Navigation Links
Sonohysterography is an alternative diagnostic tool for women with adenomyosis
Date:3/3/2009

Sonohysterography (SHG), a simple ultrasound technique commonly used to evaluate the uterine cavity, improves the diagnostic capability of transvaginal ultrasound in detecting adenomyosis (a common benign condition of the uterus that causes dysmenorrhea, abnormal vaginal bleeding and pelvic pain), according to a study performed at the Thomas Jefferson University Hospital in Philadelphia, PA.

The study included 26 women who underwent sonohysterography and MRI of the pelvis and in whom either modality suggested adenomyosis. Of these 26 women, 23 (88%) had SHG findings suggestive of adenomyosis. Three remaining women (12%) had adenomyosis identified on MRI performed after sonohysterography. MRI confirmed adenomyosis in 22/23 patients (96%).

"This study describes the presence of ill-defined areas of fluid intravasation extending from the uterine cavity into the myometrium known as fluid containing tracks or so called 'myometrial cracks' on SHG," said Sachit Verma, MD, lead author of the study. "Myometrial cracks have not been described previously as a sign of adenomyosis. The tracks, seen in 26% of our cases, become conspicuous as saline seeps through the 'myometrial cracks'. They are difficult to characterize on standard transvaginal ultrasound. This peculiar appearance was seen in one of our patients on MRI as well," said Dr. Verma.

"Patients often present with symptoms of abnormal bleeding, pelvic pain and infertility which may be due to a uterine fibroid, a polyp, tumor or adenomyosis. MR imaging is expensive and is not always available as a first line investigation to evaluate abnormal bleeding. In addition it is difficult to distinguish lesions in the uterus (myometrium and endometrium) using transvaginal ultrasound alone. SHG then has a role to play in managing these patients," said Dr. Verma.

"Knowledge of 'myometrial cracks' will decrease the errors in interpretation and improve patient care so that specific treatment can be instituted," he said. "This additional information for the referring physician can possibly decrease the number of endometrial biopsiesreducing costs in patient managementin cases where SHG shows no uterine abnormality and adenomyosis is the sole cause of abnormal bleeding," said Dr. Verma.


'/>"/>

Contact: Heather Curry
hcurry@arrs.org
703-858-4304
American Roentgen Ray Society
Source:Eurekalert

Related medicine news :

1. Gallbladder removal through vagina offers minimally invasive alternative
2. Alternative Surface Disinfection Explored in Latest Issue of American Journal of Infection Control (AJIC)
3. Natural Alternatives International, Inc. Announces Fiscal 2009 Q2 Results
4. Bradmer provides clinical trial update and announces evaluation of strategic alternatives
5. Alternative and complementary medicine should have role in new era of health care reform
6. Alternative and Complementary Medicine Should Have Role in New Era of Health Care Reform
7. Healthcare Sector Leaders Urge Obama, Congress to Invest in Alternative Energy and Green Jobs in Healthcare
8. Broadlane Offers Clients Capital Equipment Disposition Alternative through MEDmarketplace.com
9. Deep Web Technologies Mednar Is Rated the #1 Alternative Health Search Engine
10. New Experts Help New England Peptide Combat Global Acetonitrile Shortage; Company Integrating Cost-Effective Chemical Solvent Alternatives
11. Natural Alternatives International, Inc. Announces Change in Executive Officer and Loan Modification and Extension
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/10/2016)... ... February 10, 2016 , ... A ... Safety Congress and Expo event March 9-11, 2016. Hosted by Ohio's Bureau of ... , As the longest running and largest worker's compensation event in Ohio, ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... Everseat digital self-scheduling readily available to physicians. The integration will enable Allscripts ... and select appointments via Everseat’s free mobile app. , The partnership gives Everseat ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... Jacksonville, FL 32224, February 26th: Amateur & Professional Divisions - Time: 7:00pm ... 7:00pm – 10:00pm | Ticket Prices $30, Social Media: http://www.USPoleSportsFed.org , ...
(Date:2/10/2016)... ... ... Workrite Ergonomics, who is celebrating their 25th year of business in 2016, is ... recognized leader in their industry. , "We are very proud of our heritage and ... “Workrite recognized the importance of good ergonomics before most of our competition even knew ...
(Date:2/10/2016)... ... 2016 , ... Anxiety of older Americans over steep cost increases of prescription ... decade ago, according to The Senior Citizens League (TSCL). Since last ... with rapidly rising costs. “The implications are chilling, particularly for people with chronic ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... 2016 ALSP, Inc. announced that it has appointed ... Medical Affairs in preparation for its move into clinical trials ... CEO, stated, "We are pleased to welcome Dallas Hack ... with an individual of such practical knowledge and far-reaching experience ... deeply on his broad experience and success as a clinician ...
(Date:2/10/2016)... , Feb. 10, 2016 Intouch Solutions, a ... identified an industry-wide trend regarding the evolution of ... organizations to efficiently deliver compelling sales presentations via ... and another in 2015, Intouch uncovered that while ... devices and DSAs, many are not using them ...
(Date:2/10/2016)... 2016  Until recently, the options for reducing the ... the FDA approved the non-invasive Coolsculpting treatment, which removes ... originally approved in 2010 for the abdomen and this ... chin. With this add-on approval, the experts at Laser ... applicator, the CoolMini, to address smaller areas of fat. ...
Breaking Medicine Technology: