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ORIGINAL RESEARCH article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1387515
This article is part of the Research Topic Endometriosis: Updates on the Etiology, Pathophysiology, Measurements and Therapeutics View all 3 articles

Prediction of adenomyosis according to revised definitions of morphological uterus sonographic assessment (MUSA) features

Provisionally accepted
ONUR YAVUZ ONUR YAVUZ *Aslı Akdöner Aslı Akdöner Mehmet E. Özgözen Mehmet E. Özgözen Begüm Ertan Begüm Ertan Sefa Kurt Sefa Kurt Emine Ç. Ulukuş Emine Ç. Ulukuş Mehmet Güney Mehmet Güney
  • Faculty of Medicine, Dokuz Eylül University, Izmir, Türkiye

The final, formatted version of the article will be published soon.

    Objectives: To predict the diagnosis of adenomyosis by revised definitions of morphological uterus sonographic assessment (MUSA) features in individuals who had hysterectomy. Methods: This was a retrospectivexcohort research conducted at a tertiary facility. Between January 2022 and January 2023, 196 individuals who had hysterectomy were analyzed in the research. The revised definitions of MUSA features of adenomyosis approach was used to record the direct and indirect results of the sonography. The cases were classified as Group 1 (Adenomyosis; n=40, 20.4%) and Group 2 (Control; n=156, 79.6%) according to histopathologyxreports. Results: Hyperechogenic islands and echogenic subendometrial buds and lines were the most predictive direct features (p=0.02). Globularxuterus and irregular junctionalxzone were the most predictive indirect features (p=0.04; p=0.03, respectively). Among all and indirect features, globularxuterus was the most predictive (p=0.02). Total feature >4 was determined as the significant cut-off value to predictxadenomyosis (p<0.001).This study shows that combinations with a total number of features >4 can be practically used in the evaluation of adenomyosis using the revised definitions of MUSA features.

    Keywords: Adenomyosis, direct feature, indirect feature, 3D transvaginal ultrasonography, 2D transvaginal ultrasonography

    Received: 17 Feb 2024; Accepted: 05 Jul 2024.

    Copyright: © 2024 YAVUZ, Akdöner, Özgözen, Ertan, Kurt, Ulukuş and Güney. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: ONUR YAVUZ, Faculty of Medicine, Dokuz Eylül University, Izmir, Türkiye

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.