The uterus: in vitro MR-anatomic correlation of normal and abnormal specimens.
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This study correlated in vitro MR imaging of uterine specimens with gross and microscopic pathology, demonstrating distinct zonal anatomy and the ability to visualize various uterine abnormalities.
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Abstract
Magnetic resonance (MR) images of 12 fresh uterine specimens obtained with a high-resolution surface coil were correlated with findings on gross and microscopic pathologic examination. The uterine wall can be differentiated into three distinct zones: a central high-intensity zone, a junctional low-intensity band, and a peripheral medium-intensity area. Whereas the endometrium (basale and functionale) corresponded to the high-intensity zone, the myometrium correlated best with the combined width of the areas of low and medium signal intensity. The signal intensity of a leiomyoma varied, depending on its cellularity. Primary endometrial and cervical carcinomas were clearly shown on MR images, as were other abnormalities such as adenomyosis and Nabothian cysts. The potential usefulness of MR imaging in detecting and staging uterine neoplasms is discussed.
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Cited by (45)
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- Diagnostic Accuracy of Transvaginal Ultrasound and Magnetic Resonance Imaging for Adenomyosis 2021
- Classifying Adenomyosis: Progress and Challenges 2021
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- Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis 2018
- Diagnostic Imaging for Uterine Fibroids, Adenomyosis, and Uterine Sarcomas 2018
- DYNAMIC ENHANCED MRI IN DIAGNOSING ADENOMYOSIS BY GRADED APPROACH IN COMPARISON WITH HYSTEROSCOPY BIOPSY CORRELATION 2018
- High intensity focused ultrasound treatment of adenomyosis: The relationship between the features of magnetic resonance imaging on T2 weighted images and the therapeutic efficacy 2017
- The uterine junctional zone of endoand myometrium: morphofunctional features and importance in obstetric and gynecologic pathogenic mechanism 2017
- What are the most reliable signs for the radiologic diagnosis of uterine adenomyosis? An ultrasound and MRI prospective 2015
- A Layer of Decreased Apparent Diffusion Coefficient at the Endometrial-Myometrial Junction in Uterine Adenomyosis 2015
- The Role of the Myometrium in Adenomyosis 2015
- Comparative analysis of changes in MR imaging of pre and post intrauterine progesterone implants in adenomyosis cases 2015
- Ultrasound studies of the endometrial-myometrial junction for the diagnosis of adenomyosis and endometrial cancer 2014
- Imaging for Uterine Myomas and Adenomyosis 2013
- T2* relaxometry mapping of the uterine zones 2012
- Prediction of early response to uterine arterial embolisation of adenomyosis: value of T2 signal intensity ratio of adenomyosis 2012
- MRI Characteristics of the Uterine Junctional Zone: From Normal to the Diagnosis of Adenomyosis 2011
- Uterine Artery Embolization for Symptomatic Adenomyosis: A New Technical Development of the 1-2-3 Protocol and Predictive Factors of MR Imaging Affecting Outcomes 2011
- Chronic Pelvic Pain 2011
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- Adenomiose em pacientes com endometriose profunda: aspectos clínicos, histológicos e radiológicos 2010
- Dynamic contrast-enhanced MR imaging to assess physiologic variations of myometrial 2010
- Phenotypic Characterisation of the Inner and Outer Myometrium in Normal and Adenomyotic Uteri 2010
- Adenomyosis uteri: an update 2009
- The endometrial–myometrial junction: a fresh look at a busy crossing 2009
- Dynamic contrast-enhanced MR imaging to assess physiologic variations of myometrial perfusion 2009
- Adenomyosis and ‘endometrial– subendometrial myometrium unit disruption disease’ are two different entities 2008
- Do Anticholinergic Agents Suppress Uterine Peristalsis and Sporadic Myometrial Contractions at Cine MR Imaging? 2007
- Current diagnostic and treatment strategies for adenomyosis 2006
- MR Imaging of Benign Uterine Disease 2006
- Uterine peristalsis shown on cine MR imaging using ultrafast sequence 2003
- Adenomyosis 2003
- Myometrial hyperplasia in pediatric, adolescent, and young adult uteri 2003
- Anatomy and physiology of the female pelvis: MR imaging revisited 2001
- Junctional Zone on Magnetic Resonance Imaging: Continuous Changes on Ultrafast Images 2001
- Endometrial-Myometrial Interface: Relationship to Adenomyosis and Changes in Pregnancy 2000
- Structural abnormalities of the uterine wall in women with endometriosis and infertility visualized by vaginal sonography and magnetic resonance imaging 2000
- Steroid hormone-dependent myometrial zonal differentiation in the non-pregnant human uterus 1998
- Endometriosis: a dysfunction and disease of the archimetra 1998
- Imaging features of adenomyosis 1998
- Magnetic Resonance Imaging Versus Ultrasound in the Assessment of Benign Uterine Lesions 1998
- The Female Pelvis: Imaging and Assessment by MRI 1996
- Uterine contractions: Possible diagnostic pitfall at MR imaging 1993
- A case of endometriosis in the macaque diagnosed by nuclear magnetic resonance imaging 1992
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