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Adenomyosis and Ultrasound: The Role of Ultrasound and Its Impact on Understanding the Disease

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Uterine Adenomyosis

Abstract

Transvaginal sonography had a sensitivity of 80–86 %, specificity of 50–96 %, and overall accuracy of 68–86 % for diagnosing diffuse adenomyosis. These figures are poorer in the case of focal adenomyosis or if there are coexistent fibroids. Three dimensional (3D-TVS) transvaginal sonographic signs of adenomyosis are based on the evaluation of the junctional zone on the acquired volume of the uterus in order to obtain the coronal view. Three dimensional transvaginal sonography seems to be more accurate than conventional two dimensional (2D-TVS) ultrasound in detecting adenomyosis.

A strong association is found between deep infiltrating endometriosis and the presence of 2D-TVS/3D-TVS features of adenomyosis. A detailed non-invasive diagnosis of the extent of adenomyosis can facilitate the choice of safe and adequate treatment.

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Authors and Affiliations

  1. Facoltà di Medicina e Chirurgia, Department of Biomedicine and Prevention, Obstetrics and Gynaecology Clinic, Ospedale Generale S.Giovanni Calibita ‘Fatebenefratelli’, University of Rome “Tor Vergata”, Isola Tiberina 1, Rome, 00186, Italy

    Caterina Exacoustos

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  1. Caterina Exacoustos
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Correspondence to Caterina Exacoustos .

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Editors and Affiliations

  1. Obstetrics and Gynaecology, University Hospitals of Leicester, Leicester, United Kingdom

    Marwan Habiba

  2. Gynaecology, Obstetrics and Urology, Sapienza University, Rome, Italy

    Giuseppe Benagiano

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Exacoustos, C. (2016). Adenomyosis and Ultrasound: The Role of Ultrasound and Its Impact on Understanding the Disease. In: Habiba, M., Benagiano, G. (eds) Uterine Adenomyosis. Springer, Cham. https://doi.org/10.1007/978-3-319-13012-5_9

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  • DOI: https://doi.org/10.1007/978-3-319-13012-5_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13011-8

  • Online ISBN: 978-3-319-13012-5

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