MRI characteristics of the uterine junctional zone: from normal to the diagnosis of adenomyosis.

OBJECTIVE MRI was the first imaging technique to permit the visualization of the uterine junctional zone and remains the imaging method of choice to evaluate it and its associated pathology. CONCLUSION Adenomyosis can be diagnosed using MRI with a diagnostic accuracy of 85%. The most important MR finding in making the diagnosis is thickness of the junctional zone exceeding 12 mm. The principal limitation of MRI is the absence of a definable junctional zone on imaging, which occurs in 20% of premenopausal women.

[1]  C. C. Bird,et al.  The elusive adenomyosis of the uterus--revisited. , 1972, American journal of obstetrics and gynecology.

[2]  J. LiPuma,et al.  Magnetic resonance imaging of the pelvis. , 1984, Radiologic clinics of North America.

[3]  J C Birnholz,et al.  Ultrasonic visualization of endometrial movements. , 1984, Fertility and sterility.

[4]  H. Hricak,et al.  Magnetic resonance imaging of the female pelvis: Initial experience , 1984 .

[5]  R. Lufkin,et al.  Anatomic correlations of magnetic resonance images with cadaver cryosections. , 1985, Radiographics : a review publication of the Radiological Society of North America, Inc.

[6]  M. Laval-jeantet,et al.  [Magnetic resonance imaging of the pelvic area. Preliminary results]. , 1985, Journal de radiologie.

[7]  L. Arrivé,et al.  Imagerie par résonance magnétique (IRM) de la région pelvienne. Résultats préliminaires. , 1985 .

[8]  J. Lee,et al.  The uterus: in vitro MR-anatomic correlation of normal and abnormal specimens. , 1985, Radiology.

[9]  S. Mccarthy,et al.  Female pelvic anatomy: MR assessment of variations during the menstrual cycle and with use of oral contraceptives. , 1986, Radiology.

[10]  H. Hricak,et al.  Uterine MR imaging: effects of hormonal stimulation. , 1986, Radiology.

[11]  N. Laufer,et al.  Magnetic resonance imaging of the menstrual cycle. , 1988, Magnetic resonance imaging.

[12]  J. Rabinowitz,et al.  Comparison of magnetic resonance imaging and ultrasound in evaluating follicular and endometrial development throughout the normal cycle. , 1988, Fertility and sterility.

[13]  K. Togashi,et al.  Adenomyosis: diagnosis with MR imaging. , 1988, Radiology.

[14]  S. Mccarthy,et al.  Uterine junctional zone: MR study of water content and relaxation properties. , 1989, Radiology.

[15]  K. Togashi,et al.  Enlarged uterus: differentiation between adenomyosis and leiomyoma with MR imaging. , 1989, Radiology.

[16]  D. Mitchell,et al.  Zones of the uterus: discrepancy between US and MR images. , 1990, Radiology.

[17]  T. McCauley,et al.  Junctional zone of the uterus: correlation of MR imaging and histologic examination of hysterectomy specimens. , 1991, Radiology.

[18]  L. Clarke,et al.  Uterine junctional zone: correlation between histologic findings and MR imaging. , 1991, Radiology.

[19]  J. Deutinger,et al.  Vaginosonography for recording of cycle-related myometrial contractions. , 1993, Fertility and sterility.

[20]  R. Zeman,et al.  Adenomyosis: prospective comparison of MR imaging and transvaginal sonography. , 1994, Radiology.

[21]  R. Semelka,et al.  Anatomic changes in the pelvis after uncomplicated vaginal delivery: evaluation with serial MR imaging. , 1995, Radiology.

[22]  J. Brosens,et al.  Uterine junctional zone: function and disease , 1995, The Lancet.

[23]  L Wildt,et al.  The dynamics of rapid sperm transport through the female genital tract: evidence from vaginal sonography of uterine peristalsis and hysterosalpingoscintigraphy. , 1996, Human reproduction.

[24]  C. Reinhold,et al.  Diffuse adenomyosis: comparison of endovaginal US and MR imaging with histopathologic correlation. , 1996, Radiology.

[25]  G. Dunselman,et al.  Endometrial wavelike movements during the menstrual cycle. , 1996, Fertility and sterility.

[26]  D. Turner,et al.  Adenomyosis: specificity of 5 mm as the maximum normal uterine junctional zone thickness in MR images. , 1996, AJR. American journal of roentgenology.

[27]  G. Dunselman,et al.  Relation between endometrial wavelike activity and fecundability in spontaneous cycles. , 1997, Fertility and sterility.

[28]  G. Kunz,et al.  Uterine peristalsis during the follicular phase of the menstrual cycle: effects of oestrogen, antioestrogen and oxytocin. , 1998, Human reproduction update.

[29]  R. Steiner.  Myometrial zonal differentiation and uterine junctional zone hyperplasia in the non-pregnant uterus , 1998 .

[30]  C. Reinhold,et al.  Imaging features of adenomyosis. , 1998, Human reproduction update.

[31]  G. Kunz,et al.  The cyclic pattern of the immunocytochemical expression of oestrogen and progesterone receptors in human myometrial and endometrial layers: characterization of the endometrial-subendometrial unit. , 1999, Human reproduction.

[32]  K. Choi,et al.  Diffuse and focal adenomyosis: MR imaging findings. , 1999, Radiographics : a review publication of the Radiological Society of North America, Inc.

[33]  C. Reinhold,et al.  Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. , 1999, Radiographics : a review publication of the Radiological Society of North America, Inc.

[34]  J. Colau,et al.  [An MRI study of the normal pelvis in the immediate postpartum period]. , 1999, Journal de radiologie.

[35]  K. Kinkel,et al.  [Value of MR imaging in the diagnosis of benign uterine conditions]. , 2000, Journal de radiologie.

[36]  E. Darai,et al.  Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology. , 2001, Human reproduction.

[37]  H. Sakahara,et al.  Changes in myometrial and junctional zone thickness and signal intensity: demonstration with kinematic T2-weighted MR imaging. , 2001, Radiology.

[38]  F. Olesen,et al.  Magnetic resonance imaging and transvaginal ultrasonography for the diagnosis of adenomyosis. , 2001, Fertility and sterility.

[39]  Toshitaka Fujiwara,et al.  Uterine peristalsis shown on cine MR imaging using ultrafast sequence , 2003, Journal of magnetic resonance imaging : JMRI.

[40]  M. Bazot,et al.  Fast breath-hold T2-weighted MR imaging reduces interobserver variability in the diagnosis of adenomyosis. , 2003, AJR. American journal of roentgenology.

[41]  H. Déchaud,et al.  Adénomyose : quel bilan d’imagerie moderne ? , 2004 .

[42]  J. Gaughan,et al.  Is Prior Uterine Surgery a Risk Factor for Adenomyosis? , 2004, Obstetrics and gynecology.

[43]  P. Taourel,et al.  [Adenomyosis: what imaging modality in the diagnosis and staging?]. , 2004, Gynecologie, obstetrique & fertilite.

[44]  K. Togashi,et al.  MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. , 2005, Radiographics : a review publication of the Radiological Society of North America, Inc.

[45]  E. Hauth,et al.  MR imaging of the uterus and cervix in healthy women: Determination of normal values , 2007, European Radiology.

[46]  J. Brosens,et al.  The uterine junctional zone. , 2006, Best practice & research. Clinical obstetrics & gynaecology.

[47]  K. Togashi,et al.  Spectrum of MR features in adenomyosis. , 2006, Best practice & research. Clinical obstetrics & gynaecology.

[48]  M. Kataoka,et al.  The effect of oral contraceptives on uterine contractility and menstrual pain: an assessment with cine MR imaging. , 2007, Human reproduction.

[49]  K. Togashi,et al.  Functional MR imaging of the uterus. , 2008, Magnetic resonance imaging clinics of North America.

[50]  S. Zangos,et al.  Duration of dysmenorrhoea and extent of adenomyosis visualised by magnetic resonance imaging. , 2008, European journal of obstetrics, gynecology, and reproductive biology.

[51]  Giuseppe Benagiano,et al.  The pathophysiology of uterine adenomyosis: an update. , 2012, Fertility and sterility.

[52]  E. Siegelman,et al.  MR imaging of endometriosis: ten imaging pearls. , 2012, Radiographics : a review publication of the Radiological Society of North America, Inc.

[53]  G. Benagiano,et al.  Adenomyosis and infertility. , 2012, Reproductive biomedicine online.