Ultrasound diagnosis of endometriosis and adenomyosis: State of the art |
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| Institution: | 1. Obstetrics and Gynecology, Department of Molecular and Developmental Medicine University of Siena, Siena, Italy;2. Clinical Institute of Gynecology, Obstetrics, and Neonatology, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain Group of Endocrinology, Gynecology and Human Reproduction, Institut d''Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain;3. Department of Obstetrics and Gynecology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan;4. Department of Obstetrics and Gynecology, Morsasni College of Medicine, University of South Florida, Tampa, FL, USA;5. Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Assistance Publique-Hôpitaux de Paris, Hôpital Universitaire Paris Centre, Centre Hospitalier Universitaire Cochin, Department of Gynaecology Obstetrics II and Reproductive Medicine, Paris, France;6. Institut Cochin, INSERM U1016, Laboratoire d''Immunologie, Université Paris Descartes, Sorbonne Paris Cité, Paris, France;7. Département de Génetique, Développement et Cancer, Université Paris Descartes, Sorbonne Paris Cité, Paris, France;8. Shanghai OB/GYN Hospital, Fudan University, Shanghai 200011, China;9. Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases, Fudan University, Shanghai, China;10. Department of Biomedical, Experimental and Clinical Sciences “Mario Serio,” University of Florence, Careggi University Hospital, Largo Brambilla, 50134, Florence, Italy |
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| Abstract: | Transvaginal ultrasonography has become the primary test in the diagnosis of pelvic endometriosis and adenomyosis. A review of the literature on the diagnostic accuracy of ultrasonography in pelvic endometriosis and adenomyosis, as well as a comparison with magnetic resonance imaging, will be presented. Criteria for diagnosis of an endometrioma according to robust prospective data together with guidelines as to adequate reporting of the location of deep infiltrating endometriosis will be given. The sonographic features of adenomyosis including the differential diagnosis between focal adenomyosis and a uterine fibroid are reviewed. The available data in the literature on ultrasound diagnosis of pelvic endometriosis and adenomyosis, their clinical relevance, and their limitations are discussed. |
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| Keywords: | Adenomyosis Endometriosis Deep infiltrating endometriosis Ultrasonography Transvaginal ultrasonography Diagnosis |
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