Clinical Study on the Combined Application of Ultrasound Probes to Improve the Diagnostic Value of Adenomyosis at the Bottom of the Gallbladder

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This study evaluated combining convex, linear, and intracavitary ultrasonic probes for diagnosing gallbladder fundus adenomyosis, finding the combined approach significantly improves diagnostic accuracy.

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This clinical study evaluated whether combining three ultrasound probe types (convex array, linear array, and an intracavitary probe) improves detection of adenomyosis at the gallbladder fundus in 121 outpatients with suspected gallbladder adenomyosis, using measurements and characterization of lesion thickness, length, and internal echo features. The convex array probe detected adenomyosis in 87 cases, while 34 were negative, whereas the combined probes detected adenomyosis in 102 cases with 19 negative results, with concordant positivity/negativity in 77 and 9 cases (P = 0.018). The paper’s main limitation is that it reports diagnostic counts and concordance without detailing an independent reference standard or diagnostic accuracy metrics like sensitivity/specificity. This paper is centrally about adenomyosis detection using combined ultrasound probes focused on lesions at the gallbladder fundus, which relates to adenomyosis research in a diagnostic-imaging context, though not uterine endometriosis/adenomyosis.

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Abstract

Hong-Ying Ma,1 Tao Wu,1 Guo-Mei Yin,1 Ya-Hui Ma,1 Qing Wang,1 Xiao-Yu Zhao,2 Yi-Yan Lu3 1Department of Ultrasound, Aerospace Center Hospital, Beijing, 100049, People’s Republic of China; 2Department of Ultrasound, Yixian Hospital of Traditional Chinese Medicine, Baoding, 074200, People’s Republic of China; 3Department of Pathology, Aerospace Center Hospital, Beijing, 100049, People’s Republic of ChinaCorrespondence: Yi-Yan Lu, Department of Pathology, Aerospace Center Hospital, No. 15 Yuquan Road, Haidian District, Beijing, 100049, People’s Republic of China, Tel +86 18910272558, Email [email protected]: This study aims to assess the diagnostic efficacy of using a combination of ultrasonic probes including convex array probe, linear array probe, and intracavitary probe, for the detection of adenomyosis at the gallbladder fundus.Methods: A total of 121 outpatients with suspected diagnosis of gallbladder adenomyosis were enrolled in this study. All patients underwent conventional ultrasound examination of gallbladder floor with convex array probe, linear array probe and intraluminal probe. The thickness, length and internal echo characteristics of the lesions were recorded in detail.Results: The mean size of adenomyosis at the gallbladder fundus was found to be 1.177 ± 0.775 cm across the 121 individuals studied. The convex array probe successfully detected adenomyosis in 87 cases, while 34 cases returned negative results. The combined probes identified adenomyosis in 102 cases, with 19 cases yielding negative results. Both types of probes were concordantly positive in 77 cases and concordantly negative in 9 cases (P = 0.018).Conclusion: The combined use of different ultrasonic scanning probes—convex array probe, linear array probe, and intracavitary probe—significantly enhances the diagnostic accuracy for adenomyosis at the gallbladder fundus, demonstrating significant clinical utility.Keywords: adenomyosis, combined application of ultrasonic probe, convex array probe, intracavitary probe, linear array probe, gallbladder fundus
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Journal of Multidisciplinary Healthcare (Aug 2025) Clinical Study on the Combined Application of Ultrasound Probes to Improve the Diagnostic Value of Adenomyosis at the Bottom of the Gallbladder Abstract Hong-Ying Ma,1 Tao Wu,1 Guo-Mei Yin,1 Ya-Hui Ma,1 Qing Wang,1 Xiao-Yu Zhao,2 Yi-Yan Lu3 1Department of Ultrasound, Aerospace Center Hospital, Beijing, 100049, People’s Republic of China; 2Department of Ultrasound, Yixian Hospital of Traditional Chinese Medicine, Baoding, 074200, People’s Republic of China; 3Department of Pathology, Aerospace Center Hospital, Beijing, 100049, People’s Republic of ChinaCorrespondence: Yi-Yan Lu, Department of Pathology, Aerospace Center Hospital, No. 15 Yuquan Road, Haidian District, Beijing, 100049, People’s Republic of China, Tel +86 18910272558, Email [email protected]: This study aims to assess the diagnostic efficacy of using a combination of ultrasonic probes including convex array probe, linear array probe, and intracavitary probe, for the detection of adenomyosis at the gallbladder fundus.Methods: A total of 121 outpatients with suspected diagnosis of gallbladder adenomyosis were enrolled in this study. All patients underwent conventional ultrasound examination of gallbladder floor with convex array probe, linear array probe and intraluminal probe. The thickness, length and internal echo characteristics of the lesions were recorded in detail.Results: The mean size of adenomyosis at the gallbladder fundus was found to be 1.177 ± 0.775 cm across the 121 individuals studied. The convex array probe successfully detected adenomyosis in 87 cases, while 34 cases returned negative results. The combined probes identified adenomyosis in 102 cases, with 19 cases yielding negative results. Both types of probes were concordantly positive in 77 cases and concordantly negative in 9 cases (P = 0.018).Conclusion: The combined use of different ultrasonic scanning probes—convex array probe, linear array probe, and intracavitary probe—significantly enhances the diagnostic accuracy for adenomyosis at the gallbladder fundus, demonstrating significant clinical utility.Keywords: adenomyosis, combined application of ultrasonic probe, convex array probe, intracavitary probe, linear array probe, gallbladder fundus

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