Morphological Uterus Sonographic Assessment Criteria for Adenomyosis Diagnostic: A Case Report

Muhammad Rusda, Reni Hayati
In: Open Access Macedonian Journal of Medical Sciences · 2022 · vol. 10(T7) , pp. 20–22 · doi:10.3889/oamjms.2022.9263 · W4221134727
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report presents the MUSA (Morphological Uterus Sonographic Assessment) criteria, detailing sonographic features like asymmetrical thickening and irregular junctional zones used to diagnose adenomyosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This case report describes the Morphological Uterus Sonographic Assessment (MUSA) approach by outlining ultrasound morphological criteria for diagnosing adenomyosis, including gray-scale, Doppler, and three-dimensional ultrasound features such as asymmetrical myometrial thickening, irregular junctional zone, and trans-lesion vascularity. It presents how MUSA criteria can be classified and described by lesion location, diffuse versus focal pattern, cystic features, layer involvement type, and lesion extent and size. The key contribution is a structured summary of MUSA terminology and measurements as they pertain to adenomyosis ultrasound reporting, but the paper is limited by its case-report nature, without broader validation or comparative diagnostic performance data. This paper is centrally about adenomyosis — it focuses specifically on MUSA-based sonographic assessment criteria for diagnosing adenomyosis.

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Abstract

BACKGROUND : The MUSA (Morphological Uterus Sonographic Assessment) statement is a consensus statement on terms, definitions and measurements that may be used to describe and report the sonographic features of the myometrium using gray-scale sonography, color/power Doppler and three-dimensional ultrasound imaging. MUSA Adenomyosis ultrasound features : Asymmetrical thickening, fan shape shadowing, cyst, hyperechoic island, Echogenic sub endometrial lines and buds, trans lesion vascularity, Irregular junctional zone, Interrupted junctional zone. Classification and descriptions of the MUSA criteria for adenomyosis are presented : location, classification (diffuse/focal), cystic, layer involvement (type), extent, size of the lesion.
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Background

The MUSA (Morphological Uterus Sonographic Assessment) statement is a consensus statement on terms, definitions and measurements that may be used to describe and report the sonographic features of the myometrium using gray-scale sonography, color/power Doppler and three-dimensional ultrasound imaging. MUSA Adenomyosis ultrasound features : Asymmetrical thickening, fan shape shadowing, cyst, hyperechoic island, Echogenic sub endometrial lines and buds, trans lesion vascularity, Irregular junctional zone, Interrupted junctional zone. Classification and descriptions of the MUSA criteria for adenomyosis are presented : location, classification (diffuse/focal), cystic, layer involvement (type), extent, size of the lesion. Downloads Metrics Plum Analytics Artifact Widget Block

References

Eisenberg VH, Arbib N, Schiff E, Goldenberg M, Seidman DS, Soriano D. Sonographic signs of adenomyosis are prevalent in women undergoing surgery for endometriosis and may suggest a higher risk of infertility. Biomed Res Int. 2017;2017:8967803. https://doi.org/10.1155/2017/8967803 PMid:29098162 DOI: https://doi.org/10.1155/2017/8967803 Gracia M, Carmona F. Uterine fibroids and adenomyosis. In: Integrated Approach To Obstetrics And Gynaecology. Singapore: World Scientific Publishing Company; 2016. p. 121-8. DOI: https://doi.org/10.1142/9789813108561_0010 Krentel H, Cezar C, Becker S, Sardo AD, Tanos V, Wallwiener M, et al. From Clinical symptoms to MR imaging: Diagnostic steps in adenomyosis. Biomed Res Int. 2017;2017:1514029. https://doi.org/10.1155/2017/1514029 PMid:29349064 DOI: https://doi.org/10.1155/2017/1514029 Puente JM, Alcázar JL, Martinez-Ten P, Bermejo C, Troncoso MT, García-Velasco JA. Interobserver agreement in the study of 2D and 3D sonographic criteria for adenomyosis. J Endometr Pelvic Pain Disord. 2017;9(3):211-5. DOI: https://doi.org/10.5301/jeppd.5000295 Li JJ, Chung JP, Wang S, Li TC, Duan H. The investigation and management of adenomyosis in women who wish to improve or preserve fertility. Biomed Res Int. 2018;2018:6832685. https://doi.org/10.1155/2018/6832685 PMid:29736395 DOI: https://doi.org/10.1155/2018/6832685 Vannuccini S, Petraglia F. Recent advances in understanding and managing adenomyosis [version 1; peer review: 2 approved]. F1000Res. 2019;8:F1000 Faculty Rev-283. https://doi.org/10.12688/f1000research.17242.1 PMid:30918629 DOI: https://doi.org/10.12688/f1000research.17242.1 Capezzuoli T, Vannuccini S, Fantappiè G, Orlandi G, Rizzello F, Coccia ME, et al. Ultrasound findings in infertile women with endometriosis: evidence of concomitant uterine disorders. Gynecol Endocrinol. 2020;36(9):808-12. https://doi.org/10.108 0/09513590.2020.1736027 PMid:32133885 DOI: https://doi.org/10.1080/09513590.2020.1736027 Van den Bosch T, de Bruijn AM, de Leeuw RA, Dueholm M, Exacoustos C, Valentin L, et al. A sonographic classification and reporting system for diagnosing adenomyosis: A consensus statement from the morphological uterus sonographic assessment (MUSA) group. Ultrasound Obstet Gynecol. 2018;53(5):576-82. https://doi.org/10.1002/uog.19096 PMid:29790217 DOI: https://doi.org/10.1002/uog.19096 Downloads Published How to Cite Issue Section Categories License Copyright (c) 2022 Muhammad Rusda, Reni Hayati (Author) This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)

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Outcome instruments

MUSA

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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