The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
MR Imaging Findings of Adenomyosis: Correlation with Histopathologic Features and Diagnostic Pitfalls
Abstract
Adenomyosis is a nonneoplastic condition, characterized by benign invasion of ectopic endometrium into the myometrium with hyperplasia of adjacent smooth muscle. The common symptoms include dysmenorrhea, menorrhagia, and abnormal uterine bleeding, but these do not allow diagnosis. Therefore, imaging plays an important role because establishment of the correct preoperative diagnosis is critical to avoid unnecessary intervention. Magnetic resonance (MR) imaging is a highly accurate noninvasive modality for diagnosis of adenomyosis, differentiation of adenomyosis from other gynecologic disorders, and planning of appropriate treatment. Although the typical MR imaging findings are well established, adenomyosis actually varies widely in terms of histopathologic features (adenomyosis with sparse glands), growth patterns (polypoid adenomyoma, adenomyotic cyst, and miniature uterus), responses to hormonal activity (tamoxifen, decidual changes), and responses to treatment (gonadotropin-releasing hormone agonist). The MR imaging findings of adenomyosis occasionally mimic those of uterine malignancy or ovarian cancer. Furthermore, malignancy occasionally develops in otherwise benign adenomyosis. Pitfalls in diagnosis of adenomyosis include myometrial contractions, leiomyoma, adenomatoid tumor, metastases, endometrial carcinoma, and endometrial stromal sarcoma. Knowledge of the various appearances of adenomyosis and the possible pitfalls in differential diagnosis help guide the determination of appropriate treatment options.
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Citations
Cites
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Diffuse adenomyosis: comparison of endovaginal US and MR imaging with histopathologic correlation.
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Uterine Adenomyosis: Endovaginal US and MR Imaging Features with Histopathologic Correlation
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Enlarged uterus: differentiation between adenomyosis and leiomyoma with MR imaging.
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Self-citationImaging features of adenomyosis
Reinhold, C. (1998) · Human Reproduction Update · doi:10.1093/humupd/4.4.337 · Cited by 161
Adenomyosis: diagnosis with MR imaging.
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Self-citationUterine Artery Embolization for the Treatment of Adenomyosis
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Cited by
European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis
Bazot, M., Bharwani, N., Huchon, C., Kinkel, K., Cunha, T. M., Guerra, A., Manganaro, L., Buñesch, L., Kido, A., Togashi, K., et al. (2017) · European Radiology · doi:10.1007/s00330-016-4673-z · Cited by 346
Self-citationBazot, M., & Daraï, E. (2018) · Fertility and Sterility · doi:10.1016/j.fertnstert.2018.01.024 · Cited by 332
Structural and molecular features of the endomyometrium in endometriosis and adenomyosis
Benagiano, G., Brosens, I., & Habiba, M. (2014) · Human Reproduction Update · doi:10.1093/humupd/dmt052 · Cited by 246
Lazzeri, L., Di Giovanni, A., Exacoustos, C., Tosti, C., Pinzauti, S., Malzoni, M., Petraglia, F., & Zupi, E. (2014) · Reproductive Sciences · doi:10.1177/1933719114522520 · Cited by 137
Metadata
- Authors
- Tamai, K., Togashi, K., Ito, T., Morisawa, N., Fujiwara, T., & Koyama, T.
- Venue
- RadioGraphics
- Published
- 2005-01
- Volume
- 25
- Issue
- 1
- Pages
- 21-40
- ISSN
- 0271-5333 (ISSN-L)
- 1527-1323
- OpenAlex
- W2159662672
- Cited by
- 264
- References
- 20
- FWCI
- 13.77
- Type
- journal article
- Language
- en
- Open access
- closed
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- Tamai, K., Togashi, K., Ito, T., Morisawa, N., Fujiwara, T., & Koyama, T. (2005). MR Imaging Findings of Adenomyosis: Correlation with Histopathologic Features and Diagnostic Pitfalls. RadioGraphics. https://doi.org/10.1148/rg.251045060
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