Treatment-related changes in adenomyosis: a primer for radiologists

IF 2.2 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Abdominal Radiology Pub Date : 2025-03-17 DOI:10.1007/s00261-025-04866-3

Brunna Clemente Oliveira, Myra K. Feldman, Priyanka Jha, Scott Young, Arnaldo Schizzi Cambiaghi, Luciana P. Chamié

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Abstract

Adenomyosis is a common, estrogen-dependent condition where endometrial tissue grows within the myometrium, often accompanied by smooth muscle hypertrophy. Initially thought to represent a condition primarily seen in multiparas with menorrhagia, and dysmenorrhea, adenomyosis is now increasingly recognized in younger patients and those with infertility and subfertility. As a result, conservative treatments aimed at preserving the uterus and improving reproductive outcomes have gained attention to treat adenomyosis. While research has largely focused on managing abnormal uterine bleeding and dysmenorrhea, there is limited evidence on the treatment of infertility associated with adenomyosis, particularly in terms of imaging follow-up. This paper reviews the emerging literature, highlighting key imaging findings before and after uterus-preserving treatments for adenomyosis, to better inform management and decision-making.

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治疗相关的bb0变化：放射科医生的入门。

子宫腺肌症是一种常见的雌激素依赖性疾病，子宫内膜组织生长在子宫肌层内，常伴有平滑肌肥大。子宫腺肌症最初被认为是一种主要见于经期过多和痛经的疾病，现在越来越多的年轻患者和不孕症和生育能力低下的患者也认识到子宫腺肌症。因此，旨在保留子宫和改善生殖结果的保守治疗已引起人们对子宫腺肌症的关注。虽然研究主要集中在处理异常子宫出血和痛经，但关于治疗与子宫腺肌症相关的不孕症的证据有限，特别是在影像学随访方面。本文回顾了新兴文献，重点介绍了子宫腺肌症保子宫治疗前后的关键影像学发现，以更好地为管理和决策提供信息。

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来源期刊

Abdominal Radiology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

5.20

自引率

8.30%

发文量

334

期刊介绍： Abdominal Radiology seeks to meet the professional needs of the abdominal radiologist by publishing clinically pertinent original, review and practice related articles on the gastrointestinal and genitourinary tracts and abdominal interventional and radiologic procedures. Case reports are generally not accepted unless they are the first report of a new disease or condition, or part of a special solicited section. Reasons to Publish Your Article in Abdominal Radiology: · Official journal of the Society of Abdominal Radiology (SAR) · Published in Cooperation with: European Society of Gastrointestinal and Abdominal Radiology (ESGAR) European Society of Urogenital Radiology (ESUR) Asian Society of Abdominal Radiology (ASAR) · Efficient handling and Expeditious review · Author feedback is provided in a mentoring style · Global readership · Readers can earn CME credits