Imaging Diagnosis of Uterine Fibroids

In: Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases · 2023 · pp. 15–64 · doi:10.1007/978-981-19-7180-8_2 · W4360982823
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This overview describes uterine fibroid classification and diagnosis by MRI, CT, and ultrasound, emphasizing differential diagnosis between benign and malignant uterine diseases.

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This chapter overviews normal uterine anatomy and reviews imaging diagnosis and classification of uterine fibroids using MRI, CT, and ultrasonography, including special emphasis on broad ligament fibroids and adenomyomatosis and sequence-specific MR descriptions. It reports ultrasound and CT imaging features of fibroids and highlights differential diagnosis against benign uterine diseases such as endometrial polyps and adenomyosis, as well as malignant uterine conditions like cervical and endometrial carcinoma and uterine sarcoma, within the context of focused ultrasound ablation. A stated caveat is that the chapter is an overview of imaging approaches rather than a single primary study with new comparative performance metrics. Relevance to endometriosis: the paper is not centrally about endometriosis, but it is included because it explicitly addresses differential diagnosis among benign uterine diseases (including adenomyosis) that overlap with pelvic pain etiologies considered in endometriosis-related research.

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Abstract

The aim of this chapter is to overview the normal anatomy of the uterus and the diagnosis and classification of uterine fibroid by MRI, CT, and ultrasonography. All types of fibroids are modified per focused ultrasound ablation procedure, and the MR imaging with different sequences of each type is given, especially for broad ligament fibroid and adenomyomatosis, emphasizing the differential diagnosis between the benign uterine diseases (endometrial polyps, fibroids, adenomyosis, etc.) and the malignant uterine diseases (cervical carcinoma, endometrial carcinoma, and uterine sarcoma). The ultrasound and CT findings of uterine fibroids and their special types with differential diagnoses are described. 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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