EVALUATION OF THE DIAGNOSTIC ACCURACY OF TRANSVAGINAL SONOGRAPHY IN THE DETECTION OF ADENOMYOSIS COMPARED TO MAGNETIC RESONANCE IMAGING

In adenomyosis, a benign uterine disorder, endometrial glands and stroma are pathologically evident within the uterine myometrium. These misplaced glands promote spiral vessel angiogenesis, smooth muscle hyperplasia and hypertrophy, resulting in thickening of the junctional zone, as well as generalized uterine enlargement when severe. While some women may be asymptomatic, the majority report heavy menstruation, dysmenorrhea, persistent pelvic pain, subfertility, and infertility. There are several typical sonographic and radiological signs that enable noninvasive diagnosis using transvaginal sonography (TVS) or magnetic resonance imaging (MRI). Transvaginal ultrasonography is a highly appealing choice for diagnosis because it is less invasive, inexpensive, and widely available. Image approaches for adenomyosis diagnosis have cleared the way for the deployment and monitoring of conservative surgery alternatives to hysterectomy.Aim of the Work:The aim of this work was to evaluate the diagnostic accuracy of TVUS in the detection of adenomyosis, in comparison to MRI as the gold standard.