Imaging techniques for evaluation of uterine myomas

Antonia Carla Testa, A. C. Testa, Alessia Di Legge, Di Legge A, A. Di Legge, Matteo Bonatti, Manfredi R, Riccardo Manfredi, Giovanni Scambia
Best practice & research. Clinical obstetrics & gynaecology · 2015 · vol. 34 , pp. 37–53 · doi:10.1016/j.bpobgyn.2015.11.014 · PMID:26803557 · W2183154101
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This paper reviews various imaging techniques used for evaluating uterine myomas, detailing their principles, applications, and limitations.

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Abstract

Due to their high prevalence and related morbidity, uterine myomas constitute a group of gynecological pathologies largely studied in all clinical, diagnostic, and therapeutic aspects. They have been widely evaluated with a large series of imaging techniques. In fact, ultrasound (also saline infusion sonohysterography) and magnetic resonance imaging (MRI) are considered the optimal methods to assess uterine fibroids in terms of number, volume, echostructure, location, relation with endometrial cavity and uterine layers, vascularization, and differential diagnosis with other benign (adenomyosis) and malignant myometrial pathologies. Nevertheless, further studies are required to fill some gaps such as the absence of a common and sharable sonographic terminology and methodology to scan the myometrium, as well as imaging parameters for differentiation of typical myomas from smooth tumors of unknown malignant potential (STUMP) and leiomyosarcomas.

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MeSH descriptors

Leiomyoma Leiomyosarcoma Magnetic Resonance Imaging Ultrasonography Uterine Neoplasms Adenomyosis Adenomyosis Diagnosis, Differential Endosonography Female Humans Leiomyoma Leiomyoma Leiomyosarcoma Ultrasonography Uterine Neoplasms Uterine Neoplasms

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