Adenomyosis and Ultrasound: The Role of Ultrasound and Its Impact on Understanding the Disease

In: Uterine Adenomyosis · 2015 · pp. 141–152 · doi:10.1007/978-3-319-13012-5_9 · W2298913768
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Transvaginal sonography has varying diagnostic accuracy for adenomyosis, with 3D ultrasound potentially being more accurate than 2D, and its findings correlate with deep infiltrating endometriosis.

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This paper reviews diagnostic performance of ultrasound for adenomyosis, focusing on transvaginal sonography approaches (2D-TVS and three-dimensional TVS evaluating the uterine junctional zone) in terms of sensitivity, specificity, and accuracy, with discussion of how accuracy varies by disease type (diffuse vs focal) and by confounding factors such as coexistent fibroids. It reports that 3D-TVS appears more accurate than conventional 2D-TVS for detecting adenomyosis, and notes a strong association between deep infiltrating endometriosis and ultrasound features of adenomyosis. A key limitation emphasized is that ultrasound performance is poorer for focal adenomyosis and when fibroids coexist. Relevance to endometriosis: it explicitly describes a strong association between deep infiltrating endometriosis and 2D-TVS/3D-TVS features of adenomyosis, though the paper’s main focus is ultrasound-based diagnosis and imaging interpretation of adenomyosis.

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Abstract

Transvaginal sonography had a sensitivity of 80–86 %, specificity of 50–96 %, and overall accuracy of 68–86 % for diagnosing diffuse adenomyosis. These figures are poorer in the case of focal adenomyosis or if there are coexistent fibroids. Three dimensional (3D-TVS) transvaginal sonographic signs of adenomyosis are based on the evaluation of the junctional zone on the acquired volume of the uterus in order to obtain the coronal view. Three dimensional transvaginal sonography seems to be more accurate than conventional two dimensional (2D-TVS) ultrasound in detecting adenomyosis. A strong association is found between deep infiltrating endometriosis and the presence of 2D-TVS/3D-TVS features of adenomyosis. A detailed non-invasive diagnosis of the extent of adenomyosis can facilitate the choice of safe and adequate treatment. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2016 Springer International Publishing Switzerland About this chapter Cite this chapter Exacoustos, C. (2016). Adenomyosis and Ultrasound: The Role of Ultrasound and Its Impact on Understanding the Disease. In: Habiba, M., Benagiano, G. (eds) Uterine Adenomyosis. Springer, Cham. https://doi.org/10.1007/978-3-319-13012-5_9 Download citation DOI: https://doi.org/10.1007/978-3-319-13012-5_9 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-13011-8 Online ISBN: 978-3-319-13012-5 eBook Packages: MedicineMedicine (R0)

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