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The article "OP17.02: Quality of life after uterine artery embolisation versus hysterectomy for symptomatic adenomyosis: one-year outcome from the QUESTA study" compares the health-related quality of life (HRQOL) of patients who underwent uterine artery embolisation (UAE) versus hysterectomy for the treatment of symptomatic adenomyosis. The study, conducted in twelve Dutch hospitals, found that both UAE and hysterectomy had a significant positive effect on HRQOL scores one year after treatment. There was no significant difference in the effect on HRQOL between UAE and hysterectomy, indicating that UAE is a non-inferior and less invasive alternative for the treatment of symptomatic adenomyosis. However, when patients seek a definitive solution, hysterectomy remains the treatment of choice. [Extracted from the article]

This article discusses a pilot study on the use of contrast-enhanced ultrasound (CEUS) for diagnosing adenomyosis, a condition characterized by heavy menstrual bleeding, dysmenorrhea, and subfertility. The study involved 15 premenopausal patients with adenomyosis and one healthy control. The results showed that CEUS was a feasible technique for imaging adenomyotic uteri and revealed differences in the microvascularization between healthy and adenomyotic uteri. The authors suggest that further research is needed to confirm these findings and evaluate the diagnostic value of CEUS in diagnosing adenomyosis. [Extracted from the article]

This article, published in the journal "Ultrasound in Obstetrics & Gynecology," discusses the use of transvaginal sonographic (TVS) sliding bladder sign as a diagnostic tool for predicting vesicouterine adhesions. The study conducted at Amsterdam UMC included patients scheduled for gynecologic laparoscopic surgery for a benign disorder. The results showed that the absence of sliding bladder on TVS had a high positive predictive value for any adhesions and a high sensitivity for severe adhesions. The presence of sliding bladder had a high negative predictive value for severe adhesions and a high specificity for any adhesions. The study concludes that the sliding bladder sign using TVS is a reliable tool for predicting vesicouterine adhesions and recommends its routine use in preoperative planning. [Extracted from the article]

After analysing the clinical data, we evaluated whether the mode of treatment terminating the CSP was associated with the pregnancy outcomes of subsequent pregnancies. During the last decades, treatment options for CSP have changed and less invasive interventions have been employed to preserve fertility and reduce morbidity. [Extracted from the article]

Understanding of these findings is necessary to further investigate the potential relevance of the uterine junctional zone as a functional unit and the association between the visualisation of direct features of adenomyosis in the junctional zone and clinical symptoms. To investigate the accordance on the definition of the junctional zone across different diagnostic approaches and examine how the imaging findings can be linked to histological findings in the context of adenomyosis diagnosis. [Extracted from the article]

Macrovascularity of fibroids can be quantified by two- (2D) and three-dimensional (3D) power Doppler (PD) by a colour score (CS) or vascular index (VI), respectively. MVF VI and MVF CS correlated (very) strongly (preliminary results: total fibroid r = 0.774; centre r = 0.869; capsule r = 0.722; all p < 0.05). Preliminary results vary between ICC 0.872 (95% CI 0.733-0.939) in 2DPD CS of the entire fibroid to ICC 0.996 (95% CI 0.990-0.998) in MVF VI of the entire fibroid. [Extracted from the article]

To find the best method to express the severity of adenomyosis (AM) using two- and three-dimensional transvaginal sonography (2D and 3D-TVS) in terms of interobserver agreement and correlation with dysmenorrhea (numeric rating scale (NRS)). Intraclass correlation and Fleiss kappa were calculated and the mean severity of AM outcomes were correlated with NRS. [Extracted from the article]