Transvaginal ultrasound Vs. magnetic resonance imaging optimum modality for the diagnosis of endometriosis and adenomyosis phenotype | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 26 September 2025 PDF (752.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2025.399384.2510 | ||
| Authors | ||
| Hamada M. Khater1; Paiman Ahmed Hussein* 2; Abeer K. Alzuhairy3; Mohammad A. Tawfiq4 | ||
| 1Assistant Professor of Radiology Faculty of Medicine, Benha University | ||
| 2M.B.Ch.B. Faculty of Medicine, Benha University | ||
| 3Assistant Professor in Radiology Faculty of Medicine - University of Sulaimani - Kurdistan Region Iraq | ||
| 4Lecturer of Radiology Faculty of Medicine - Benha University | ||
| Abstract | ||
| Background: Endometriosis is a chronic, painful gynecological disorder that results in pain of the pelvis and infertility. Aim: To compare transvaginal ultrasound to MRI optimum modality for diagnosis of adenomyosis and endometriosis phenotype. Patients and methods: This research was Prospective observational research has been performed on 60 subjects in the Radiology clinics of Benha University Hospitals. Cases have been separated into 2 groups: Group A: 30 Cases with endometriosis and Group B: 30 cases with adenomyosis. Results: TVS and MRI have different sensitivity and specificity in diagnosing adenomyosis. TVS has a sensitivity of 72.5% and specificity of 92.5%, whereas MRI has a sensitivity of 85% and specificity of 72.5%. TVS is better in diagnosing endometriosis, with a sensitivity of 72.5% and a specificity of 80%. Magnetic resonance imaging, on the other hand, has a sensitivity of 77.5% and a specificity of 87.5%, with a PPV of 78.4% and NPV of 74.4%. MRI is better in diagnosing adenomyosis than endometriosis. Conclusion: Elevated accuracy for MRI both and TVUS in diagnosing adenomyosis and endometriosis. TVUS is cost-effective, widely accessible, and likely the first imaging modality. Further research is needed to evaluate other ultrasound modalities, elastography, and 3D TVUS, and adopt standardized reporting guidelines. | ||
| Keywords | ||
| Magnetic resonance imaging; Transvaginal ultrasound; Diagnosis; Endometriosis | ||
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