Applicability of sonoelastography in leiomyoma and adenomyosis
Background. Uterine leiomyoma and endometriosis are common gynecological diseases of women in childbearing potential. This fact necessitates developing an optimal protocol for examination of patients in order to implement an individual approach to treatment. Diagnosis of mixed forms of pathological...
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| Format: | Article |
| Language: | English |
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National Academy of Medical Sciences of Ukraine. Grigoriev Institute for Medical Radiology and Oncology
2021-03-01
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| Series: | Український радіологічний та онкологічний журнал |
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| Online Access: | https://ukroj.com/index.php/journal/article/view/75 |
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| author | О. П. Шармазанова І. М. Сафонова Ю. С. Мітякова |
| author_facet | О. П. Шармазанова І. М. Сафонова Ю. С. Мітякова |
| author_sort | О. П. Шармазанова |
| collection | DOAJ |
| description | Background. Uterine leiomyoma and endometriosis are common gynecological diseases of women in childbearing potential. This fact necessitates developing an optimal protocol for examination of patients in order to implement an individual approach to treatment. Diagnosis of mixed forms of pathological myometrium conditions causes some difficulties. Elastography technique makes it possible to assess the density of the myometrium, which may be essential for differentiating the diagnosis of leiomyoma and adenomyosis in mixed forms.
Рurpose – to ascertain the potential of transvaginal ultrasound along with compression sonoelastography to determine the deformation coefficient in differential diagnosis of various pathological myometrium conditions.
Materials and methods. The paper presents the analysis of elastographic findings of the uterus in 155 women obtained via compression sonoelastography performed by means of HITACHI AVIUS device. Patients were divided into 4 groups: control, women with uterine leiomyoma, uterine adenomyosis, with combined leiomyoma and adenomyosis. The transabdominal/ transvaginal ultrasound findings were confirmed by histopathological examination. The standard point scale was used to determine the deformation coefficient.
Results. Elastographic characteristics were assessed in accordance with sonoelastography findings, i. e. deformation coefficients common in leiomyoma and adenomyosis. The maximum values of the deformation coefficient were obtained in leiomyoma (in an amount of 2 to 6.0 units). In case of diffuse or focal adenomyosis, the deformation coefficient was in an amount of 0.5 to 1.5 units indicating high myometrial elasticity vs the unchanged myometrium. For its part, in Group I (control), the deformation coefficient ranged from 1 to 1.7 units. High myometrial elasticity in adenomyosis vs the unchanged myometrium as well low elasticity or high density of the myometrium in leiomyoma were observed.
Conclusions. The deformation coefficients in patients with leiomyoma and adenomyosis and unchanged myometrium were obtained via ultrasound with compression sonoelastography and they made it possible to determine the degree of elasticity of the myometrium and its changes in the relevant pathology. Elastography is capable of identifying clear distinctive features of leiomyoma and adenomyosis. The coincidence of the diagnosis of adenomyosis based on elastography and histology is significant, but not optimal. The unchanged myometrium has a certain elasticity, which can be equated to a numerical value, i. e. the deformation coefficient, and this param changes in case of leiomyoma or adenomyosis, which makes it possible to differentiate these pathological conditions of the myometrium. |
| first_indexed | 2024-12-20T01:42:50Z |
| format | Article |
| id | doaj.art-90cbaacbd3f84a398655f94838be2875 |
| institution | Directory Open Access Journal |
| issn | 2708-7166 2708-7174 |
| language | English |
| last_indexed | 2024-12-20T01:42:50Z |
| publishDate | 2021-03-01 |
| publisher | National Academy of Medical Sciences of Ukraine. Grigoriev Institute for Medical Radiology and Oncology |
| record_format | Article |
| series | Український радіологічний та онкологічний журнал |
| spelling | doaj.art-90cbaacbd3f84a398655f94838be28752022-12-21T19:57:50ZengNational Academy of Medical Sciences of Ukraine. Grigoriev Institute for Medical Radiology and OncologyУкраїнський радіологічний та онкологічний журнал2708-71662708-71742021-03-01291788810.46879/ukroj.1.2021.78-8875Applicability of sonoelastography in leiomyoma and adenomyosisО. П. Шармазанова0І. М. Сафонова1Ю. С. Мітякова2Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Kharkiv, UkraineKharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Kharkiv, UkraineKharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Kharkiv, UkraineBackground. Uterine leiomyoma and endometriosis are common gynecological diseases of women in childbearing potential. This fact necessitates developing an optimal protocol for examination of patients in order to implement an individual approach to treatment. Diagnosis of mixed forms of pathological myometrium conditions causes some difficulties. Elastography technique makes it possible to assess the density of the myometrium, which may be essential for differentiating the diagnosis of leiomyoma and adenomyosis in mixed forms. Рurpose – to ascertain the potential of transvaginal ultrasound along with compression sonoelastography to determine the deformation coefficient in differential diagnosis of various pathological myometrium conditions. Materials and methods. The paper presents the analysis of elastographic findings of the uterus in 155 women obtained via compression sonoelastography performed by means of HITACHI AVIUS device. Patients were divided into 4 groups: control, women with uterine leiomyoma, uterine adenomyosis, with combined leiomyoma and adenomyosis. The transabdominal/ transvaginal ultrasound findings were confirmed by histopathological examination. The standard point scale was used to determine the deformation coefficient. Results. Elastographic characteristics were assessed in accordance with sonoelastography findings, i. e. deformation coefficients common in leiomyoma and adenomyosis. The maximum values of the deformation coefficient were obtained in leiomyoma (in an amount of 2 to 6.0 units). In case of diffuse or focal adenomyosis, the deformation coefficient was in an amount of 0.5 to 1.5 units indicating high myometrial elasticity vs the unchanged myometrium. For its part, in Group I (control), the deformation coefficient ranged from 1 to 1.7 units. High myometrial elasticity in adenomyosis vs the unchanged myometrium as well low elasticity or high density of the myometrium in leiomyoma were observed. Conclusions. The deformation coefficients in patients with leiomyoma and adenomyosis and unchanged myometrium were obtained via ultrasound with compression sonoelastography and they made it possible to determine the degree of elasticity of the myometrium and its changes in the relevant pathology. Elastography is capable of identifying clear distinctive features of leiomyoma and adenomyosis. The coincidence of the diagnosis of adenomyosis based on elastography and histology is significant, but not optimal. The unchanged myometrium has a certain elasticity, which can be equated to a numerical value, i. e. the deformation coefficient, and this param changes in case of leiomyoma or adenomyosis, which makes it possible to differentiate these pathological conditions of the myometrium.https://ukroj.com/index.php/journal/article/view/75adenomyosis, leiomyoma, compression sonoelastography. |
| spellingShingle | О. П. Шармазанова І. М. Сафонова Ю. С. Мітякова Applicability of sonoelastography in leiomyoma and adenomyosis Український радіологічний та онкологічний журнал adenomyosis, leiomyoma, compression sonoelastography. |
| title | Applicability of sonoelastography in leiomyoma and adenomyosis |
| title_full | Applicability of sonoelastography in leiomyoma and adenomyosis |
| title_fullStr | Applicability of sonoelastography in leiomyoma and adenomyosis |
| title_full_unstemmed | Applicability of sonoelastography in leiomyoma and adenomyosis |
| title_short | Applicability of sonoelastography in leiomyoma and adenomyosis |
| title_sort | applicability of sonoelastography in leiomyoma and adenomyosis |
| topic | adenomyosis, leiomyoma, compression sonoelastography. |
| url | https://ukroj.com/index.php/journal/article/view/75 |
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