Transabdominal 2-Dimensional Shear-Wave Elastography for Diagnostic Differentiation Between Adenomyosis Leiomyoma and Normal Myometrium

Veziha Kaya Narçiçeği, Melike Aslan, Hakan Artaş, Hasan Eryeşil, Şeyda Yavuzkır, Nurdan Yurt, İbrahim Hanifı Özercan
In: Journal of Gynecologic Surgery · 2023 · vol. 39(4) , pp. 177–183 · doi:10.1089/gyn.2023.0010 · W4379980088
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study found that transabdominal shear-wave elastography successfully differentiated adenomyosis from normal myometrium but could not distinguish between adenomyosis and leiomyoma.

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Abstract

Objective: Shear-wave elastography (SWE) can be used to obtain quantitative information about tissue stiffness. This study compared SWE measurements of patients with adenomyosis, leiomyoma, and normal myometrium. Materials and Methods: This study included 56 women who were scheduled to undergo hysterectomy. Measurements of the uterine myometrium and leiomyomas, if any, of the patients were preoperatively collected through SWE. A total of 69 SWE measurements were included. Postoperatively, the patients were categorized according to the results of histopathologic examinations: group 1 included patients with normal myometrium; group 2 included those with adenomyosis; and group 3 included those with leiomyomas. The Emean values of the kPa obtained from the SWE measurements were compared with the histopathologic results. Results: The SWE measurements of groups 2 and 3 were significantly higher than those of group 1. There were no significant differences between groups 2 and 3 in mean SWE measurements. The success rate of SWE in differentiating normal myometrium and adenomyosis was 92%, with a sensitivity of 93.1% and a specificity of 82.1%. Conclusion: This study revealed that using ultrasound elastography to diagnose adenomyosis is successful in distinguishing that condition from normal myometrium, but SWE is not useful for distinguishing adenomyosis leiomyoma. (J GYNECOL SURG 39:177)

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Condition tags

adenomyosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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