Gynecologic Ultrasound Scientific and Case Reports Session
Sonographic Detection of Adenomyosis with 2D and 2D/3D Transvaginal Sonography Prior to Endometrial Ablation
Monday, April 8, 2024
4:56pm – 5:03pm
Location: 412
Authors: Seoiyoung Ahn, Vanderbilt University School of Medicine Anusha Gandhi, Baylor College of Medicine Cara Connolly, Vanderbilt Med Ctr Howard Curlin, Vanderbilt University Medical Center Ted MD, Vanderbilt Medical Center Arthur Fleischer, Vanderbilt U Med Ctr ,
Pre-operative detection of adenomyosis may be clinically helpful to decrease the risk of endometrial ablation failure. Two-dimensional (2D) and three-dimensional (3D) transvaginal sonography (TVS) may be able to detect adenomyosis and potentially allow better selection of candidates for endometrial ablation to reduce treatment failure risk. The combined use of 2D and 3D TVS may have a greater preoperative sensitivity for sonographic diagnosis of adenomyosis over 2D TVS alone. Potential improvements for enhanced TVS detection might include elastography and vascularity assessment. Future studies are underway examining the role of 3D TVS in identifying deep and/or extensive adenomyosis with pathologic correlation.