Diagnosing adenomyosis with MRI: a prospective study revisiting the junctional zone thickness cutoff of 12 mm as a diagnostic marker.
Adenomyoma
/ diagnosis
Adenomyosis
/ diagnosis
Adult
Diagnosis, Differential
Endometriosis
/ diagnosis
Female
Humans
Hysterectomy
/ methods
Magnetic Resonance Imaging
/ methods
Middle Aged
Myometrium
/ pathology
Premenopause
Prospective Studies
Sensitivity and Specificity
Uterine Neoplasms
/ diagnosis
Adenomyosis
Hysterectomy
Infertility
Magnetic resonance imaging
Prospective studies
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
12
10
2018
accepted:
05
06
2019
revised:
05
05
2019
pubmed:
3
7
2019
medline:
6
2
2020
entrez:
3
7
2019
Statut:
ppublish
Résumé
To assess the diagnostic accuracy of a junctional zone (JZ) thickness of ≥ 12 mm and morphological features of the JZ in MRI in diagnosing adenomyosis in a premenopausal study population. This single-center, prospective observational study consecutively enrolled 93 premenopausal women suffering from a benign gynecological condition, from September 2014 to August 2016. Institutional review board approval and written consent were obtained. All participants underwent MRI and hysterectomy with a histopathological examination. MR images were evaluated in a blinded fashion by two independent readers. The maximum junctional zone thickness (JZ Adenomyosis was histopathologically confirmed in 57 (61%) of the women. JZ JZ • Measuring the junctional zone thickness is of limited value for diagnosing adenomyosis with MRI and should not be used for diagnosing adenomyosis in premenopausal women with moderate disease severity. • An irregular appearance of the junctional zone, the presence of myometrial cysts, and adenomyoma appear to provide the highest specificity for diagnosing adenomyosis. • A consensus for the definition and reading of the junctional zone is needed.
Identifiants
pubmed: 31264010
doi: 10.1007/s00330-019-06308-3
pii: 10.1007/s00330-019-06308-3
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
6971-6981Subventions
Organisme : Norske Kvinners Sanitetsforening
ID : NKS14901
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