Review
Medicine, General & Internal
Xinxin Zhao, Ye Yang
Summary: Uterine cystic adenomyosis is a rare disease that is often misdiagnosed. It can be safely and effectively treated with ultrasound-guided aspiration and sclerotherapy.
FRONTIERS IN MEDICINE
(2022)
Article
Primary Health Care
Sarina Schrager, Lashika Yogendran, Crystal M. Marquez, Elizabeth A. Sadowski
Summary: Adenomyosis is a clinical condition characterized by the presence of endometrial glands in the myometrium of the uterus. Common symptoms include heavy menstrual bleeding, pelvic pain, and infertility. Diagnosis is confirmed through clinical suspicion and imaging modalities. Treatment often involves hormonal menstrual suppression, and in severe cases, a hysterectomy may be necessary.
AMERICAN FAMILY PHYSICIAN
(2022)
Review
Acoustics
M. J. Harmsen, L. M. Trommelen, R. A. de Leeuw, T. Tellum, L. J. M. Juffermans, A. W. Griffioen, I. Thomassin-Naggara, T. Van den Bosch, J. A. F. Huirne
Summary: The uterine junctional zone is an area in the myometrium that aids in peristalsis and transport of spermatozoa and blastocysts. Alterations in its appearance on imaging are associated with adenomyosis, but the lack of standardization and ill-defined boundaries hinder its diagnosis. This review investigates the definition of the junctional zone and how imaging findings can be linked to histological findings in diagnosing adenomyosis.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Review
Medicine, General & Internal
Gaby Moawad, Arrigo Fruscalzo, Youssef Youssef, Mira Kheil, Tala Tawil, Jimmy Nehme, Paul Pirtea, Benedetta Guani, Huda Afaneh, Jean Marc Ayoubi, Anis Feki
Summary: Adenomyosis is a common benign condition characterized by ectopic endometrial glands in the myometrium, causing symptoms like abnormal uterine bleeding, chronic pelvic pain, and infertility. Diagnosis and classification of adenomyosis lack standardization due to imaging techniques, the features of adenomyosis, and its clinical spectrum. This review summarizes available classification systems, imaging approaches, and histologic criteria for diagnosing adenomyosis, highlighting their strengths and limitations.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Ning Hai, Qingxiang Hou, Ruijun Guo
Summary: The combination of transvaginal ultrasound-guided radiofrequency ablation (RFA) and a levonorgestrel-releasing intrauterine system (LNG-IUS) has been shown to be a simple, safe, and effective alternative for treating symptomatic uterine adenomyosis, with significant reductions in symptoms and uterine volume observed in the study.
INTERNATIONAL JOURNAL OF HYPERTHERMIA
(2021)
Review
Medicine, General & Internal
Aina Delgado-Morell, Mar Nieto-Tous, Cristina Andrada-Ripolles, Maria Angela Pascual, Silvia Ajossa, Stefano Guerriero, Juan Luis Alcazar
Summary: Hydrosalpinx is an important factor in reproduction and ultrasound is an effective non-invasive technique for diagnosing it. This study aimed to summarize and report the current evidence on the accuracy of transvaginal sonography (TVS) in diagnosing hydrosalpinx. Six studies were analyzed, involving 3974 women and 4144 adnexal masses, with 118 cases of hydrosalpinx. The overall sensitivity of TVS in diagnosing hydrosalpinx was 84%, with a specificity of 99%, positive likelihood ratio of 80.7, negative likelihood ratio of 0.16, and DOR of 496.
Review
Medicine, General & Internal
Alexandra Bausic, Ciprian Coroleuca, Catalin Coroleuca, Diana Comandasu, Roxana Matasariu, Andrei Manu, Francesca Frincu, Claudia Mehedintu, Elvira Bratila
Summary: Endometriosis is a common gynecological condition that can cause various symptoms in women of reproductive age. Accurate diagnosis is essential for effective treatment, and different diagnostic methods should be chosen based on the type of endometriosis.
Review
Obstetrics & Gynecology
Juan Luis Alcazar, Julio Vara, Claudia Usandizaga, Silvia Ajossa, Maria A. Pascual, Stefano Guerriero
Summary: This study compared the diagnostic accuracy of transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI) for adenomyosis. The results showed that both TVS and MRI had similar performances in diagnosing adenomyosis. Rating: 8/10.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Medicine, General & Internal
Vladut Sasaran, Sabin Turdean, Claudiu Marginean, Marius Gliga, Levente Ilyes, Ovidiu Grama, Lucian Puscasiu
Summary: This study assessed the diagnostic accuracy of TVUS combined with strain-ratio elastography (SRE) in concomitant uterine fibroids (UFs) and adenomyosis (AM), and found that TVUS combined with SRE showed good diagnostic performance in identifying coexisting UFs and AM within the same uterine specimen.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Vladut Sasaran, Sabin Turdean, Marius Gliga, Levente Ilyes, Ovidiu Grama, Mihai Muntean, Lucian Puscasiu
Summary: The combination of TVUS with SE improves the accuracy of diagnosing UF and AM, with higher SR values in AM patients compared to UF patients. UF has higher diagnostic sensitivity and specificity than AM, and ROC analysis provided good cutoff values for distinguishing between the two conditions.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Health Care Sciences & Services
Diego Raimondo, Lucia Lazzeri, Antonio Raffone, Matteo Giorgi, Benedetta Orsini, Ludovica Verrelli, Jacopo Lenzi, Antonio Travaglino, Lucia De Meis, Antonio Mollo, Errico Zupi, Renato Seracchioli, Paolo Casadio
Summary: Comparing uterine biometric parameters can reveal significant differences between adenomyosis and non-adenomyosis uteri, but the optimal cut-off values of these parameters have low accuracy in diagnosing adenomyosis.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Urology & Nephrology
Leopoldo Alves Ribeiro-Filho, Natalia Doratioto Serrano Faria Braz, Caio Vinicius Suartz, Amaury Padilha Balsimelli, Felipe Hirasaki, Eduardo Miranda, Matheus Siqueira, Anuar Ibrahim Mitre, Cristiano Mendes Gomes, William Carlos Nahas
Summary: The objective of this study is to determine the efficacy of transvaginal bladder ultrasound (TBU) for diagnosing chronic trigonitis (CT). TBU was performed on 114 women with recurrent urinary tract infection (RUTI) and antibiotic resistance. Thickening of trigone mucosa (>3 mm) was found to be the most relevant criteria for diagnosis. TBU was shown to be an efficient, inexpensive, and minimally invasive method for diagnosing CT.
INTERNATIONAL JOURNAL OF UROLOGY
(2023)
Review
Acoustics
Linly Liu, Wentao Li, Mathew Leonardi, George Condous, Fabricio Da Silva Costa, Ben W. Mol, Lufee Wong
Summary: The diagnostic accuracy of transvaginal ultrasound (TVUS) for adenomyosis is high and comparable to MRI. Among the eight sonographic criteria, only five were assessable, with echogenic subendometrial lines and buds being the best individual criterion. Limited data exists for the various sonographic criteria, requiring further studies to compare their performance.
JOURNAL OF ULTRASOUND IN MEDICINE
(2021)
Article
Medicine, General & Internal
Ana Luiza Santos Marques, Marina Paula Andres, Leandro A. Mattos, I. I. I. Manoel O. Gonc Alves, Edmund Chada Baracat, Mauricio Simoes Abrao
Summary: The study found a high prevalence of adenomyosis in patients with abnormal uterine bleeding, and identified associations with age, dysmenorrhea, and endometriosis. Additionally, 3D TVUS alterations in the junctional zone were associated with abnormal uterine bleeding and dyspareunia, while diffuse adenomyosis was linked to older age, infertility, and abnormal uterine bleeding.
Article
Oncology
Shunshi Yang, Jueying Li, Jingjing Li, Lei Huang, Ying Chen, Xiaoyu Zhao, Hongxia Dong, Xiujuan Huang, Fen Yu, Xiong Li, Qinghua Zhang
Summary: Transvaginal ultrasound- and laparoscopy-guided percutaneous microwave ablation (TLPMA) is a safe and effective minimally invasive treatment for adenomyosis, with a significant decrease in uterine and lesion volumes and long-term efficacy. Laparoscopy helps with separation of pelvic adhesions, providing a wide antenna path and observation of uterine surface and bowel movement. After a median follow-up of 36 months, the uterine and lesion volumes remained stable, and most patients remained without dysmenorrhea, confirming the long-term efficacy of TLPMA.
INTERNATIONAL JOURNAL OF HYPERTHERMIA
(2023)
