Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation

Abstract

Objectives To evaluate the accuracy of transabdominal sonography (TAS) and transvaginal sonography (TVS) for the diagnosis of adenomyosis, and to determine the diagnostic relevance of various sonographic criteria. Subjects and methods

Uterine Artery Embolization for Adenomyosis: Percentage of Necrosis Predicts Midterm Clinical Recurrence

“…The MR imaging diagnostic criteria of adenomyosis included a 4 12-mm thickening of the junctional zone with or without punctate high-signal intensity myometrial foci on T1-weighted or T2-weighted imaging (4,5). The type of adenomyosis was classified as focal or diffuse on the basis of T2-weighted images at baseline (10)(11)(12). Necrosis of adenomyosis was defined as the absence of contrast enhancement on T1-weighted images at the 3-month follow-up examination compared with baseline (12).…”

Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis

“…Associated lesions, such as ovarian endometriosis and uterine adenomyosis, were diagnosed using published criteria (10,19,20).…”

Adenomyosis: Still largely under-diagnosed

“…Classical symptoms of adenomyosis of uterus are: menorrhagia, dysmenorrhoea, dyspareunia and pelvic pain. Preoperatively, adenomyosis of uterus remains largely a clinical diagnosis, since sensitivity and specificity of trans-vaginal ultrasound scans (TVS) remain low (Bazot et al 2002). Although the MRI scan has very high positive and negative predictive values (Togashi et al 1989), it is not widely available for routine gynaecological practice.…”