Roentgen diagnosis of adenomyosis uteri

Goldberger, Morris A.; Marshak, Richard H.; Hermel, M. B.

doi:10.1016/0002-9378(49)90243-4

Cited by 19 publications

(3 citation statements)

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“…As early as 1949, Goldberger et al reported the characteristic findings of adenomyosis on HSG as multiple spicules, 1-4 mm in length extending from the endometrium into the myo- metrium and ending in small sacs (Figure 1). However, only 38 of the 150 patients (25%) who subsequently were proven to have adenomyosis were noted to have this sign at HSG (Goldberger, 1949). A localized accumulation of contrast material in the myometrium with a honeycomb appearance has also been demonstrated in patients with adenomyosis ( Figure 2).…”

Section: Hysterosalpingographymentioning

confidence: 99%

Imaging features of adenomyosis

Reinhold

Tafazoli²,

Wang³

1998

Human Reproduction Update

143

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Section: Hysterosalpingographymentioning

confidence: 99%

Imaging features of adenomyosis

Reinhold

Tafazoli²,

Wang³

1998

Human Reproduction Update

143

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“…The first report of an imaging diagnosis of adenomyosis was made in 1949 using hysterosalpingography (HSG); in this study, the contrast material extended beyond the endometrial cavity into the dilated endometrial glands in the inner myometrium (1). However, due to its low sensitivity, HSG was never used as a primary diagnostic tool for adenomyosis (1). Although a few articles published in the 1980s used transabdominal US to suggest adenomyosis based on the manifestation of smooth uterine enlargement and asymmetrically thickened myometrium (2), the imaging diagnosis of adenomyosis was not made reliably until the advent of MRI, which used quantifiable and specific diagnostic criteria.…”

Section: Prevalence and Causementioning

confidence: 99%

Adenomyosis: A Sonographic Diagnosis

et al. 2018

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Adenomyosis is a common benign uterine condition and a frequent cause of pelvic pain in premenopausal women. Transvaginal US is now considered the primary imaging modality for the diagnosis of adenomyosis, and thus radiologists should be familiar with its sonographic appearance. US findings can be divided into three categories, which parallel the histology of adenomyosis: (a) ectopic endometrial glands and stroma, (b) muscular hyperplasia/hypertrophy, and (c) increased vascularity. Ectopic endometrial glands manifest as echogenic nodules and striations, radiating from the endometrium into the myometrium. When the glands contain fluid, myometrial cysts and fluid-filled striations may be visible at US. Muscular hyperplasia and hypertrophy cause focal or diffuse myometrial thickening and globular uterine enlargement, often with thin "venetian blind" shadows. The combination of these findings results in a heterogeneous myometrium, with blurring of the endometrial border. Adenomyosis increases uterine vascularity, depicted as a pattern of penetrating vessels at color Doppler US. Other US techniques that are helpful in the diagnosis of adenomyosis include obtaining cine clips and coronal reformatted images, both of which can survey the entire endometrial-myometrial border, and performing saline-infusion sonohysterography, during which ectopic glands frequently fill with either air or fluid. While most cases of adenomyosis develop spontaneously, there are specific inciting causes that include tamoxifen use, postendometrial ablation syndrome, and deep-infiltrating endometriosis. Mimics of adenomyosis include leiomyomas, uterine contractions, neoplasms, and vascular malformations. This article reviews the pathophysiology of adenomyosis and correlates it with the US findings, highlights specific causes of adenomyosis, and describes how to distinguish this common diagnosis from a variety of mimics. Online supplemental material is available for this article. RSNA, 2018.

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“…Mit der Einführung der hochauflösenden Bildgebungstechniken kann jedoch die Diagnosestellung der Adenomyose zeitiger und nicht erst histologisch erfolgen. Zu den verschiedenen bildgebenden Verfahren in der Adenomyosediagnostik zählen hierbei die Hysterosalpingographie (HSG) [11], die Hysterosalpingoszintigraphie (HSSG), die transabdominale oder endovaginale Sonographie (EVS) [12] und die Magnetresonanztomographie (MRT) [13 -16].…”

Section: Ergebnisseunclassified