2024年8月26日 · Pelvic imaging (i.e. ultrasound, MRI) may show characteristic findings, commonly including focal or diffuse myometrial bulkiness, which may be asymmetrical, and heterogeneous myometrium. Classically, adenomyosis most commonly affects multiparous women of reproductive age.

Adenomyosis is a common benign uterine condition and a frequent cause of pelvic pain in premenopausal women. Transvaginal US is now considered the primary imaging modality for the diagnosis of adenomyosis, and thus radiologists should be …

Ultrasound features of adenomyosis, including asymmetrical uterine wall thickening anteriorly with focal heterogeneity and associated increased blood flow, as well as the "venetian blind" pattern of acoustic shadowing.

Ultrasound is the first line imaging modality for adenomyosis. Technological advances within ultrasound have led to an increase in diagnosis compared with the formerly invasive diagnosis based on histopathology.

2018年5月22日 · We propose a consensus-based practical classification of adenomyosis, on the basis of ultrasound findings (Figure 6), that consists of: (1) identification of the presence of adenomyosis, using the MUSA criteria 1; (2) determination of location of the adenomyosis; (3) differentiation between focal and diffuse disease; (4) discrimination between ...

A growing body of evidence suggests that ultrasound can identify adenomyosis. Consensus guidelines describing standardized terms to describe specific features of adenomyosis were published in 2015 by the Morphological Uterus Sonographic Assessment (MUSA) group.

To evaluate the accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the diagnosis of adenomyosis, leiomyoma, or combined adenomyosis and leiomyoma by the use of transvaginal ultrasonography (TVS) compared to the histopathological findings.

The 2022 Delphi revision of the MUSA (Morphological Uterus Sonographic Assessment) criteria for the ultrasound diagnosis of adenomyosis divides the ultrasound signs for diagnosis into direct and indirect ones, considering the presence of at least one direct sign as a mandatory criterion.

In this radiology lecture, we review the ultrasound appearance of adenomyosis through three unique cases, including an MRI example. Key teaching points include: Adenomyosis results from ectopic endometrial tissue in myometrium.

Transvaginal ultrasound is reported to be as sensitive (89%) and specific (89%) as MRI in diagnosis of uterine adenomyosis. The most common ultrasound features of adenomyosis include asymmetrical myometrial thickening, transitional zone thickening >12 mm, heterogeneous myometrial echopattern, myometrial echogenic linear or nodular striations ...