Magnetic resonance imaging for diagnosing adenomyomata.
OBJECTIVE
To evaluate the accuracy of magnetic resonance imaging (MRI) for diagnosing nodular adenomyosis by percutaneous myometrial biopsies.


METHODS
Prospective observational study.


METHODS
Gynecology department of community hospitals.


METHODS
Twenty women with severe dysmenorrhea, chronic menorrhagia, and an MRI diagnosis of adenomyomata.


METHODS
Several laparoscopically guided, percutaneous myometrial biopsy specimens were taken in an attempt to confirm histologically an MRI diagnosis of adenomyoma; and resectoscopic endomyometrial biopsy specimens were taken in an attempt to confirm an MRI diagnosis of adenomyosis.


RESULTS
Eighteen (90%) of the 20 women had an MRI diagnosis of adenomyosis histologically confirmed by myometrial biopsy. The remaining two (20.0%) had an MRI diagnosis of adenomyosis histologically confirmed by endomyometrial biopsy.


CONCLUSIONS
An MRl diagnosis of adenomyoma was confirmed by transabdominal uterine biopsy in most patients. These results, when combined with those obtained by resectoscopic endomyometrial biopsy, established a diagnosis of adenomyosis in all patients.
Phillips
D R
DR
Department of Obstetrics and Gynecology, South Nassau Communities Hospital, Oceanside, New York, USA.
Nathanson
H G
HG
Milim
S J
SJ
Haselkorn
J S
JS
D018194:Adenomyoma / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D001706:Biopsy; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009215:Myometrium / Q000473:pathology; D011446:Prospective Studies; D012680:Sensitivity and Specificity