Sonographic diagnosis of adenomyosis—ultrasound that cried wolf?

Feferkorn, Ido; Tulandi, Togas

doi:10.1016/j.fertnstert.2022.12.043

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Moreover, in another recent review [31], directed to correlate ultrasound features with clinical manifestations of adenomyosis and to discuss diagnostic methods for predicting disease severity, the authors reported that the lesion thickness, diffuse or internal adenomyosis, and focal adenomyosis may be associated with increased risks of symptoms, and that two ultrasound markers (i.e., the presence of heterogeneous myometrium and myometrial cysts) appear to be the most associated criteria. They concluded that there is currently no consensus that symptom severity can be predicted based on ultrasound features.…”

Section: Discussionmentioning

confidence: 99%

Innovative Ultrasound Criteria for the Diagnosis of Adenomyosis and Correlation with Symptoms: A Retrospective Re-Evaluation

Biasioli,

Degano,

Restaino

et al. 2024

Biomedicines

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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. This study aimed to reclassify the patients referred to the Pelvic Pain specialist outpatient clinic of the Gynecological Clinic of Udine according to the new criteria, evaluating the number of overdiagnoses and the possible correlation between the direct and indirect signs and the patients’ symptoms. 62 patients affected by adenomyosis were retrospectively recruited. The patients were then re-evaluated by ultrasound and clinically. At least one direct sign of adenomyosis was found in 52 patients, while 16% of the population examined did not present any. There was no statistically significant difference between patients presenting direct signs and those presenting none for the symptoms considered. According to the new criteria, 16% of the patients examined were not affected by adenomyosis; applying the new consensus to symptomatic patients could increase false negatives. In a population of symptomatic patients, the diagnosis of adenomyosis is still highly probable even without direct ultrasound signs, given the clinical symptoms and having ruled out other causes of such symptoms.

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Section: Discussionmentioning

confidence: 99%