MRI, US or real-time virtual sonography in the evaluation of adenomyosis?

Valeria Vinci, Matteo Saldari, Maria Eleonora Sergi, Silvia Bernardo, Giuseppe Rizzo, Maria Grazia Porpora, Carlo Catalano, Lucia Manganaro
La Radiologia medica · 2017 · vol. 122(5) , pp. 361–368 · doi:10.1007/s11547-017-0729-7 · PMID:28197875 · W2588215925
article OA: closed CC0 ⤵ 15 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-06 ⓘ

Real-time virtual sonography (RVS) synchronized MRI and ultrasound images, improving adenomyosis assessment compared to ultrasound alone.

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

This study evaluated the feasibility and diagnostic performance of real-time virtual sonography (RVS), which fuses real-time transvaginal ultrasound with multiplanar MRI images, for assessing adenomyosis. Fifty-two women with dysmenorrhea, metrorrhagia, and infertility underwent endovaginal ultrasound, 3T MRI, and RVS, with the MRI dataset synchronized and registered to ultrasound, after which radiologists reported each modality separately. Standard endovaginal ultrasound detected adenomyosis in 27 cases (21 diffuse, 6 focal), whereas MRI detected 30 cases (22 diffuse, 8 focal), leading to three missed diagnoses on ultrasound that were all confirmed by RVS, which confirmed all diffuse and all focal adenomyosis cases. The paper’s limitation is that this was a relatively small, short 4-month feasibility study with manual synchronization/registration and no histopathologic reference standard reported. This paper is centrally about endometriosis—specifically adenomyosis evaluation using MRI/US fusion (RVS) to improve ultrasound identification of adenomyosis, a condition closely linked to endometriosis in the corpus.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Magnetic Resonance Imaging Ultrasonography Ultrasonography Adenomyosis Computer Systems Feasibility Studies Female Humans Prospective Studies User-Computer Interface

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References (21)

Cited by (15)

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