Clinical Evaluation of MRI,Ultrasonography and Estimation of Serum CA125 Levels in the Diagnosis of Uterine Adenomyosis

Objectives To investigate the magnetic resonance imaging(MRI),ultrasonography(US)and estimation of serum CA125 levels in the diagnosis of adenomyosis(ADM).MethodsMRI, US and estimation of serum CA125 levels were carried out in thirty eight patients confirmed pathologically as ADM and thirty two patients with uterine myoma after operation. ResultsThe sensitivity, specificity and accuracy of MRI were 94.74%,100% and 97.14%, respectively; whereas those of US were 76.31%,85.29% and 81.43% as well as those of serum CA125 level estimation were 76.32%,87.88% and 81.43 % ,respectively.ConclusionPreoperative MRI,US and estimation of serum CA125 levels are helpful to the diagnosis of ADM. But the sensitivity, specificity and accuracy of MRI are higher than those of US and estimation of serum CA125 levels. Therefore, US and estimation of serum CA125 levels are preferred according to clinical manifestations; if differential diagnosis between ADM and uterine myoma cannot be made, MRI is the most accurate choice of imaging technique for decisive detection .