Magnetic resonance imaging for diagnosing adenomyomata

D R Phillips, Douglas R. Phillips, Phillips DR, Nathanson HG, H G Nathanson, Howard G. Nathanson, Steven J. Milim, Milim SJ, S J Milim, Joan S. Haselkorn, Haselkorn JS, J S Haselkorn
The Journal of the American Association of Gynecologic Laparoscopists · 1996 · vol. 3(2) , pp. 245–250 · doi:10.1016/s1074-3804(96)80330-6 · PMID:9050634 · W2076955590
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This paper reviews magnetic resonance imaging techniques used to diagnose adenomyomata.

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Abstract

Study objectivesTo evaluate the accuracy of magnetic resonance imaging (MRI) for diagnosing nodular adenomyosis by percutaneous myometrial biopsies.DesignProspective observational study.SettingGynecology department of community hospitals.PatientsTwenty women with severe dysmenorrhea, chronic menorrhagia, and an MRI diagnosis of adenomyomata.InterventionsSeveral laparoscopically guided, percutaneous myometrial biopsy specimens were taken in an attempt to confirm histologically an MRI diagnosis of adenomyoma; and resectoscopic endomyometrial biopsy specimens were taken in an attempt to confirm an MRI diagnosis of adenomyosis.Measurements and main resultsEighteen (90%) of the 20 women had an MRI diagnosis of adenomyosis histologically confirmed by myometrial biopsy. The remaining two (20.0%) had an MRI diagnosis of adenomyosis histologically confirmed by endomyometrial biopsy.ConclusionsAn MRl diagnosis of adenomyoma was confirmed by transabdominal uterine biopsy in most patients. These results, when combined with those obtained by resectoscopic endomyometrial biopsy, established a diagnosis of adenomyosis in all patients.

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MeSH descriptors

Adenomyoma Endometrial Neoplasms Adenomyoma Adenomyoma Adult Biopsy Endometrial Neoplasms Endometrial Neoplasms Female Humans Laparoscopy Magnetic Resonance Imaging Middle Aged Myometrium Myometrium Prospective Studies Sensitivity and Specificity

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