747 results match your criteria Adenomyosis Imaging


Interpreting body MRI cases: classic findings in pelvic MRI.

Abdom Radiol (NY) 2020 Jun 30. Epub 2020 Jun 30.

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

The high contrast resolution provided by magnetic resonance imaging (MRI) compared to all other modalities allows the interpreting radiologist to make a specific diagnosis for many common and uncommon findings. In some cases, the diagnosis can be so certain that there is no differential diagnosis. In this article, we review the most classically recognized findings when interpreting MRI of the pelvis including the following: Ovaries: Simple cyst, hemorrhagic cyst, corpus luteum, dermoid, fibroma/fibrothecoma. Read More

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http://dx.doi.org/10.1007/s00261-020-02615-2DOI Listing

Gastric Adenomyosis: A Rare Cause of Pyloric Mass in Children.

J Indian Assoc Pediatr Surg 2020 May-Jun;25(3):172-174. Epub 2020 Apr 11.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

Adenomyoma of the stomach is a benign tumor with a very low incidence. Clinical presentation and imaging modalities are usually nonspecific and variable. A rare case of gastric adenomyoma in a 12-year-old child is being reported who presented with gastric outlet obstruction. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_44_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302453PMC

Evaluation of adenomyosis after gonadotrophin-releasing hormone agonist therapy using ultrasound post-processing imaging: a pilot study.

J Int Med Res 2020 Jun;48(6):300060520920056

Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Taipei Medical University Hospital,Taipei.

Objective: We explored a method for the quantitative sonographic analysis of myometrial texture using computer-aided image analysis software to assess outcomes following treatment with gonadotrophin-releasing hormone (GnRH) agonist for adenomyosis in women with infertility.

Method: Data for patients with ultrasound images of the myometrium obtained at Taipei Medical University Hospital from 1 September 2018 to 5 April 5 2019 were analyzed. Only 10 patients with 20 ultrasound images matched the eligibility criteria. Read More

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http://dx.doi.org/10.1177/0300060520920056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297488PMC

Gonadotropin-releasing hormone antagonist (linzagolix): a new therapy for uterine adenomyosis.

Fertil Steril 2020 Jun 2. Epub 2020 Jun 2.

Société de Recherche pour l'Infertilité, Brussels, Belgium; Catholic University of Louvain, Belgium. Electronic address:

Objective: To compare the efficacy of a selective progesterone receptor modulator, ulipristal acetate, and a gonadotropin-releasing hormone antagonist, linzagolix, in a case of severe uterine adenomyosis.

Design: Case report.

Setting: Private clinic and infertility research unit. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2020.04.017DOI Listing

Niche role of MRI in the evaluation of female infertility.

Indian J Radiol Imaging 2020 Jan-Mar;30(1):32-45. Epub 2020 Mar 30.

Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, India.

Infertility is a major social and clinical problem affecting 13-15% of couples worldwide. The pelvic causes of female infertility are categorized as ovarian disorders, tubal, peritubal disorders, and uterine disorders. Appropriate selection of an imaging modality is essential to accurately diagnose the aetiology of infertlity, since the imaging diagnosis directs the appropriate treatment to be instituted. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_377_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240899PMC

Use of contrast-enhanced ultrasound in evaluating the efficacy and application value of microwave ablation for adenomyosis.

J Cancer Res Ther 2020 ;16(2):365-371

Department of Oncology, The Tumor Hospital of Liaocheng, Liaocheng, China.

Aim: This study aims to assess the use of contrast-enhanced ultrasonography (CEUS) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the evaluation of percutaneous microwave ablation (PMWA) of localized adenomyosis.

Materials And Methods: Sixty-six patients with single-onset adenomyosis who underwent PMWA at the Liaocheng Tumor Hospital of Shandong Province from January 2013 to February 2019 were enrolled. Venous CEUS and DCE-MRI examinations were performed before and 1-2 days after the surgery. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_769_18DOI Listing
January 2020

Peritoneal Retraction Pocket Defects and Their Important Relationship with Pelvic Pain and Endometriosis.

J Minim Invasive Gynecol 2020 May 28. Epub 2020 May 28.

Department of Gynaecologic Surgery, Vita Batel Hospital, Curitiba, Brazil (Drs. Carranco, Zomer, Berg, and Kondo); Department of Minimally Invasive Surgery Unit, University Hospital Center of Porto, Porto, Portugal (Dr. Smith); Department of Obstetrics-Gynecology, KU Leuven, Bierbeek, Belgium, Italian-Belgian Group, Rome, Italy (Dr. Koninckx).

Objective: The objective of this video is to demonstrate different clinical presentations of peritoneal defects (peritoneal retraction pockets) and their anatomic relationships with the pelvic innervation, justifying the occurrence of some neurologic symptoms in association with these diseases.

Design: Surgical demonstration of complete excision of different types of peritoneal retraction pockets and a comparison with a laparoscopic retroperitoneal cadaveric dissection of the pelvic innervation.

Setting: Private hospital in Curitiba, Paraná, Brazil. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.020DOI Listing

Acute cerebral infarction with adenomyosis in a patient with fever: a case report.

BMC Neurol 2020 May 25;20(1):210. Epub 2020 May 25.

Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.

Background: It is reported that acute cerebral infarction with adenomyosis is associated with elevated D-Dimer, elevated CA125, anemia and menstruation. However, previous reports did not notice infection known as fever, which may be a potential risk factor for developing acute cerebral infarction with adenomyosis.

Case Presentation: We describe a 34-year-old woman who presented headache and fever (38 °C) for 4 days and left limb weakness for 1 day during her menstrual phase. Read More

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http://dx.doi.org/10.1186/s12883-020-01787-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249642PMC

The prevalence of adenomyosis in an infertile population: a cross-sectional study.

Reprod Biomed Online 2020 Jun 26;40(6):842-850. Epub 2020 Feb 26.

Department of Diagnostic Radiology, Faculty of Medicine, Mansoura University, Mansoura Dakahlia 35516, Egypt.

Research Question: Adenomyosis has been reported in a high proportion (24.4%) of infertile women, but this may be over-representative. What is the exact prevalence of adenomyosis in an infertility clinic population?

Design: In this cross-sectional study, 320 infertile women ≤41 years of age attending the infertility clinic of a university teaching hospital were screened by two-dimensional transvaginal ultrasound (2D-TVS) to look for the sonographic markers of adenomyosis, with subsequent magnetic resonance imaging (MRI) if suspected. Read More

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http://dx.doi.org/10.1016/j.rbmo.2020.02.011DOI Listing

Adenomyosis presenting as a molar pregnancy: A case report.

Gynecol Oncol Rep 2020 May 23;32:100573. Epub 2020 Apr 23.

Division of Gynecologic Oncology, Washington University School of Medicine, St. Louis, MO, USA.

•We present a case of atypical adenomyosis with clinical, laboratory, and imaging findings suggestive of a molar pregnancy.•Adenomyosis causes uterine enlargement and may appear cystic on vaginal ultrasound.•Falsely elevated β-hCG in the setting of obesity and hypothyroidism may complicate diagnosing abnormal uterine bleeding. Read More

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http://dx.doi.org/10.1016/j.gore.2020.100573DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191572PMC

Significance of changes in inflammatory parameters following uterine artery embolization in pre-menopausal females.

Exp Ther Med 2020 Jun 9;19(6):3684-3690. Epub 2020 Apr 9.

Department of Obstetrics and Gynecology, Medical Faculty, Democritus University of Thrace, Alexandroupolis 68100, Greece.

The purpose of the present study was to describe the course of changes in laboratory inflammatory markers following bilateral uterine artery embolization (UAE) as a treatment for leiomyomas and adenomyosis. The body temperature was measured and blood samples were collected to determine white blood cell (WBC) count and C-reactive protein (CRP) levels in 270 patients on the day prior to UAE and for up to 4 days post-embolization. Aside from a single case with a non-inflammatory complication, none of the other cases had any complications. Read More

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http://dx.doi.org/10.3892/etm.2020.8652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7185183PMC

Relapse after conservative surgery combined with triptorelin acetate versus conservative surgery only in women with focal adenomyosis: study protocol for a multicenter, prospective, randomized controlled trial.

Trials 2020 Apr 28;21(1):364. Epub 2020 Apr 28.

Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Background: The preservation of fertility and integrity of the reproductive organs has increasingly been of concern to most women with adenomyosis. Adenomyomectomy is conservative surgery that is now widely applied; however, relapse is a serious problem after the operation. Postoperative treatment, such as gonadotropin-releasing hormone agonist (GnRHa) has been suggested to result in reducing the rate of disease recurrence. Read More

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http://dx.doi.org/10.1186/s13063-020-04294-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189466PMC
April 2020
2.117 Impact Factor

Subserosal adenomyotic cysts and peritoneal inclusion cysts - Unusual differential diagnoses of multicystic pelvic masses: A review of two cases.

Case Rep Womens Health 2020 Jul 24;27:e00193. Epub 2020 Mar 24.

KK Women's and Children's Hospital, Singapore.

Background: Multiloculated pelvic cysts are commonly misdiagnosed as ovarian tumors or malignancies. We report 2 patients diagnosed with subserosal adenomyotic cysts and peritoneal inclusion cysts, mimicking multiloculated pelvic tumors. We discuss their clinical presentation, investigations, operation findings, and histopathology, present a literature review. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150504PMC

Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: Two case reports.

Case Rep Womens Health 2020 Apr 3;26:e00187. Epub 2020 Mar 3.

Mahkota Medical Centre, Suite 105, Mahkota Medical Centre, No 3, Mahkota Melaka, Jalan Merdeka, 75000 Melaka, Malaysia.

Introduction: An accessory cavitated uterine mass (ACUM) is a rare congenital Mullerian anomaly where an accessory cavity with normal endometrial lining lies within a normally functioning uterus. It is common among young and nulliparous women presenting with severe dysmenorrhea and infertility.

Presentation Of The Cases: We present two cases of ACUM. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082520PMC

Uterine adenomyosis with extensive glandular proliferation: case series of a rare imaging variant.

Diagn Interv Radiol 2020 May;26(3):153-159

Department of Radiology, The University of Tokyo School of Medicine, Tokyo, Japan.

Purpose: We aimed to investigate the clinical and magnetic resonance imaging (MRI) characteristics of uterine adenomyosis, in which there is an extensive area of high signal intensity in the myometrium on T2-weighted MRI.

Methods: This retrospective radiographic study reviewed a case series of six patients (mean age, 36 years) with adenomyosis. These patients were selected because, unlike in classical adenomyosis, T2-weighted images showed a larger area of high signal intensity than that of low signal intensity in the myometrium. Read More

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http://dx.doi.org/10.5152/dir.2019.19252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239357PMC

One-time high-intensity focused ultrasound ablation of abdominal wall endometriosis with concurrent uterine fibroids or adenomyosis: two cases and literature review.

Quant Imaging Med Surg 2020 Feb;10(2):511-517

Department of HIFU Treatment Center Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China.

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http://dx.doi.org/10.21037/qims.2019.12.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063290PMC
February 2020

Exploring the challenges for a new classification of adenomyosis.

Reprod Biomed Online 2020 Apr 25;40(4):569-581. Epub 2020 Jan 25.

Department of Maternal & Child Health, Gynecology and Urology, Sapienza, University of Rome, 00185 Rome, Italy.

The availability of non-invasive diagnostic tests is an important factor in the renewed interest in adenomyosis, as the disease can now be more accurately mapped in the uterus without a need for hysterectomy. An agreed system for classifying and reporting the condition will enhance our understanding of the disease and is envisaged to enable comparison of research studies and treatment outcomes. In this review, we assess previous and more recent attempts at producing a taxonomy, especially in view of the latest proposal for subdivision of adenomyosis into an internal and an external variant. Read More

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http://dx.doi.org/10.1016/j.rbmo.2020.01.017DOI Listing

A Classification Proposal for Adenomyosis Based on Magnetic Resonance Imaging.

Gynecol Obstet Invest 2020 11;85(2):118-126. Epub 2020 Mar 11.

Department of Obstetrics and Gynecology, Nara Medical University, Nara, Japan.

There is a lack of an international consensus on adenomyosis classification that is useful for clinical practice and research. This article reviews advancements in the classification of adenomyosis, and the existing limitations. We collected a literature search from PubMed and Embase database up to March 2019. Read More

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http://dx.doi.org/10.1159/000505690DOI Listing

Clinical Efficacy and Safety of Major Uterine Wall Resection and Reconstruction of the Uterus Combined with LNG-IUS for the Treatment of Severe Adenomyosis.

Geburtshilfe Frauenheilkd 2020 Mar 9;80(3):300-306. Epub 2019 Dec 9.

Gynecology Department of Affiliate Hospital of Maternal and Child Health Care of Zunyi Medical University, Zunyi, China.

Aim of the study was to evaluate the clinical efficacy and safety of major uterine wall resection and reconstruction of the uterus (MURU) combined with a levonorgestrel-releasing intrauterine system (LNG-IUS) for the treatment of adenomyosis. Ninety patients diagnosed with adenomyosis were enrolled in this study. All participants were examined by transvaginal ultrasound (TVU) or magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1055/a-0995-2200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056398PMC

Endometrial cancer arising from adenomyosis: Case report and literature review of MRI findings.

Radiol Case Rep 2020 Apr 13;15(4):427-430. Epub 2020 Feb 13.

Department of Radiology, Aichi Medical University, 1-1 YazakoKarimata, Nagakute 480-1195, Japan.

Endometrial cancer arising from adenomyosis (EC-AIA) is extremely rare, and the typical magnetic resonance imaging (MRI) findings of EC-AIA have not been established. We report a case of EC-AIA that was detected preoperatively on MRI and conduct a literature review of the MRI findings of EC-AIA. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.01.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031131PMC

Diagnosing adenomyosis: an integrated clinical and imaging approach.

Hum Reprod Update 2020 Apr;26(3):392-411

Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.

Background: Adenomyosis is a benign uterine disorder where endometrial glands and stroma are pathologically demonstrated within the uterine myometrium. The pathogenesis involves sex steroid hormone abnormalities, inflammation, fibrosis and neuroangiogenesis, even though the proposed mechanisms are not fully understood. For many years, adenomyosis has been considered a histopathological diagnosis made after hysterectomy, classically performed in perimenopausal women with abnormal uterine bleeding (AUB) or pelvic pain. Read More

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http://dx.doi.org/10.1093/humupd/dmz049DOI Listing

Imaging Spectrum of Endometriosis (Endometriomas to Deep Infiltrative Endometriosis).

Radiol Clin North Am 2020 Mar;58(2):275-289

Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.

In this article, the authors review the optimal imaging protocols for ultrasound and MR imaging of suspected endometriosis, review the compartmental approach to dictating these examinations, discuss the diagnostic criteria for endometriosis detection by anatomic site and the differential diagnosis, review pearls and pitfalls in diagnosis, and review what the referring physician needs to know. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.11.001DOI Listing

Imaging Spectrum of Benign Uterine Disease and Treatment Options.

Radiol Clin North Am 2020 Mar 4;58(2):239-256. Epub 2019 Dec 4.

University of Wisconsin School of Medicine and Public Health, 750 Highland Avenue, Madison, WI 53705, USA.

Benign uterine diseases are common gynecologic conditions affecting women of all ages. Ultrasonography is traditionally the first-line imaging technique but patients are increasingly referred to magnetic resonance (MR) imaging because it is more accurate for diagnosis and patient management. This article highlights the added value of MR imaging in the diagnosis of the most common benign uterine diseases, describes therapeutic options, and delineates the role of MR imaging in treatment planning. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.10.004DOI Listing

The importance of the junctional zone of the endometrium in human reproduction.

Hum Fertil (Camb) 2020 Feb 6:1-9. Epub 2020 Feb 6.

St George's, University of London, London, UK.

Junctional zone endometrium (JZE) thickness and contractility seem to determine gamete and embryo transportation and implantation. Proper function depends on concentration levels, mode and timing of oestrogen and progesterone production. Most probably, the remodelling of spiral arteries, and the development of endometrium and decidua are also highly dependent on JZE activity. Read More

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http://dx.doi.org/10.1080/14647273.2020.1720316DOI Listing
February 2020

Asherman syndrome in adenomyosis treated with uterine artery embolization: incidence predictive factors.

Radiol Med 2020 May 4;125(5):437-443. Epub 2020 Feb 4.

Department of Radiology, The First Affiliated Hospital, Anhui Medical University, 218 Jixi Street, Hefei, 230022, PA, People's Republic of China.

Purpose: To investigate Asherman syndrome (AS) related to potential factors during uterine artery embolization (UAE) treatment of adenomyosis.

Materials And Methods: This is a retrospective analysis of 195 women with adenomyosis who underwent UAE treatment from 2009 to 2016. All preoperative and intraoperative risk-related potential factors of AS were recorded. Read More

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http://dx.doi.org/10.1007/s11547-020-01136-8DOI Listing

Junctional Zone Endometrium Morphological Characteristics and Functionality: Review of the Literature.

Gynecol Obstet Invest 2020 22;85(2):107-117. Epub 2020 Jan 22.

St George's, University of London MBBS Programme at the University of Nicosia Medical School, Nicosia, Cyprus.

The junctional zone endometrium (JZE) is a compacted layer of smooth muscle cells with little extracellular matrix. The innermost myometrium adjacent to the endometrium, JZE is best visualized and evaluated on T2-weighted magnetic resonance imaging (MRI) and two-dimensional/three-dimensional transvaginal ultrasound (TVUS) scanning. Increased thickness of JZE >12 mm on MRI images has been associated with myometrial and subendometrial pathologic conditions, such as, adenomyosis, and is considered a poor prognostic factor for implantation. Read More

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http://dx.doi.org/10.1159/000505650DOI Listing
January 2020

Adenomyosis incidence, prevalence and treatment: United States population-based study 2006-2015.

Am J Obstet Gynecol 2020 Jul 15;223(1):94.e1-94.e10. Epub 2020 Jan 15.

Obstetrics and Gynecology, School of Medicine, University of Washington, Seattle, Washington. Electronic address:

Background: Adenomyosis symptoms are disabling. Population-based data on incidence and prevalence of adenomyosis are lacking that could guide future evidence-based treatments and clinical management.

Objective: To evaluate the incidence, 10-year secular trends, and prevalence of adenomyosis diagnoses and to describe symptoms and treatment patterns in a large U. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.01.016DOI Listing

Hysterosalpingography in endometriosis: performance and interpretation.

Abdom Radiol (NY) 2020 06;45(6):1680-1693

Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, 02114, USA.

Endometriosis is often seen and sometimes initially diagnosed on hysterosalpingography (HSG), an imaging exam routinely performed on patients with infertility. Here we discuss the role of HSG in the evaluation of patients with infertility with a focus on patients with endometriosis. The HSG technique, including patient preparation as well as potential risks and complications, is detailed. Read More

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http://dx.doi.org/10.1007/s00261-019-02373-wDOI Listing

Impact of evaluation in interventional radiology clinic prior to uterine artery embolization: changes in management.

Abdom Radiol (NY) 2020 03;45(3):878-884

Interventional Radiology, Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA, 02215, USA.

Purpose: To assess the impact of pre-procedural evaluation of patients with symptomatic uterine fibroids and adenomyosis in interventional radiology (IR) clinic.

Method: In this IRB-approved, HIPAA-compliant retrospective study, consecutive patients evaluated in the IR clinic in a tertiary academic hospital between 1/1/2015 and 9/30/2018 by a single board-certified interventional radiologist were included. Medical records were reviewed to obtain medical history, imaging and endometrial biopsies results. Read More

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http://dx.doi.org/10.1007/s00261-019-02388-3DOI Listing

Nonpuerperal uterine inversion due to adenomyosis: A case report and a literature review.

Clin Case Rep 2019 Dec 5;7(12):2420-2424. Epub 2019 Nov 5.

Gynecology and Obstetrics Department Brest University Hospital Brest France.

Nonpuerperal uterine inversion is a very rare event. We reported on the first ever case of nonpuerperal uterine inversion due to adenomyosis. Magnetic resonance imaging is recommended in cases with an unusual vaginal mass, so that this possible uterine etiology can be taken into consideration. Read More

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http://dx.doi.org/10.1002/ccr3.2530DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935629PMC
December 2019

Transvaginal ultrasound- and laparoscopy-guided percutaneous microwave ablation for adenomyosis: preliminary results.

Int J Hyperthermia 2019 ;36(1):1233-1238

Department of Ultrasound, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Adenomyosis is a relatively common disease among women of childbearing age. A minimally invasive alternative technique with low risks, faster recovery and decreased side effects is desired. We hypothesized that percutaneous microwave ablation (PMWA) under laparoscopic guidance would substantially reduce the risk of collateral thermal damage to the intestinal tract and relieve the pelvic adhesions. Read More

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http://dx.doi.org/10.1080/02656736.2019.1690169DOI Listing

Diagnosis of endometriosis 3rd part - Ultrasound diagnosis of deep endometriosis.

Ceska Gynekol 2019 ;84(4):269-275

Objective: To summarise the current knowledge and trends in the diagnosis of deep endometriosis.

Design: Review article.

Setting: Centre for diagnostics and treatment of endometriosis and Gynecologic Oncology Centre, Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Department of Gynaecology and Obstetrics, Burton Hospitals NHS, United Kingdom. Read More

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December 2019

Diagnosis of endometriosis 2nd part - Ultrasound diagnosis of endometriosis (adenomyosis, endometriomas, adhesions) in the community.

Ceska Gynekol 2019 ;84(4):260-268

Objective: To summarise the current knowledge and trends in the basic ultrasound diagnosis of adenomyosis, endometroid cysts and pelvic adhesions.

Design: Review article.

Setting: Centre for diagnostics and treatment of endometriosis and Gynecologic Oncology Centre, Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Department of Gynaecology and Obstetrics, Burton Hospitals NHS, United Kingdom. Read More

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December 2019

High-intensity focused ultrasound (HIFU) combined with gonadotropin-releasing hormone analogs (GnRHa) and levonorgestrel-releasing intrauterine system (LNG-IUS) for adenomyosis: a case series with long-term follow up.

Int J Hyperthermia 2019 ;36(1):1179-1185

Department of Gynecology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.

This research was conducted to assess the long-term outcomes of a combination treatment of High-intensity focused ultrasound (HIFU) ablation, gonadotropin-releasing hormone analogs (GnRHa) and Levonorgestrel-releasing intrauterine system (LNG-IUS) for women with adenomyosis (AD). One hundred and forty-two patients with AD were enrolled and treated with HIFU conservative treatment in combination with adjuvant therapy of GnRHa and LNG-IUS. All the cases were followed up to 5 years after treatment. Read More

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http://dx.doi.org/10.1080/02656736.2019.1679892DOI Listing

Classification and Reporting Systems for Adenomyosis.

Authors:
Malcolm G Munro

J Minim Invasive Gynecol 2020 02 27;27(2):296-308. Epub 2019 Nov 27.

Department of Obstetrics & Gynecology, David Geffen School of Medicine at UCLA/Kaiser Permanente Los Angeles Medical Center, Los Angeles, California (Dr. Munro).. Electronic address:

Objective: To conduct a review of the available histologic and image-based classification systems to determine which of these systems, if any, provide clinical utility for prognosis or the selection of appropriate therapeutic interventions.

Data Sources: PubMed in addition to the bibliographies of identified publications.

Methods Of Study Selection: One investigator searched PubMed using Medical Subject Headings terms that included "Adenomyosis," "Classification," "Ultrasound Classification," "MRI Classification," and "Diagnosis," TABULATION, INTEGRATION AND RESULTS: Search results were tabulated in a Microsoft Excel workbook that facilitated the identification of duplicate entries. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.11.013DOI Listing
February 2020

Advanced uterine adenosarcoma with sarcomatous overgrowth in a young woman: A case report.

Medicine (Baltimore) 2019 Nov;98(47):e18119

Department of Gynecology and Obstetrics, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, Zhejiang, China.

Rationale: Uterine adenosarcoma (UA) with sarcomatous overgrowth (ASSO) is a rare and aggressive disease. Herein, wereported the case of a young patient with advanced uterine ASSO.

Patients Concerns: A 29-year-old woman with the diagnoses of endometrial polyp and adenomyosis underwent hysteroscopic endometrial polypectomy for the giant endometrial polyp. Read More

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http://dx.doi.org/10.1097/MD.0000000000018119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882639PMC
November 2019

Is it useful to measure uterine wall thickness to predict preterm delivery of pregnant women with adenomyosis?

Taiwan J Obstet Gynecol 2019 Nov;58(6):729-730

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Female Cancer Foundation, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.tjog.2019.09.001DOI Listing
November 2019

Uterine anomalies and endometriosis.

Minerva Med 2020 Feb 12;111(1):33-49. Epub 2019 Nov 12.

Clinic for Obstetrics and Gynecology, UKSH Campus Kiel, Kiel, Germany -

Introduction: Endometriosis is a common disease in women of reproductive age. In addition to causing pain, it may also reduce fertility. The coexistence of endometriosis and congenital uterine anomalies (CUA) has been frequently reported in the published literature. Read More

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http://dx.doi.org/10.23736/S0026-4806.19.06341-9DOI Listing
February 2020

MR-guided focused ultrasound surgery: A novel non-invasive technique in the treatment of adenomyosis -18 month's follow-up of 12 cases.

Indian J Radiol Imaging 2019 Jul-Sep;29(3):284-288. Epub 2019 Oct 30.

Department of Community Medicine, Sri Ramachandra Institute of Higher Education & Research, Porur, Chennai, Tamil Nadu, India.

Background: Adenomyosis is a gynecological condition of the uterus, characterized by the presence of ectopic endometrial tissue in the myometrium. Hysterectomy, uterine artery embolization, and endometrial ablation therapy are the various surgical treatment options available for adenomyosis. A novel and globally upcoming technique is MR-guided focused ultrasound surgery "MRgFUS," which is a promising non-invasive surgical treatment option. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_53_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857263PMC
October 2019

Noninvasive Diagnosis of Adenomyosis: A Structured Review and Meta-analysis of Diagnostic Accuracy in Imaging.

J Minim Invasive Gynecol 2020 02 8;27(2):408-418.e3. Epub 2019 Nov 8.

Department of Gynecology, Oslo University Hospital (Drs. Tellum and Lieng); Department of Informatics, The Faculty of Mathematics and Natural Sciences, University of Oslo (Dr. Nygaard); Institute of Clinical Medicine, Faculty of Medicine, University of Oslo (Dr. Lieng), Oslo, Norway.

Objective: To conduct a systematic review and meta-analysis to evaluate imaging methods used to diagnose adenomyosis.

Data Sources: A thorough search was completed through the Cochrane Central Register of Controlled Trials, EMBASE, and PubMed or MEDLINE databases from January 2000 to June 2019.

Methods Of Study Selection: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Quality Assessment of Diagnostic Accuracy Studies 2 tool, studies reporting the diagnostic accuracy of an imaging method and histopathology as a reference standard were selected and prospectively registered in the International Prospective Register of Systematic Reviews. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.11.001DOI Listing
February 2020
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Myometrial cysts: A case series.

Case Rep Womens Health 2019 Oct 15;24:e00155. Epub 2019 Oct 15.

Departments of Cellular Pathology and Radiology, Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TG, UK.

Cysts in the uterine wall are rare. They are detected by imaging or at pathological examination after myomectomy or hysterectomy. They encompass a range of underlying aetiologies. Read More

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http://dx.doi.org/10.1016/j.crwh.2019.e00155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6833450PMC
October 2019

Ultrasound Evaluation in Female Infertility: Part 2, the Uterus and Implantation of the Embryo.

Authors:
Stuart Campbell

Obstet Gynecol Clin North Am 2019 Dec;46(4):697-713

Create Fertility, 150 Cheapside, London EC2V 6ET, UK. Electronic address:

This article discusses the role of ultrasound in assessing endometrial and uterine factors affecting the implantation of the embryo. Modern ultrasound equipment includes advanced Doppler and three-dimensional facilities that refine our understanding of factors that affect implantation such as endometrial blood flow. Three dimensional scanning is principally used to define the relationship of fibroids to the endometrial cavity, the position of polyps and other anatomic structures relative to the implantation site, to diagnose adenomyosis, to reveal and classify congenital uterine malformations and in the differential diagnosis od ovarian and extraovarian cystic structures in the pelvis. Read More

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http://dx.doi.org/10.1016/j.ogc.2019.08.002DOI Listing
December 2019

MRI image features and differential diagnoses of Herlyn-Werner-Wunderlich syndrome.

Gynecol Endocrinol 2020 Jun 26;36(6):484-488. Epub 2019 Oct 26.

Nuclear Magnetic Resonance Chamber, Lanzhou University Second Hospital, Lanzhou, China.

This study aims to explore how Herlyn-Werner-Wunderlich Syndrome (HWWS) manifests in diagnostic images and analyze the imaging specifications and differential diagnoses thus improving the understanding of the disease. The preoperative magnetic resonance imaging (MRI) findings and clinical data of 19 patients with HWWS were retrospectively analyzed, taking the intraoperative findings and postoperative pathological results of laparoscopic or hysteroscopy surgery as the diagnostic criteria. In this study, all the 19 patients underwent laparoscopic or hysteroscopic excision of vaginal oblique septum, and the preoperative MRI diagnosis of HWSS was consistent with the clinical postoperative diagnosis, with a diagnosis coincidence rate of 19/19 (100%). Read More

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http://dx.doi.org/10.1080/09513590.2019.1680623DOI Listing
June 2020
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Imaging for Adenomyosis: Making the Diagnosis by Sonography.

J Minim Invasive Gynecol 2020 02 11;27(2):267. Epub 2019 Oct 11.

Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark (all authors).. Electronic address:

Objective: To demonstrate a systematic approach for ultrasound diagnosis of adenomyosis.

Design: Stepwise demonstration of the ultrasound features of adenomyosis with narrated video footage.

Setting: In 2015, the International Morphological Uterus Sonographic Assessment group published a consensus on which terminology to use when describing myometrial lesions seen on ultrasonography [12]. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.10.001DOI Listing
February 2020

Junctional zone endometrium alterations in gynecological and obstetrical disorders and impact on diagnosis, prognosis and treatment.

Curr Opin Obstet Gynecol 2019 12;31(6):418-427

St' George's, University of London, London, UK.

Purpose Of Review: To investigate the JZE alterations in gynecological and obstetrical disorders and impact on diagnosis, prognosis and treatment.

Recent Findings: JZE was found to be significantly extended in patients with endometriosis, leading to the conclusion that endometriosis is a primary disease of the uterus, much like adenomyosis. Statistical correlation was then demonstrated between the severity of endometriosis and the depth of the adenomyosis infiltrates, hence the thickening of the JZE. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000572DOI Listing
December 2019
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Safety and Efficacy of Ultrasound-Guided High-Intensity Focused Ultrasound Treatment for Uterine Fibroids and Adenomyosis.

Ultrasound Med Biol 2019 12 25;45(12):3214-3221. Epub 2019 Sep 25.

Department of Obstetrics and Gynecology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Republic of Korea. Electronic address:

The objective of this study was to assess the tolerability and efficacy of ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation using a Haifu JC Focused Ultrasound Tumor Therapeutic System (operating transducer frequency: 0.8 MHz, 300-400 W/cm) under real-time ultrasound guidance (2.5- to 5. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2019.08.022DOI Listing
December 2019
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2.214 Impact Factor

Accuracy of findings in the diagnosis of uterine adenomyosis on ultrasound.

Abdom Radiol (NY) 2020 03;45(3):842-850

Department of Radiology & Diagnostic Imaging, University of Alberta Hospital, 2A2.41 WMC 8440-112 Street, Edmonton, AB, T6G 2B7, Canada.

Purpose: MRI is the current imaging gold standard to diagnose adenomyosis, but access is often limited by high costs and availability. Transvaginal ultrasound provides a cost-effective, accurate and readily available alternative. The objective of our study was to determine the diagnostic accuracy of commonly described sonographic findings in predicting uterine adenomyosis. Read More

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http://dx.doi.org/10.1007/s00261-019-02231-9DOI Listing
March 2020
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Pharmacological Treatment for Symptomatic Adenomyosis: A Systematic Review.

Rev Bras Ginecol Obstet 2019 Sep 23;41(9):564-574. Epub 2019 Sep 23.

Department of Obstetrics and Gynecology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Objective:  To assess the efficacy of non-surgical treatment for adenomyosis.

Data Sources:  A search was performed by two authors in the Pubmed, Scopus, and Scielo databases and in the grey literature from inception to March 2018, with no language restriction.

Selection Of Studies:  We have included prospective randomized studies for treating symptomatic women with adenomyosis (abnormal uterine bleeding and/or pelvic pain) diagnosed by ultrasound or magnetic resonance imaging. Read More

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http://dx.doi.org/10.1055/s-0039-1695737DOI Listing
September 2019
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Uterine Artery Embolization for Leiomyomas and Adenomyosis: A Pictorial Essay Based on Our Experience from 1300 Cases.

Authors:
Man Deuk Kim

Korean J Radiol 2019 10;20(10):1462-1473

Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Since its introduction in 1995, uterine artery embolization (UAE) has become an established option for the treatment of leiomyomas. Identification of a leiomyoma using arteriography improves the ability to perform effective UAE. UAE is not contraindicated in a pedunculated subserosal leiomyoma. Read More

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http://dx.doi.org/10.3348/kjr.2019.0205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6757003PMC
October 2019
3 Reads

Uterine wall thickness at the second trimester can predict subsequent preterm delivery in pregnancies with adenomyosis.

Taiwan J Obstet Gynecol 2019 Sep;58(5):598-603

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Objectives: We assessed the usefulness of ultrasonography (USG) findings of adenomyosis during pregnancy in the prediction of subsequent preterm delivery.

Materials And Methods: We included consecutive pregnant women who underwent first trimester ultrasonography in our institution, confirmed as having adenomyosis and subsequently delivered in our institution from January 2006 to April 2018. The subjects were classified into two groups: preterm delivery group and term delivery group. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.07.004DOI Listing
September 2019