Ultrasonographic diagnosis of adenomyosis using "Morphological Uterus Sonographic Assessment group" consensus terminology: an algorithmic approach

Ultrasonography, especially Transvaginal sonography (TVS) is an effective, non-invasive and reliable investigation for the diagnosis of adenomyosis. The Morphological Uterus Sonographic Assessment group consensus terminology provides a standardized lexicon for the description of myometrial lesions and has been recently revised to include direct and indirect features of adenomyosis on sonography. In this article, we aim to provide a simplified framework for the practical application of the MUSA group consensus terminology in the ultrasonographic evaluation of adenomyosis, aiding in accurate diagnosis and informed decision-making.

Published by The British journal of radiology, 2026. The guideline itself is at the source linked here.

doi.org/10.1093/bjr/tqag005