Benign Uterine Disease

Nougaret, Stéphanie; Cunha, Teresa Margarida; Benadla, Nadia; Neron, Mathias; Robbins, Jessica B.

doi:10.1016/j.ogc.2020.12.002

Cited by 10 publications

(5 citation statements)

References 79 publications

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“…Desde años atrás, esta patología no se ha podido estudiar adecuadamente, ya que su tratamiento limita la información sobre este apartado, así como la investigación sobre la sintomatología asociada, comorbilidad y su impacto en la vida cotidiana. La mayoría de las mujeres con un diagnóstico claro de patología, las cuales se someten a una histerectomía, están sus años peri menopáusicos (3,4).…”

Section: Epidemiologíaunclassified

“…Al realizar estudios aleatorios histopatológicos en varios sitios del miometrio, se encuentra en un aproximado de 65% de las pacientes. Por otra parte, no hay una cifra exacta ni confiable de pacientes que desarrollan síntomas o se someten a una histerectomía (3). La prevalencia por adenomiosis tiene amplios rangos, abarcando desde 5% hasta 70%, siendo estos datos proporcionales al número de histerectomías realizadas (4).…”

Section: Epidemiologíaunclassified

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Adenomiosis: una mirada a esta compleja patología ginecológica

González-González,

Rivera-Gómez

2023

Rev.méd.sinerg.

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La adenomiosis corresponde a una patología ginecológica benigna, la cual se presenta frecuentemente en pacientes femeninas, en donde ocurre una invasión hacia el miometrio por parte del endometrio, provocando cambios microscópicos y macroscópicos en el útero. La incidencia y la prevalencia son difíciles de estimar; sin embargo, afecta aproximadamente a 35% de las mujeres, esto en relación con los factores de riesgo. Existen múltiples teorías acerca de por qué ocurre esta patología, dentro de las relevantes se encuentran la invaginación embrionaria, la presencia de metaloproteinasas, la alteración en la modulación de receptores estrogénicos y progestágenos, entre otras. Los signos y síntomas predominantes son la dismenorrea y el sangrado uterino anormal. Para tener un diagnóstico certero se realiza una biopsia posterior a la histerectomía; sin embargo, hoy en día el ultrasonido (US) y la resonancia magnética nuclear (RMN) son herramientas útiles para el diagnóstico. Actualmente, el tratamiento de elección corresponde a la histerectomía; por otra parte, existen alternativas en caso de que continúe con el deseo de reproducción. El pronóstico es individualizado e incierto según cada paciente.

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Section: Epidemiologíaunclassified

Adenomiosis: una mirada a esta compleja patología ginecológica

González-González,

Rivera-Gómez

2023

Rev.méd.sinerg.

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“…Leiomyomas may arise with popcorn, peripheral, or dense calcifications, but feeding vessels arising from the uterus are usually seen [ 1 , 4 , 18 , 19 ].…”

Section: Imaging Findings Of Low-grade Ovarian Carcinomamentioning

confidence: 99%

Low-grade serous epithelial ovarian cancer: a comprehensive review and update for radiologists

Amante

Santos²,

Cunha³

2021

Insights Imaging

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Low-grade serous carcinoma (LGSC) is an infrequent subtype of ovarian cancer, corresponding to 5% of epithelial neoplasms. This subtype of ovarian carcinoma characteristically has molecular features, pathogenesis, clinical behaviour, sensitivity to chemotherapy, and prognosis distinct to high-grade serous carcinoma (HGSC). Knowing the difference between LGSC and other ovarian serous tumours is vital to guide clinical management, which currently is only possible histologically. However, imaging can provide several clues that allow differentiating LGSC from other tumours and enable precise staging and follow-up of ovarian cancer treatment. Characteristically, LGSC appears as mixed lesions with variable papillary projections and solid components, usually in different proportions from those detected in serous borderline tumour and HGSC. Calcified extracellular bodies, known as psammoma bodies, are also a common feature of LGSC, frequently detectable within lymphadenopathies and metastases associated with this type of tumour. In addition, the characterisation of magnetic resonance imaging enhancement also plays an essential role in calculating the probability of malignancy of these lesions. As such, in this review, we discuss and update the distinct radiological modalities features and the clinicopathologic characteristics of LGSC to allow radiologists to be familiarised with them and to narrow the differential diagnosis when facing this type of tumour.

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“…Many different benign and malignant diseases arise in the uterus. Although ultrasonography is a common and easily accessible imaging modality for the original evaluation of the female pelvic organs, magnetic resonance imaging (MRI) is a problem-solving tool for the diagnosis of abnormal findings detected on ultrasonography (1,2). Leiomyoma in the uterus is a frequent finding, with a prevalence of 4.5%-68.6% in women of reproductive age (3,4).…”

Section: Introductionmentioning

confidence: 99%

Deep learning-accelerated T2-weighted imaging versus conventional T2-weighted imaging in the female pelvic cavity: image quality and diagnostic performance

Kim,

Choi,

Lee

et al. 2024

Acta Radiol

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Background The deep learning (DL)-based reconstruction algorithm reduces noise in magnetic resonance imaging (MRI), thereby enabling faster MRI acquisition. Purpose To compare the image quality and diagnostic performance of conventional turbo spin-echo (TSE) T2-weighted (T2W) imaging with DL-accelerated sagittal T2W imaging in the female pelvic cavity. Methods This study evaluated 149 consecutive female pelvic MRI examinations, including conventional T2W imaging with TSE (acquisition time = 2:59) and DL-accelerated T2W imaging with breath hold (DL-BH) (1:05 [0:14 × 3 breath-holds]) in the sagittal plane. In 294 randomly ordered sagittal T2W images, two radiologists independently assessed image quality (sharpness, subjective noise, artifacts, and overall image quality), made a diagnosis for uterine leiomyomas, and scored diagnostic confidence. For the uterus and piriformis muscle, quantitative imaging analysis was also performed. Wilcoxon signed rank tests were used to compare the two sets of T2W images. Results In the qualitative analysis, DL-BH showed similar or significantly higher scores for all features than conventional T2W imaging ( P <0.05). In the quantitative analysis, the noise in the uterus was lower in DL-BH, but the noise in the muscle was lower in conventional T2W imaging. In the uterus and muscle, the signal-to-noise ratio was significantly lower in DL-BH than in conventional T2W imaging ( P <0.001). The diagnostic performance of the two sets of T2W images was not different for uterine leiomyoma. Conclusions DL-accelerated sagittal T2W imaging obtained with three breath-holds demonstrated superior or comparable image quality to conventional T2W imaging with no significant difference in diagnostic performance for uterine leiomyomas.

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Benign Uterine Disease

Cited by 10 publications

References 79 publications

Adenomiosis: una mirada a esta compleja patología ginecológica

Adenomiosis: una mirada a esta compleja patología ginecológica

Low-grade serous epithelial ovarian cancer: a comprehensive review and update for radiologists

Deep learning-accelerated T2-weighted imaging versus conventional T2-weighted imaging in the female pelvic cavity: image quality and diagnostic performance

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