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Adenomyosis Update 2022 Clinical, Diagnostic and Reporting Challenges
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Susan M. Ascher MD Moderator/Presenter Mindy M. Horrow MD Presenter AMA PRA Category 1 Credits™: 1.00 ARRT Category A+ Credits: 0.00 Course Description: Adenomyosis is an often misunderstood and underdiagnosed uterine disorder that is frequently asymptomatic or unrelated to the symptoms experienced by the patient. Depending on the histological definition, the reported prevalence of adenomyosis has ranged from 8.85-61.5% underscoring the challenge in diagnosing and managing symptomatic patients. Dr. Malcolm Munro, Professor of Obstetrics and Gynecology at the David Geffen School of Medicine at UCLA and cofounder of FIGO's Committee on Menstrual Disorders and Related Health Impacts, will provide the latest information on the pathogenesis, clinical manifestations, and treatment options for patients with adenomyosis. He will highlight the imaging information needed by treating gynecologists to correlate symptoms with findings and, if necessary, craft a menu of treatment options for consideration by the patient. Dr. Mindy Horrow, Professor of Radiology and Vice Chair at Einstein-Jefferson Medical Center, and Dr. Susan Ascher, Professor of Radiology and Vice Chair (Research) at Georgetown University School of Medicine, will discuss current transvaginal and MR diagnostic criteria, respectively, to include pearls and pitfalls. Current reporting systems will also be provided. The course format is didactic, and at the conclusion, attendees will have enhanced knowledge of adenomyosis and be able to apply the latest TVS and MRI criteria to diagnose and report adenomyosis. Learning Objectives: 1) Describe our current understanding of the pathogenesis of adenomyosis and the varied clinical presentations - from symptomatic to asymptomatic 2) Diagnose adenomyosis on TVS and MRI using the latest criteria to include pearls and pitfalls/mimics 3) Report adenomyosis-related features useful for gynecologists for treatment planning and surveillance
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