Adenomyosis: Transvaginal Ultrasound and Imaging Innovations for Diagnosis

Scott W. Young, N. Ramirez, Rosanne M. Kho
In: Current Obstetrics and Gynecology Reports · 2023 · vol. 12(3) , pp. 178–185 · doi:10.1007/s13669-023-00364-9 · W4379380737
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This review examines recent transvaginal ultrasound features and imaging innovations for adenomyosis diagnosis, finding it strongly associated with endometriosis and infertility.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper is a narrative review of the last five years of studies on transvaginal ultrasound (TVUS) for diagnosing adenomyosis, focusing on sonographic features defined by the Morphological Uterus Sonographic Assessment (MUSA) statement and on imaging innovations such as sonoelastography and contrast-enhanced ultrasound. The authors summarize evidence for multiple direct and indirect TVUS signs (e.g., junctional zone thickness, question mark sign, fan-shaped striations, uterine biometry, and uterine tenderness), but report that no definitive conclusion has emerged about the single best feature or the optimal combination for diagnosis. They note that TVUS-suggested adenomyosis is highly associated with endometriosis and infertility, with external adenomyosis correlating strongly with deep endometriosis, and that multi-feature/scoring approaches and incorporation of clinical factors may improve accuracy. Limitations explicitly acknowledged include the lack of consensus on best diagnostic features. Relevance to endometriosis: the review reports that TVUS-imaging–suggested adenomyosis is highly associated with endometriosis and infertility, particularly linking external adenomyosis findings to deep endometriosis, though the paper’s main focus is TVUS diagnostic features and imaging innovations for adenomyosis.

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adenomyosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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