Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification

Kishi, Yohei; Suginami, Hiroshi; Kuramori, Rihoko; Yabuta, Matahiro; Suginami, Rumiko; Taniguchi, Fumiaki

doi:10.1016/j.ajog.2012.06.027

Cited by 237 publications

(267 citation statements)

References 7 publications

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“…On the other hand, Kishi et al . reported infiltration of endometriosis from outside the uterus, with disruption of the serosa and infiltration of the external myometrium inducing another subtype of adenomyosis.…”

Section: Introductionmentioning

confidence: 99%

Sonographic classification and reporting system for diagnosing adenomyosis

Bosch

Bruijn

Leeuw

et al. 2019

Ultrasound in Obstet & Gyne

195

139

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Section: Introductionmentioning

confidence: 99%

Sonographic classification and reporting system for diagnosing adenomyosis

Bosch

Bruijn

Leeuw

et al. 2019

Ultrasound in Obstet & Gyne

195

139

View full text Add to dashboard Cite

show abstract

“…It has been noted that adenomyosis in the posterior wall of the uterus can coexist with severe pelvic endometriosis, with obliteration of the posterior culde-sac and utero-rectal adhesions, characterized on MRI by a "teardrop" deformity of the rectum. 34 Such cases may not be suitable for HIFU ablation due to the risk of thermal damage to the rectum. Careful review of pre-procedure MRI images is therefore required to identify extrauterine pathology and assess for increased risk of complications.…”

Section: Criteria For Hifumentioning

confidence: 99%

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

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Adenomyosis is a benign gynecological condition causing significant morbidity among women of reproductive age. The available treatments are currently limited in number and efficacy. While hysterectomy is curative, it is unacceptable to many women, particularly those wishing to conserve their fertility. Magnetic resonance-guided focused ultrasound surgery is a noninvasive treatment method that has been used to effectively treat uterine leiomyomata, but until recently has not been routinely used to treat adenomyosis. This review summarizes the current understanding of adenomyosis and high-intensity focused ultrasound, and the recent research into the safety and efficacy of this technique.

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“…It had 95% sensitivity and 72% specificity to diagnose an ordinary uterine leiomyoma and 10% sensitivity and 100% specificity for a cellular uterine leiomyoma, respectively. Specific sequence imaging can provide some information about tissue directly1920 and can reveal the pathological character of lesions to a certain extent21. The study of Swe et al22 has shown that uterine leiomyomas with T2W1 hypointensity or isointensity indicating more fiber and fewer cellular content or lesion with less blood supply.…”

Section: Discussionmentioning

confidence: 99%

Research of dose-effect relationship parameters of percutaneous microwave ablation for uterine leiomyomas - a quantitative study

Zhang

Han

et al. 2014

Sci Rep

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Eighty eight patients with 91 uterine leiomyomas who underwent ultrasound-guided percutaneous microwave ablation (PMWA) treatment were prospectively included in the study in order to study the dose-effect relationship parameters (DERP) of PMWA for uterine leiomyomas and its relationship with T2-weighted MR imaging (T2WI). Based on the signal intensity of T2WI, uterine leiomyomas were classified as hypointense, isointense, and hyperintense. During ablation, leiomyomas were treated with quantitative microwave ablation (QMWA) energy of 50 w × 300 s or 60 w × 300 s. After QMWA, contrast-enhanced ultrasound (CEUS) was performed to evaluate DERP. No matter under 50 w × 300 s or 60 w × 300 s, quantitative microwave ablation volume (QMAV) of hyperintense leiomyoma was smaller than that of hypointense and isointense leiomyoma (P<0.016). For hypointense and isointense leiomyoma, QMAV of 60 w × 300 s was larger than that of 50 w × 300 s (P<0.05). DERPs obtained by T2WI can be used to guide the treatment of uterine leiomyoma by PMWA.

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Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification

Cited by 237 publications

References 7 publications

Sonographic classification and reporting system for diagnosing adenomyosis

Sonographic classification and reporting system for diagnosing adenomyosis

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Research of dose-effect relationship parameters of percutaneous microwave ablation for uterine leiomyomas - a quantitative study

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