European Journal of Molecular & Clinical Medicine

Abstract

Background&Method: This study is conducted with an aim to Diagnostic Accuracy of
Uterine Adenomyosis through TransvaginalSonography and MRI in Department of
Radiology, Index Medical College Hospital and Research Centre, Indore.All the patients
were explained about the study in detail including risks/benefits, outcome, procedure, etc. in
their own language. A voluntary written informed consent was obtained from them for
participation in the study.
Result:
Conclusion:The diagnosis of adenomyosis prior to treatment planning is very important. And
efficient treatment planning is based on the accurate diagnosis and characterization of the
lesion. Magnetic resonance imaging modality has a very high diagnostic accuracy in
adenomyosis diagnosis along with its accurate characterization. But the cost is very high,
reducing the accessibility by many patients. Another diagnostic modality is the
transvaginalsonography for diagnosing and characterization of adenomyosis. Studies have
supported that transvaginalsonography has comparable diagnostic accuracy to that of
magnetic resonance. In our study we found that the sensitivity, positive predictive value and
diagnostic accuracy of transvaginalsonography are high in comparison to magnetic resonance
imaging, but has poor specificity and negative predictive value. We recommend the use of
transvaginalsonography in diagnosis and characterization of adenomyosis, but in cases with
inconclusive diagnosis, use of magnetic resonance imaging is highly recommended.