The following is a summary of “Diagnostic accuracy study of sonography in adenomyosis: A study of current practice,” published in the September 2023 issue of Gynecology Obstetrics and Human Reproduction by Maudot et al.
This study aims to determine sonography’s diagnostic accuracy in diagnosing adenomyosis compared to pathology as the “gold standard.” This observational and retrospective study on the accuracy of the diagnosis included women who underwent hysterectomy for benign pathology between January 2015 and November 2018. The diagnostic criteria for adenomyosis were included in the collected preoperative pelvic sonography reports. Pathological results of hysterectomy specimens were compared to sonographic findings.
About 242 of the 510 women who participated in researchers’ study had adenomyosis confirmed by a pathological examination. In this study, the pathological prevalence of adenomyosis was 47.4%. There was a suspicion of adenomyosis in 32.7% of the 242 women for whom preoperative sonography was available. In this study, the sensitivity is 52%, the specificity is 85%, the positive predictive value is 77%, the negative predictive value is 86%, and the accuracy is 38.1%. In gynecology, pelvic sonography is the most prevalent non-invasive examination.
It is also the first examination recommended for diagnosing adenomyosis due to its acceptability and cost despite the moderate diagnostic performance. Nonetheless, these results are comparable to MRI (Magnetic Resonance Imaging) results. Utilizing a standard sonographic classification could enhance and standardize the diagnosis of adenomyosis.
Source: sciencedirect.com/science/article/abs/pii/S2468784723000715
