We aim to first systematically review and perform a meta-analysis of the diagnostic accuracy of transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) and, second, to evaluate the accuracy of various sonographic diagnostic criteria for adenomyosis. A search of PubMed and Embase yielded 32 eligible studies. In diagnosing adenomyosis, the diagnostic performance of TVUS was found to be high and comparable to the performance of MRI. Of the eight sonographic criteria, only five were assessable. The best individual criterion was echogenic subendometrial lines and buds. Limited data exist for the various sonographic criteria, and further studies are required to compare their performance.
|Number of pages||18|
|Journal||Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine|
|Early online date||27 Jan 2021|
|Publication status||Published - Nov 2021|
The authors thank Dr Alexandra Stanislavsky for pro-viding MRI images for this manuscript.
- magnetic resonance imaging
- systematic review