Features of ultrasound, MRI and hysteroscopic pattern in the diagnosis of adenomyosis in adolescence

M.N. Alekseeva, E.P. Khaschenko, E.V. Uvarovа, F.Sh. Mammadova, E.A. Kulabukhova, I.A. Luzhinа, Polina V. Kulabukhova
In: Pediatric and Adolescent Reproductive Health · 2024 · vol. 20(1) , pp. 5–18 · doi:10.33029/1816-2134-2024-20-1-5-18 · W4396723410
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper examines the ultrasound, MRI, and hysteroscopic features used to diagnose adenomyosis in adolescent girls.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study compared ultrasound (abdominotransabdominal), MRI, and office hysteroscopy for identifying adenomyosis in 43 girls (menarche to 17 years), dividing them into groups where diagnosis was confirmed by both MRI and hysteroscopy, by hysteroscopy only, or by MRI only. Across groups, the most common shared findings were uneven endometrial thickening, while MRI-based diagnosis alone relied on myometrial heterogeneity, uneven uterine wall thickness, and transition-zone irregularity/heterogeneity, and hysteroscopy-based diagnosis alone emphasized uneven endometrial thickness, diffuse or focal hyperemia, and endometriosis-like foci and tracts; a key limitation was that transabdominal ultrasound had low detectability and the paper notes risks of under- and overdiagnosis depending on disease extent. In the MRI+hysteroscopy confirmed group, MRI and hysteroscopy showed broad overlap for uneven endometrial thickening, but MRI had significantly higher accuracy for multiple criteria such as uneven wall thickness, myometrial heterogeneity, and transition-zone contour irregularity. Relevance to endometriosis: the study focuses on adenomyosis but uses hysteroscopic identification of endometriosis-like “endometriod foci and tracts,” explicitly linking the endoscopic pattern of adenomyotic involvement with endometriosis-related terminology and findings.

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Abstract

Репродуктивное здоровье детей и подростков / Том 20

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Condition tags

adenomyosis

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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