The Sonographic Diagnosis of Adenomyosis

Andreotti RF, Rochelle F. Andreotti, Arthur C. Fleischer, Fleischer AC
Ultrasound quarterly · 2005 · vol. 21(3) , pp. 167–170 · doi:10.1097/01.ruq.0000174751.34633.9a · PMID:16096612 · W1985021011
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This review details sonographic features including myometrial heterogeneity, asymmetric thickening, cysts, and linear striations for diagnosing adenomyosis, a condition causing pelvic pain and abnormal uterine bleeding.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-18 · read from full text ⓘ

This paper reviews the sonographic and magnetic resonance imaging features used to diagnose adenomyosis, a condition characterized by hypertrophied myometrial smooth muscle containing ectopic endometrial glands. It highlights specific diagnostic indicators such as myometrial heterogeneity, asymmetric thickening, cysts, linear striations, and an ill-defined endometrium, emphasizing ultrasound as the primary imaging modality for symptomatic patients. The authors note that both imaging techniques now allow for high-accuracy diagnosis, facilitating disease-specific treatment planning. This paper is centrally about adenomyosis — specifically detailing the imaging criteria and diagnostic accuracy of sonography for identifying the condition.

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Abstract

Adenomyosis is a common but under-diagnosed gynecologic condition due to hypertrophied myometrial smooth muscle containing ectopic endometrial glands that is associated with pelvic pain, menorrhagia, and an enlarged uterus. This is an overview of the sonographic and magnetic resonance imaging features that have been developed in the diagnosis of adenomyosis emphasizing sonography as the initial study performed in the symptomatic patient. These features include myometrial heterogeneity, asymmetric thickening of myometrium, cysts, linear striations, and an ill-defined endometrium. Both magnetic resonance imaging and sonography can now diagnose adenomyosis with a high degree of accuracy so that treatment may be instituted specific to the disease process.
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The Sonographic Diagnosis of Adenomyosis - Rochelle F Andreotti - Arthur C Fleischer Abstract: Adenomyosis is a common but under-diagnosed gynecologic condition due to hypertrophied myometrial smooth muscle containing ectopic endometrial glands that is associated with pelvic pain, menorrhagia, and an enlarged uterus. This is an overview of the sonographic and magnetic resonance imaging features that have been developed in the diagnosis of adenomyosis emphasizing sonography as the initial study performed in the symptomatic patient. These features include myometrial heterogeneity, asymmetric thickening of myometrium, cysts, linear striations, and an ill-defined endometrium. Both magnetic resonance imaging and sonography can now diagnose adenomyosis with a high degree of accuracy so that treatment may be instituted specific to the disease process.

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Condition tags

endometriosischronic_pelvic_painadenomyosis

MeSH descriptors

Endometriosis Diagnosis, Differential Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Menorrhagia Menorrhagia Pelvic Pain Pelvic Pain Ultrasonography Uterine Diseases Uterine Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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