Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 13 , ISSUE 3 ( July-September, 2019 ) > List of Articles


Doppler in Myometrial Lesions

Sonal Panchal, Chaitanya Nagori

Keywords : Adenomyosis, Fibroid, Morphological uterus sonographic assessment

Citation Information : Panchal S, Nagori C. Doppler in Myometrial Lesions. Donald School J Ultrasound Obstet Gynecol 2019; 13 (3):113-128.

DOI: 10.5005/jp-journals-10009-1594

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Myometrium is the chief bulk-forming layer of the uterus. Abnormalities of the myometrium may lead to abnormal peristalsis and abnormalities of circulation, and both may lead to dysfunctional uterine bleeding (DUB) and/or infertility. But, many of these are detected only as incidental finding. Assessment of myometrium, therefore, requires a systematic approach, and this has been defined by morphological uterus sonographic assessment (MUSA). This helps correct localization of the lesion and also decides the surgical approach. B mode as well as Doppler plays an important role in confident differential diagnosis of the common myometrial lesions: adenomyosis and fibroids.

  1. Van den Bosch T, Dueholm M, et al. 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 Sept 2015;46(5):284–298. DOI: 10.1002/uog.14806.
  2. Munro MG, Critchley HOD, et al. 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. DOI: 10.1016/j.ijgo.2010.11.011.
  3. Raine-Fenning N, Jayaprakasan K, et al. Three-dimensional ultrasonographic characteristics of endometriomata. Ultrasound Obstet Gynecol 2008;31:718–724. DOI: 10.1002/uog.5380.
  4. Aleem F, Pennisi J, et al. The role of color Doppler in diagnosis of endometriomas. Ultrasound Obstet Gynecol 1995;5:51–54. DOI: 10.1046/j.1469-0705.1995.05010051.x.
  5. Di Donato N, Bertoldo V, et al. Question mark form of uterus: a simple sonographic sign associated with presence of adenomyosis. Ultrasound Obstet Gynecol 2015;46(1):126–128. DOI: 10.1002/uog.14750.
  6. Perrot N, Frey I, et al. Picture of the month. Adenomyosis: power Doppler findings. Ultrasound Obstet Gynecol 2001;17(2):177–178. DOI: 10.1046/j.1469-0705.2001.00378.x.
  7. Exacoustos C, Brienza L, et al. Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Ultrasound Obstet Gynecol 2011;37:471–479. DOI: 10.1002/uog.8900.
  8. Kupesic S, Kurjak A, et al. The value of transvaginal colour Doppler in the assessment of pelvic inflammatory disease. Ultrasound Med Biol 1995;21960:733–738. DOI: 10.1016/0301-5629(95)00013-H.
  9. Stoelinga B, Hehenkamp WJK, et al. Real-time Elastography for assessment of uterine disorders. Ultrasound Obstet Gynecol 2014;43:218–226. DOI: 10.1002/uog.12519.
  10. Buttram Jr VC, Reiter R. Uterine leiomyomata: etiology, symptomatology and management. Fertil Steril 1981;36:433–445. DOI: 10.1016/S0015-0282(16)45789-4; Taylor E, Gomel V. The uterus and fertility. Fertil Steril 2008;89:1–16. DOI: 10.1016/j.fertnstert.2007.09.069.
  11. Wamsteker K, de Blok S. Resection of intrauterine fibroids. In: Lewis BV, Magos AL. ed. Endometrial Ablation. Edinburgh, UK: Churchill Livingstone; 1993.
  12. Kurjak A, Kupesic S, et al. The assessment of benign uterine tumour vascularization by transvaginal colour Doppler. Ultrasound Med Biol 1992;18:645–649. DOI: 10.1016/0301-5629(92)90079-P.
  13. Balen FG, Allen CM, et al. 3 dimensional reconstruction of ultrasound images of the uterine cavity. Br J Radiol 1993;66(787):588–591. DOI: 10.1259/0007-1285-66-787-588.
  14. Weinraub Z, Maymon R, et al. Three dimensional saline contrast hysterosonography and surface rendering of uterine cavity pathology. Ultrasound Obstet Gynecol 1996;8(4):277–282. DOI: 10.1046/j.1469-0705.1996.08040277.x.
  15. Drake A, Dhundee J, et al. Disseminated leiomyomatosis peritonealis in association with oestrogen secreting ovarian fibrothecoma. BJOG 2001 Jun;108(6):661–664. DOI: 10.1111/j.1471-0528.2001.00132.x.
  16. Akkersdjik GJ, Fli PK, et al. Malignant Lieomyomatosis peritonealis disseminata. Am J Obstet Gynecol 1990;163(2):591–593. DOI: 10.1016/0002-9378(90)91205-Q.
  17. Butnor KJ, Burchette JL, et al. Progesterone receptor activity in leiomyomatosis peritonealis disseminate. Int J Gynecol Pathol 1999;18(3):259–264.
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