Imaging Spectrum of Typical and Atypical Adenomyosis.

IF 5.2 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiographics Pub Date : 2025-05-01 DOI:10.1148/rg.240152

Alice Brandão, Brunna C Oliveira, Ingrid A G Ferreira, Luciana G Matteoni-Athayde, Lucas R Torres, Luciana Belém, Izabela P Franco, Akram M Shaaban, Douglas Rogers, Luciana P Chamié

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引用次数: 0

Abstract

Adenomyosis, characterized by heterotopic endometrial tissue within the myometrium, is a common yet poorly understood condition affecting patients of childbearing age. Although typical features of adenomyosis are extensively discussed in the literature, there is no consensus on its imaging classification. The Morphological Uterus Sonographic Assessment (MUSA) consensus statement is a valuable tool for identifying and describing typical adenomyosis imaging features at US. However, for MRI, there is still no standardized consensus for descriptors and subtypes. The diverse atypical manifestations of adenomyosis are a diagnostic challenge. Familiarity with these manifestations is essential for accurate diagnosis, avoiding misdiagnosis, and ensuring optimal clinical management. The authors examine the imaging appearances of typical and atypical adenomyosis at US and MRI, encompassing focal adenomyosis, diffuse adenomyosis, adenomyomas (solid and cystic types), polypoid adenomyomas, adenomyosis during pregnancy, and malignant transformation. The discussion includes clinical, surgical, and pathologic aspects in the differential diagnosis, with consideration of uterine contractions, deep endometriosis with myometrial infiltration, leiomyomas, and accessory cavitated uterine masses. Practical tips are provided to assist radiologists in distinguishing adenomyosis from other conditions. ^©RSNA, 2025 Supplemental material is available for this article.

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典型和非典型bb0的成像谱。

子宫腺肌症以子宫内膜内异位子宫内膜组织为特征，是影响育龄患者的一种常见但知之甚少的疾病。虽然文献对子宫腺肌症的典型特征进行了广泛的讨论，但其影像学分类尚未达成共识。形态学子宫超声评估（MUSA）共识声明是识别和描述典型子宫超声成像特征的有价值的工具。然而，对于MRI，对于描述符和亚型仍然没有标准化的共识。子宫腺肌症的多种非典型表现是诊断上的挑战。熟悉这些表现对于准确诊断、避免误诊和确保最佳临床管理至关重要。作者在US和MRI检查了典型和非典型bb0的影像学表现，包括局灶性子宫腺肌症、弥漫性子宫腺肌症、腺肌瘤（实性和囊性型）、息肉样腺肌瘤、妊娠期子宫腺肌症和恶性转化。讨论包括临床，外科和病理方面的鉴别诊断，考虑到子宫收缩，子宫内膜浸润的深部子宫内膜异位症，平滑肌瘤，和辅助空腔子宫肿块。本文提供了一些实用的技巧，以帮助放射科医生区分bb0和其他病症。©RSNA， 2025本文可获得补充材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiographics 医学-核医学

CiteScore

8.20

自引率

5.50%

发文量

224

审稿时长

4-8 weeks

期刊介绍： Launched by the Radiological Society of North America (RSNA) in 1981, RadioGraphics is one of the premier education journals in diagnostic radiology. Each bimonthly issue features 15–20 practice-focused articles spanning the full spectrum of radiologic subspecialties and addressing topics such as diagnostic imaging techniques, imaging features of a disease or group of diseases, radiologic-pathologic correlation, practice policy and quality initiatives, imaging physics, informatics, and lifelong learning. A special issue, a monograph focused on a single subspecialty or on a crossover topic of interest to multiple subspecialties, is published each October. Each issue offers more than a dozen opportunities to earn continuing medical education credits that qualify for AMA PRA Category 1 CreditTM and all online activities can be applied toward the ABR MOC Self-Assessment Requirement.