer volume titled “Endometriosis and Adenomyosis” and discusses imaging diagnosis within that broader pelvic disease context, though its main focus is specifically adenomyosis MRI criteria.
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References (26)
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