Value of ultrasound shear wave elastography in the diagnosis of adenomyosis

Açar, Sami; Millar, Ewan K.A.; Mitkova, M. D.; Mitkov, V. V.

doi:10.1177/1742271x16673677

Cited by 50 publications

(41 citation statements)

References 29 publications

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“…Their results supported the capability of strain elastography to differentiate adenomyosis from leiomyomas, although 1 study showed suboptimal agreement between strain elastography diagnosis of adenomyosis and histology . Only 1 study in the literature used SWE to evaluate adenomyosis, with results similar to ours: significantly increased myometrial stiffness in patients with adenomyosis. The above‐mentioned inconsistency might reflect underlying technical differences in measuring tissue stiffness within a confined organ, which warrants further investigation.…”

Section: Discussionsupporting

confidence: 65%

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Transvaginal Ultrasound Shear Wave Elastography for the Evaluation of Benign Uterine Pathologies: A Prospective Pilot Study

Zhang

Wasnik

Masch

et al. 2018

J of Ultrasound Medicine

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Section: Discussionsupporting

confidence: 65%

“…Several recent studies use strain elastography to diagnose adenomyosis and uterine leiomyomas . Only 1 study in the literature investigates SWE of adenomyosis . Thus, the use of in vivo SWE for myometrial assessment is truly a novel application of an emerging technology.…”

mentioning

confidence: 99%

Transvaginal Ultrasound Shear Wave Elastography for the Evaluation of Benign Uterine Pathologies: A Prospective Pilot Study

Zhang

Wasnik

Masch

et al. 2018

J of Ultrasound Medicine

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“…In contrast, adenomyosis impairs the function of the myometrium. A recent report showed a significant increase in the myometrial stiffness (estimated with shear wave elastography) in patients with adenomyosis . In fact, the intrauterine pressure has been reported to be increased in pregnant women with adenomyosis .…”

Section: Discussionmentioning

confidence: 98%

Complications and outcomes of pregnant women with adenomyosis in Japan

Tamura

Kishi

Kitade

et al. 2017

Reprod Medicine & Biology

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PurposeTo investigate the impact of adenomyosis on the complications and outcomes of pregnancy in Japan.MethodsWe carried out a multicenter retrospective questionnaire survey. A questionnaire regarding pregnancy complications and the outcomes of pregnancy was sent to 725 facilities.ResultsData were obtained on the cases of 272 pregnant women with adenomyosis from 65 facilities. The complications of pregnancy included miscarriage before 12 weeks of pregnancy (14.8%), miscarriage after 12 weeks of pregnancy (9.9%), preterm delivery (24.4%), fetal growth restriction (11.8%), pregnancy‐induced hypertension (9.9%), intrauterine infection (7.3%), and cervical incompetency (5.3%). The rates of pregnancy complications in the three groups classified according to pretreatment for adenomyosis (no pretreatment, medication, surgery) did not differ to a statistically significant extent. The rates of miscarriage (>12 weeks) and cervical incompetency increased according to the size of the adenomyosis. The rates of pregnancy‐induced hypertension and uterine infection in patients with diffuse‐type adenomyosis were higher than that in patients with focal‐type adenomyosis.ConclusionsOur results show that the increased size and diffuse type of adenomyosis are associated with adverse pregnancy outcome. We should be aware of the higher incidence of pregnancy‐induced hypertension and uterine infection in patients with diffuse‐type adenomyosis.

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“…A recent report showed a significant increase in the myometrial stiffness (estimated with shear wave elastography) in patients with adenomyosis. 18 In fact, the intrauterine pressure has been reported to be increased in pregnant women with adenomyosis. 7,19 The uterine contractions caused by chronic inflammation and a high intrauterine pressure caused by myometrial stiffness might be factors that contribute to adenomyosis-related miscarriage and cervical incompetency.…”

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confidence: 99%

Complications and outcomes of pregnant women with adenomyosis in Japan

Tamura

Maekawa

Sugino

2018

Fertility and Sterility

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Purpose: To investigate the impact of adenomyosis on the complications and outcomes of pregnancy in Japan. Methods:We carried out a multicenter retrospective questionnaire survey. A questionnaire regarding pregnancy complications and the outcomes of pregnancy was sent to 725 facilities.Results: Data were obtained on the cases of 272 pregnant women with adenomyosis from 65 facilities. The complications of pregnancy included miscarriage before 12 weeks of pregnancy (14.8%), miscarriage after 12 weeks of pregnancy (9.9%), preterm delivery (24.4%), fetal growth restriction (11.8%), pregnancy-induced hypertension (9.9%), intrauterine infection (7.3%), and cervical incompetency (5.3%). The rates of pregnancy complications in the three groups classified according to pretreatment for adenomyosis (no pretreatment, medication, surgery) did not differ to a statistically significant extent. The rates of miscarriage (>12 weeks) and cervical incompetency increased according to the size of the adenomyosis. The rates of pregnancy-induced hypertension and uterine infection in patients with diffuse-type adenomyosis were higher than that in patients with focal-type adenomyosis. Conclusions:Our results show that the increased size and diffuse type of adenomyosis are associated with adverse pregnancy outcome. We should be aware of the higher incidence of pregnancy-induced hypertension and uterine infection in patients with diffuse-type adenomyosis. K E Y W O R D Sadenomyosis, complication, miscarriage, pregnancy, preterm delivery

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Value of ultrasound shear wave elastography in the diagnosis of adenomyosis

Abstract: This study showed a significant increase of the myometrial stiffness estimated with shear wave elastography use in patients with adenomyosis.

Cited by 50 publications

References 29 publications

Transvaginal Ultrasound Shear Wave Elastography for the Evaluation of Benign Uterine Pathologies: A Prospective Pilot Study

Transvaginal Ultrasound Shear Wave Elastography for the Evaluation of Benign Uterine Pathologies: A Prospective Pilot Study

Complications and outcomes of pregnant women with adenomyosis in Japan

Complications and outcomes of pregnant women with adenomyosis in Japan

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