What are the most reliable signs for the radiologic diagnosis of uterine adenomyosis? An ultrasound and MRI prospective

Ahmed Hamimi
In: The Egyptian Journal of Radiology and Nuclear Medicine · 2015 · vol. 46(4) , pp. 1349–1355 · doi:10.1016/j.ejrnm.2015.09.007 · W1826342087
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Transvaginal ultrasound's heterogeneous myometrium and ill-defined endometrial–myometrial interface, and MRI's widened junctional zone and heterogeneous myometrium are statistically significant indicators of uterine adenomyosis.

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Abstract

Aim of the work was to revise the literature to define the most appropriate signs for diagnosis of uterine adenomyosis using transvaginal ultrasound (TVUS) and MRI and what of those signs are more specific/sensitive for the diagnosis of such common condition in actual practice and in our community. Patients and methods: A retrospective study. Within three year period 60 women were referred to the radiology department; among which 45 cases were clinically diagnosed uterine adenomyosis. The diagnosis was established by hysterectomy in 5 cases, hysteroscopy in 30 cases and clinic-radiological consensus in 10 cases. Results: In 9 out of 45 cases the adenomyosis was focal while in the rest of cases it was diffuse. We can conclude from the tables that regarding ultrasound, heterogeneous myometrium and ill definition of endometrial–myometrial interface are statistically significant good indicator for the diagnosis of adenomyosis. Considering MRI, widened junctional zone and heterogeneous myometrium are statistically significant better indicators of adenomyosis. Conclusions: MRI is superior to sonography in the diagnosis of uterine adenomyosis though we still recommend to start with the latter owing to its availability.

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adenomyosis

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