Keywords:
Genital / Reproductive system female, Ultrasound, MR, Comparative studies
Authors:
F. ARBAN, N. Starvaggi, F. GIUDICI, M. Gergolet, L. Bottaro, M. A. Cova; Trieste/IT
DOI:
10.26044/ecr2019/C-2539
Aims and objectives
Adenomyosis is a benign gynaecological disorder defined by the presence of ectopic endometrial glands and stroma within myometrium with subsequent hypertrophy and hyperplasia of smooth muscle (1).
It is usually associated with dysmenorrhea,
uterine bleeding disorders,
chronic pelvic pain and dyspareunia as well as it is strongly associated also with the presence of lifelong infertility (2,3,4).
In most cases,
the imaging work-up of infertile women begins with hysterosalpingography to evaluate fallopian tube patency and transvaginal ultrasound (TVUS) but typically requires further characterization with pelvic magnetic resonance imaging (MRI).
The aim of our study is to evaluate the diagnostic accuracy of TVUS in the detection of adenomyosis in infertile women,
using high-field MRI (1.5T) as the gold standard.