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How to Perform Ultrasonography in Endometriosis pp 37–45Cite as

Uterine Evaluation Using a Diagnostic Protocol Based on MUSA

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Abstract

In 2015, the MUSA group published a consensus paper on how to report the myometrium and myometrial lesion at ultrasound examination. Myometrial lesions are mostly benign including fibroids and adenomyosis, while malignant myometrial lesions or sarcomas are rare.

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References

  1. Exacoustos C, Manganaro L, Zupi E. Imaging for the evaluation of endometriosis and adenomyosis. Best Pract Res Clin Obstet Gynaecol. 2014;28:655–81.

    Article  Google Scholar 

  2. Van den Bosch T, Dueholm M, Leone FP, Valentin L, Rasmussen CK, Votino A, Van Schoubroeck D, Landolfo C, Installé AJ, Guerriero S, Exacoustos C, Gordts S, Benacerraf B, D'Hooghe T, De Moor B, Brölmann H, Goldstein S, Epstein E, Bourne T, Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015;46:284–98.

    Article  Google Scholar 

  3. Amant F, Van den Bosch T, Vergote I, Timmerman D. Morcellation of uterine leiomyomas: a plea for patient triage. Lancet Oncol. 2015;16:1454–6.

    Article  Google Scholar 

  4. Brölmann H, Tanos V, Grimbizis G, Ind T, Philips K, van den Bosch T, Sawalhe S, van den Haak L, Jansen FW, Pijnenborg J, Taran FA, Brucker S, Wattiez A, Campo R, O'Donovan P, de Wilde RL, European Society of Gynaecological Endoscopy (ESGE) steering committee on fibroid morcellation. Options on fibroid morcellation: a literature review. Gynecol Surg. 2015;12:3–15.

    Article  Google Scholar 

  5. Exacoustos C, Romanini ME, Amadio A, Amoroso C, Szabolcs B, Zupi E, Arduini D. Can gray-scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma? J Clin Ultrasound. 2007;35:449–57.

    Article  Google Scholar 

  6. Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113:3–13.

    Article  Google Scholar 

  7. Naftalin J, Hoo W, Nunes N, Mavrelos D, Nicks H, Jurkovic D. Inter- and intraobserver variability in three-dimensional ultrasound assessment of the endometrial-myometrial junction and factors affecting its visualization. Ultrasound Obstet Gynecol. 2012;39:587–91.

    Article  CAS  Google Scholar 

  8. Naftalin J, Jurkovic D. The endometrial-myometrial junction: a fresh look at a busy crossing. Ultrasound Obstet Gynecol. 2009;34:1–11.

    Article  CAS  Google Scholar 

  9. Guerriero S, Condous G, van den Bosch T, Valentin L, Leone FP, Van Schoubroeck D, Exacoustos C, Installé AJ, Martins WP, Abrao MS, Hudelist G, Bazot M, Alcazar JL, Gonçalves MO, Pascual MA, Ajossa S, Savelli L, Dunham R, Reid S, Menakaya U, Bourne T, Ferrero S, Leon M, Bignardi T, Holland T, Jurkovic D, Benacerraf B, Osuga Y, Somigliana E, Timmerman D. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. 2016;48:318–32.

    Article  CAS  Google Scholar 

  10. Okaro E, Condous G, Khalid A, Timmerman D, Ameye L, Van Huffel SV, Bourne T. The use of ultrasound-based ‘soft markers’ for the prediction of pelvic pathology in women with chronic pelvic pain--can we reduce the need for laparoscopy? BJOG. 2006;251-6(11):113.

    Google Scholar 

  11. Votino A, Van den Bosch T, Installé AJ, Van Schoubroeck D, Kaijser J, Kacem Y, De Moor B, Van Pachterbeke C, Timmerman D. Optimizing the ultrasound visualization of the endometrial-myometrial junction (EMJ). Facts Views Vis Obgyn. 2015;7:60–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Van den Bosch T, Van Schoubroeck D, Chuan L, De Brabanter J, Van Huffel S, Timmerman D. Color Doppler and gray-scale ultrasound evaluation of the postpartum uterus. Ultrasound Obstet Gynecol. 2002;20:586–91.

    Article  Google Scholar 

  13. Vandermeulen L, Cornelis A, Kjaergaard Rasmussen C, Timmerman D, Van den Bosch T. Guiding histological assessment of uterine lesions using 3D in vitro ultrasonography and stereotaxis. Facts Views Vis Obgyn. 2017;9:77–84.

    PubMed  PubMed Central  Google Scholar 

  14. Grimbizis GF, Mikos T, Tarlatzis B. Uterus-sparing operative treatment for adenomyosis. Fertil Steril. 2014;101:472–87.

    Article  Google Scholar 

  15. Van den Bosch T. Exabundanti cautela: from the tragedy of inadvertent sarcoma morcellation to inappropriate myoma screening. Gynecol Surg. 2016;13:73–4.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University Hospitals KU Leuven, Leuven, Belgium

    Thierry Van den Bosch

  2. RZ Tienen, Tienen, Belgium

    Thierry Van den Bosch

Authors
  1. Thierry Van den Bosch
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Correspondence to Thierry Van den Bosch .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy

    Stefano Guerriero

  2. Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Sydney, Australia

    George Condous

  3. Obstetrics and Gynecology Department, University of Navarra, Pamplona, Spain

    Juan Luis Alcázar

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Van den Bosch, T. (2018). Uterine Evaluation Using a Diagnostic Protocol Based on MUSA. In: Guerriero, S., Condous, G., Alcázar, J.L. (eds) How to Perform Ultrasonography in Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-71138-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-71138-6_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71137-9

  • Online ISBN: 978-3-319-71138-6

  • eBook Packages: MedicineMedicine (R0)

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