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Fast Breath-Hold T2-Weighted MR Imaging Reduces Interobserver Variability in the Diagnosis of Adenomyosis

Marc Bazot1, Emile Daraï2, Sébastien Clément de Givry1, Frank Boudghène1, Serge Uzan2 and Alain Ferdinand Le Blanche1

1 Department of Radiology, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, 4 rue de la Chine, 75020 Paris, France.
2 Department of Obstetrics and Gynecology, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, 75020 Paris, France.



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  		Fig. 1A. —MR imaging in 44-year-old woman with adenomyosis. Ill-defined hypointense area containing high-intensity spots in posterior myometrium (arrow) is visible on turbo spin-echo T2-weighted image.

 


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  		Fig. 2A. —MR imaging in 40-year-old woman with interstitial posterior and submucosal myomas (arrows) but no adenomyosis. Ghosting artifact seen on turbo spin-echo T2-weighted sequence impairs image quality.

 


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  		Fig. 1B. —MR imaging in 44-year-old woman with adenomyosis. Image quality and anatomic visualization are poor on turbo inversion recovery sequence.

 


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  		Fig. 2B. —MR imaging in 40-year-old woman with interstitial posterior and submucosal myomas (arrows) but no adenomyosis. Blurring on turbo inversion recovery sequence impairs image quality.

 


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  		Fig. 1C. —MR imaging in 44-year-old woman with adenomyosis. Anterior image artifacts (arrow) are present on true fast imaging with steady-state free precession.

 


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  		Fig. 2C. —MR imaging in 40-year-old woman with interstitial posterior and submucosal myomas (arrows) but no adenomyosis. True fast imaging with steady-state free precession gives high image quality.

 

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