Ultrasound Elastography in the Diagnosis of Endometriosis & Adenomyosis-Comparing the Diagnostic Accuracy of Transvaginal Ultrasound with Elastography Vs. Mri in Deep Infiltrating Endometriosis and Adenomyosis

DR. NABIN KUMAR YADAV, Dr. Gayatri Prasad Sharma, Dr. Bibha Yadav, Dr. Reshmi Padmanaban, Aditya, Yashika
In: International Journal of Latest Technology in Engineering Management & Applied Science · 2025 · vol. 14(5) , pp. 1022–1025 · doi:10.51583/ijltemas.2025.140500108 · W4411685795
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-09 ⓘ

This study compared the diagnostic accuracy of transvaginal ultrasound with elastography against MRI for deep infiltrating endometriosis and adenomyosis.

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This paper compares the diagnostic accuracy of transvaginal ultrasound augmented with elastography (TVUS+E) versus magnetic resonance imaging (MRI) for deep infiltrating endometriosis (DIE) and adenomyosis. Using a high-level diagnostic-imaging study design across these conditions, the authors report which modality better identified DIE and adenomyosis, with elastography improving upon standard transvaginal ultrasound while MRI remains a leading reference. The paper’s main limitation is that the diagnostic performance is constrained by preoperative imaging accuracy and the specifics of the study population and reference standards used. This paper is centrally about endometriosis and adenomyosis—specifically evaluating whether TVUS with elastography matches or improves diagnostic accuracy compared with MRI for deep infiltrating endometriosis and adenomyosis.

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Abstract

Abstract: Deep infiltrating endometriosis (DIE) and adenomyosis are common causes of pelvic pain and infertility. Accurate preoperative diagnosis is critical for management. Transvaginal ultrasound (TVUS), increasingly augmented with elastography, and magnetic resonance imaging (MRI) are the leading noninvasive modalities.
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Abstract

Deep infiltrating endometriosis (DIE) and adenomyosis are common causes of pelvic pain and infertility. Accurate preoperative diagnosis is critical for management. Transvaginal ultrasound (TVUS), increasingly augmented with elastography, and magnetic resonance imaging (MRI) are the leading noninvasive modalities. Downloads

References

Chapron C, Marcellin L, Borghese B, Santulli P. Rethinking mechanisms, diagnosis and management of endometriosis. Nat Rev Endocrinol. 2019;15(11):666-82. Guerriero S, Pascual MA, Ajossa S, et al. Deep infiltrating endometriosis: comparison between 2D/3D transvaginal ultrasound and MRI. Diagn Interv Imaging. 2025;106(2):194-201. Hudelist G, Fritzer N, Thomas A, et al. Diagnostic accuracy of transvaginal sonography for non-invasive diagnosis of bowel endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2020;55(4):393-401. Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med. 2020;382(13):1244-56. Bazot M, Daraï E. Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other imaging techniques. Fertil Steril. 2020;113(4):886-94. 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. Grasso RF, Di Grezia G, Sizzi O, et al. Diagnosis of adenomyosis: transvaginal sonography combined with elastography versus magnetic resonance imaging. Ultrasound Obstet Gynecol. 2023;61(2):140-8. Leonardi M, Espada M, Khoo SK, et al. Imaging diagnosis of rectosigmoid endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2023;61(2):1447-53. Takeuchi H, Kuwatsuru R, Kitade M, et al. A feasibility study of transvaginal strain elastography for diagnosing deep endometriosis. J Ultrasound Med. 2024;43(2):332-40. Kinkel K, Frei KA, Balleyguier C, Chapron C. Diagnosis of endometriosis with imaging: a review. Eur Radiol. 2020;30(2):580-93. Stoelinga B, Hehenkamp WJ, Brölmann HA, Huirne JA. Real-time elastography for the evaluation of adenomyosis: a prospective pilot study. Ultrasound Obstet Gynecol. 2023;61(4):554-62. Bazot M, Daraï E. Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis. Fertil Steril. 2020;113(4):606-16. Shaikh S, Hassan L, Tareen F, Tauseef H. Comparative evaluation of transvaginal ultrasound and MRI in the diagnosis of adenomyosis. J Obstet Gynaecol Res. 2023;49(1):316-24. Sharma P, Sharma R, Aggarwal A, et al. Comparative evaluation of 2D TVUS and MRI in the diagnosis of adenomyosis and fibroids: A systematic review. Eur J Radiol. 2023;156:110576. Gordts S, Brosens JJ, Fusi L, Benagiano G, Brosens I. Uterine adenomyosis: a need for uniform terminology and consensus classification. Reprod Biomed Online. 2022;44(4):598-607. Bazot M, Daraï E. Role of MRI in the diagnosis of deep infiltrating endometriosis and adenomyosis. Best Pract Res Clin Obstet Gynaecol. 2020;71:90-102. This work is licensed under a Creative Commons Attribution 4.0 International License. All articles published in our journal are licensed under CC-BY 4.0, which permits authors to retain copyright of their work. This license allows for unrestricted use, sharing, and reproduction of the articles, provided that proper credit is given to the original authors and the source.

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Outcome instruments

MUSA

Condition tags

endometriosisadenomyosisdie_deep_infiltratinginfertility

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