Adenomyosis: prospective comparison of MR imaging and transvaginal sonography.

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

Radiology

journal_title

Radiology

authors

Ascher SM,Arnold LL,Patt RH,Schruefer JJ,Bagley AS,Semelka RC,Zeman RK,Simon JA

doi

10.1148/radiology.190.3.8115630

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

803-6

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

190

pub_type

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