Importance of Transvaginal Elastography in the Diagnosis of Uterine Fibroids and Adenomyosis

Abstract

The "age index" shows that normal uterine tissue has a certain age-dependent stiffness that increases with age. The "lesion index" allows for the assessment of the presence of a uterine fibroid or adenomyosis and helps to differentiate between both focal findings. Thus the use of elastography in addition to conventional ultrasound could help to diagnose uterine focal lesions and may be useful in preoperative planning.

Elastography Improves the Diagnostic Accuracy of Sonography in Differentiating Endometrial Polyps and Submucosal Fibroids

“…In a recent study, it was shown that elastography was able to identify clear discriminating characteristics of the uterus, fibroids, and adenomyosis, and elastographically based diagnoses were in excellent agreement with those of magnetic resonance imaging 17 . In another study, the authors concluded that elastography allows for the assessment of the presence of a uterine fibroid or adenomyosis and helps differentiate between both focal findings 23 . Interestingly, it was also shown that the stiffness of normal uterine tissue increased with age 23 .…”

“…17 In another study, the authors concluded that elastography allows for the assessment of the presence of a uterine fibroid or adenomyosis and helps differentiate between both focal findings. 23 Interestingly, it was also shown that the stiffness of normal uterine tissue increased with age. 23 These studies generally support our findings that elastography may be useful in the assessment of uterine disorders.…”

“…23 Interestingly, it was also shown that the stiffness of normal uterine tissue increased with age. 23 These studies generally support our findings that elastography may be useful in the assessment of uterine disorders.…”

New Method for Assessment of Levator Avulsion Injury: A Comparative Elastography Study

“…As of now, it has mainly been utilized in classification of tumors and tissue changes of the breast, prostate, and liver. Furthermore, initial studies have recently been published on evaluation of cervical stiffness and preterm labor or uterine fibroids and adenomyosis …”

“…Furthermore, initial studies have recently been published on evaluation of cervical stiffness and preterm labor or uterine fibroids and adenomyosis. 12,13 To the best of our knowledge, elastography has so far not been investigated to evaluate postpartum pelvic floor trauma. The aim of our study was to introduce elastography as a new method for assessment of pelvic floor trauma after childbirth.…”