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子宫腺肌病的磁共振成像：图文综述

MRI for adenomyosis: a pictorial review.

作者信息

Agostinho Lisa, Cruz Rita, Osório Filipa, Alves João, Setúbal António, Guerra Adalgisa

机构信息

Department of Radiology, Hospital Beatriz Angelo, Loures, Portugal.

Department of Gyneacology, Hospital da Luz, Lisbon, Portugal.

出版信息

Insights Imaging. 2017 Dec;8(6):549-556. doi: 10.1007/s13244-017-0576-z. Epub 2017 Oct 4.

DOI:10.1007/s13244-017-0576-z
PMID:28980163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5707223/
Abstract

UNLABELLED

Adenomyosis is defined as the presence of ectopic endometrial glands and stroma within the myometrium. It is a disease of the inner myometrium and results from infiltration of the basal endometrium into the underlying myometrium. Transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) are the main radiologic tools for this condition. A thickness of the junctional zone of at least 12 mm is the most frequent MRI criterion in establishing the presence of adenomyosis. Adenomyosis can appear as a diffuse or focal form. Adenomyosis is often associated with hormone-dependent lesions such as leiomyoma, deep pelvic endometriosis and endometrial hyperplasia/polyps. Herein, we illustrate the MRI findings of adenomyosis and associated conditions, focusing on their imaging pitfalls.

TEACHING POINTS

• Adenomyosis is defined as the presence of ectopic endometrium within the myometrium. • MRI is an accurate tool for the diagnosis of adenomyosis and associated conditions. • Adenomyosis can be diffuse or focal. • The most established MRI finding is thickening of junctional zone exceeding 12 mm. • High-signal intensity myometrial foci on T2- or T1-weighted images are also characteristic.

摘要

未标注

子宫腺肌病定义为子宫肌层内存在异位的子宫内膜腺体和间质。它是一种子宫肌层内部的疾病，由基底层子宫内膜浸润至其下方的子宫肌层所致。经阴道超声检查（TVUS）和磁共振成像（MRI）是诊断这种疾病的主要影像学手段。在确定子宫腺肌病的存在时，最常见的MRI标准是结合带厚度至少为12毫米。子宫腺肌病可表现为弥漫型或局灶型。子宫腺肌病常与激素依赖性病变相关，如平滑肌瘤、深部盆腔子宫内膜异位症以及子宫内膜增生/息肉。在此，我们阐述子宫腺肌病及其相关病症的MRI表现，重点关注其影像学陷阱。

教学要点

•子宫腺肌病定义为子宫肌层内存在异位子宫内膜。•MRI是诊断子宫腺肌病及其相关病症的准确工具。•子宫腺肌病可为弥漫型或局灶型。•最确定的MRI表现是结合带增厚超过12毫米。•T2加权或T1加权图像上子宫肌层高信号灶也是其特征表现。

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