Ultrasound Manifestation and Classification of Adenomyosis

In: Adenomyosis · 2021 · pp. 57–78 · doi:10.1007/978-981-33-4095-4_8 · W3132337624
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This paper describes ultrasound technology, imaging appearances, classification, differential diagnosis, and advances in the ultrasound diagnosis and classification of adenomyosis.

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This chapter reviews the ultrasound technology used to image adenomyosis and describes characteristic ultrasound appearances, diagnostic classification approaches, differential diagnosis considerations, and advances in imaging performance. It contrasts earlier transabdominal ultrasound criteria (uterine enlargement and asymmetric myometrial wall thickening) with later transvaginal ultrasound (TVUS), emphasizing TVUS’s higher resolution and widespread clinical adoption, and highlights advantages such as simplicity, repeatability, low cost, and lack of radiation. The chapter also discusses that imaging has been used to diagnose, classify, and follow patients undergoing medical and surgical treatments, while noting that the diagnostic context is dominated by MRI and ultrasound. Relevance to endometriosis: the chapter cites the broader topic of pelvic imaging that includes adenomyosis but also references ultrasound diagnosis of endometriosis and adenomyosis as a state-of-the-art review, though its main focus is ultrasound manifestation and classification of adenomyosis; it also includes a study where sonographic signs of adenomyosis are observed in women undergoing surgery for endometriosis. This paper is centrally about endometriosis and adenomyosis research coverage through its core focus on adenomyosis ultrasound manifestation and classification.

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Abstract

At present, the commonly used diagnostic imaging examinations of adenomyosis are MRI and ultrasound. Ultrasound imaging is the first-line imaging method of choice for adenomyosis, because its practice is simple, easily repeatable, low cost, and with clear images and has no contraindications. Therefore ultrasound has been widely used in the diagnosis, classification, and follow-up observation of drugs and surgery after adenomyosis. The literature on ultrasound diagnosis of adenomyosis started in the 1980s. Transabdominal ultrasound was used to diagnose adenomyosis based on the sonographic uterine enlargement and asymmetric thickening of the anterior or/and posterior wall of the myometrium [1]. With the increasing use of transvaginal ultrasound (TVUS) after the 1990s, the high resolution of TVUS can give more detailed and comprehensive uterine features to diagnose adenomyosis with great certainty. Also, ultrasound examination has the advantages of simplicity, no radiation, easy repeatability, and low cost. At present, TVUS has been widely used in clinical practice and became the first and irreplaceable imaging examination for adenomyosis [2]. This chapter describes the ultrasound technology, imaging appearances, classification, differential diagnosis of adenomyosis, and advances in ultrasound imaging of adenomyosis. 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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Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility. BioMed Research International, 2017. http://doi.org/10.1155/2017/8967803. Van den Bosch T, de BRUIJN AM, A de LEEUW R, et al. A sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obst Gyn. 2018;22(5):764. Van den Bosch T, Dueholm M, Leone FP, et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the morphological uterus Sonographic assessment (MUSA)group. Ultrasound Obstet Gynecol. 2015;46(3):284–98. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Dai, Q., Leng, J. (2021). Ultrasound Manifestation and Classification of Adenomyosis. In: Xue, M., Leng, J., Wong, F. (eds) Adenomyosis. Springer, Singapore. https://doi.org/10.1007/978-981-33-4095-4_8 Download citation DOI: https://doi.org/10.1007/978-981-33-4095-4_8 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-33-4094-7 Online ISBN: 978-981-33-4095-4 eBook Packages: MedicineMedicine (R0)

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