Imaging Diagnosis of Adenomyosis (Adenomyoma)

In: Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases · 2023 · pp. 65–75 · doi:10.1007/978-981-19-7180-8_3 · W4360982375
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AI-generated summary by claude@2026-06+body, 2026-06-11

This paper illustrates the MRI, CT, and transvaginal US findings of adenomyosis and adenomyoma, highlighting MRI's accuracy, especially T2-weighted sequences, and TVUS tips for diagnosis.

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AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text

This chapter reviews how adenomyosis/adenomyoma is diagnosed by describing the presence of ectopic endometrial glands within the myometrium and relating it to clinical features. It illustrates imaging findings for adenomyoma and diffuse adenomyosis using MRI, CT, and transvaginal ultrasound (TVUS), highlighting that MRI—especially T2-weighted sequences that show uterine zonal anatomy—can provide accurate diagnosis. TVUS “tips” are also described for diagnosing adenomyosis and distinguishing it from mimics. The paper is centrally about adenomyosis—specifically the imaging diagnosis of adenomyoma and diffuse adenomyosis using MRI and TVUS.

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Abstract

The presence of ectopic endometrial glands within the myometrium and the clinical features of adenomyosis are described. The MRI, CT, and transvaginal US (TVUS) findings of adenomyoma and diffuse adenomyosis are illustrated. MRI presents an accurate diagnosis, especially T2-weighted sequences that highlight the uterine zonal anatomy. The ultrasonic tips for diagnosing adenomyosis and distinguishing it from various mimics are described by TVUS. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Scarperi S, Pontrelli G, Campana C, et al. Laparoscopic radiofrequency thermal ablation for uterine adenomyosis. JSLS. 2015;19(4):00071. Yavuzcan A, Caglar M, Ustün Y, et al. Evaluation of the outcomes of laparoscopic hysterectomy for normal and enlarged uterus (>280 g). Arch Gynecol Obstet. 2014;289(4):831–7. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Yang, L., Wong, F., Xu, Y., Fu, Z., Sun, L. (2023). Imaging Diagnosis of Adenomyosis (Adenomyoma). In: Xu, Y., Yang, L., Wong, F. (eds) Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-19-7180-8_3 Download citation DOI: https://doi.org/10.1007/978-981-19-7180-8_3 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-19-7179-2 Online ISBN: 978-981-19-7180-8 eBook Packages: MedicineMedicine (R0)

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adenomyosis

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