Accuracy and Reproducibility of Sonoelastography for the Assessment of Fibroids and Adenomyosis, with Magnetic Resonance Imaging as Reference Standard
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This study evaluated the accuracy and reproducibility of sonoelastography for assessing uterine fibroids and adenomyosis, using magnetic resonance imaging as the reference standard.
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Abstract
The aims of this prospective diagnostic evaluation study were (i) to estimate the inter-observer agreement and reproducibility of real-time sonoelastography and real-time gray-scale ultrasound in the measurement of uterine and fibroid volumes; (ii) to evaluate the agreement between real-time gray-scale ultrasound, sonoelastography and magnetic resonance imaging with respect to these outcomes; and (iii) to evaluate the diagnostic accuracy of sonoelastography in the diagnosis of uterine pathology on stored sonoelastography and gray-scale cine loops. Women without a history of uterine pathology and with the diagnosis intrauterine fibroids or adenomyosis were included. All participants underwent gray-scale ultrasound, sonoelastography and magnetic resonance imaging. Compression sonoelastography was found to have high inter-observer and inter-method agreement for the measurement of uterine and fibroid volumes. The addition of sonoelastography to gray-scale ultrasound seems to be useful in the differentiation between fibroids, adenomyosis and normal uteri as reflected by an increase in accuracy and diagnostic agreement.
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Cited by (20)
- Diagnosis and classification of uterine fibroids 2025
- Reliable diagnosis of adenomyosis and uterine fibroids using transvaginal ultrasonography with strain elastography 2023
- Methods of diagnostics of adenomyosis: a systematic review 2023
- Bioinformatic analysis and machine learning to identify the diagnostic biomarkers and immune infiltration in adenomyosis 2023
- Adenomyosis: Transvaginal Ultrasound and Imaging Innovations for Diagnosis 2023
- Current Non-Invasive Imaging Techniques Used in the Diagnosis of Adenomyosis 2023
- A novel complementary method for ultrasonographic screening of deep endometriosis: a case series of 5 patients diagnosed with transvaginal strain elastography 2022
- In Search of an Imaging Classification of Adenomyosis: A Role for Elastography? 2022
- Mechanisms and Pathogenesis of Adenomyosis 2022
- Transvaginal Ultrasound Combined with Strain-Ratio Elastography for the Concomitant Diagnosis of Uterine Fibroids and Adenomyosis: A Pilot Study 2022
- Advances in the clinical application of ultrasound elastography in uterine imaging 2022
- Value of Strain-Ratio Elastography in the Diagnosis and Differentiation of Uterine Fibroids and Adenomyosis 2021
- Sonoelastography in differential diagnosis of pathological processes of the myometrium (literature review) 2021
- The importance of compression sonoelastography in improving the diagnostics of the pathology of myometrium 2021
- Adenomyosis: Impact on Fertility and Obstetric Outcomes 2021
- THE IMPORTANCE OF COMPRESSION SONOELASTOGRAPHY IN IMPROVING THE DIAGNOSTICS OF THE PATHOLOGY OF MYOMETRY 2021
- Diagnosing adenomyosis: an integrated clinical and imaging approach 2020
- Role of angiogenesis in adenomyosis-associated abnormal uterine bleeding and subfertility: a systematic review 2019
- [Stratified treatment and management of adenomyosis] 2019
- A critical review of recent advances in the diagnosis, classification, and management of uterine adenomyosis 2019
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- europepmc
- last seen: 2026-10-12T06:17:10.165071+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:22:05.765370+00:00
- unpaywall
- last seen: 2026-10-12T06:33:14.382917+00:00
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