Abstract:
PURPOSE:To prospectively compare conventional spin-echo magnetic resonance (MR) imaging and transvaginal sonography for the diagnosis of adenomyosis. MATERIALS AND METHODS:Twenty women with clinically suspected adenomyosis underwent MR imaging and transvaginal sonography performed within 3 months of each other. Pathologic proof was obtained in all cases. RESULTS:Seventeen patients were proved to have adenomyosis. The correct diagnosis was achieved with MR imaging in 15 of 17 cases. One false-positive and two false-negative diagnoses were made with MR imaging. With transvaginal sonography, nine of 17 cases of adenomyosis were correctly diagnosed. One false-positive and eight false-negative diagnoses occurred. The most frequent cause of false-negative diagnoses with transvaginal sonography was the misinterpretation of adenomyosis as leiomyomas (seven cases). CONCLUSION:MR imaging is significantly better (P < .02) than transvaginal sonography in the diagnosis of adenomyosis.
journal_name
Radiologyjournal_title
Radiologyauthors
Ascher SM,Arnold LL,Patt RH,Schruefer JJ,Bagley AS,Semelka RC,Zeman RK,Simon JAdoi
10.1148/radiology.190.3.8115630subject
Has Abstractpub_date
1994-03-01 00:00:00pages
803-6issue
3eissn
0033-8419issn
1527-1315journal_volume
190pub_type
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