2015 Morphological Uterus Sonographic Assessment (MUSA) criteria for diagnosis of adenomyosis

Schematic drawings illustrating the ultrasound features considered currently to be typical of adenomyosis: asymmetrical thickening (A), cysts (B), hyperechoic islands (C), fan-shaped shadowing (D), echogenic subendometrial lines and buds (E), translesional vascularity (F), irregular junctional zone (G), and interrupted junctional zone (H). In an updated consensus article, published in 2022, a globular uterus was included as an indirect feature of adenomyosis.^[1]

Reference:

Harmsen MJ, Van den Bosch T, de Leeuw RA, et al. Consensus on revised definitions of Morphological Uterus Sonographic Assessment (MUSA) features of adenomyosis: results of modified Delphi procedure. Ultrasound Obstet Gynecol 2022; 60:118.

From: Van den Bosch T, Dueholm M, Leone FP, 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 2015; 46:284. https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.14806. Copyright © 2015 ISUOG. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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2015 Morphological Uterus Sonographic Assessment (MUSA) criteria for diagnosis of adenomyosis