Evaluation of the Application Effect of Contrast-Enhanced Ultrasound Image Technology Based on Three-Dimensional Image Fusion Algorithm in the Diagnosis of Adenomyosis

Yiqun Zhang,Chunlian Zhang,Jianying Zhou,Lu Xue,Gustavo Ramirez

doi:10.1155/2021/2896752

Abstract

In this paper, the effect of ultrasound images based on a 3-dimensional image fusion algorithm in the diagnosis of adenomyosis was evaluated. 88 patients with adenomyosis who were treated in the hospital from February 2019 to May 2020 were selected as the research subjects. They were rolled into localized type (Group A), with 40 cases, and diffuse type (Group B), with 48 cases. At the same time, 45 women of normal childbearing age who underwent physical examination in the outpatient clinic were rolled into the control group (Group C). Three-dimensional ultrasound scans of the uterus were performed on all patients, to observe the enhancement methods and characteristics. Then, the image characteristics of adenomyosis were studied through the time-intensity curve (TIC). Arise time ATs of three groups of patients were not different greatly ( P > 0.05 ). It was found that the enhancement method, enhancement uniformity, and enhancement level of ultrasound scan in Groups A and B were significantly different from Group C ( P < 0.05 ). In contrast with Group C, the rise time (RT) of the ultrasound scan of the two groups was less, the time-to-peak (TTP) was faster, and the image maximum (IMAX) was higher ( P < 0.05 ). What is more, contrast-enhanced ultrasonic (CEUS) detection in patients with adenomyosis showed centrality and nonuniform high enhancement. Besides, less RT, faster TTP, and higher IMAX than the normal population can be the key evidence for the clinical diagnosis of adenomyosis. In conclusion, according to the blood supply characteristics of adenomyosis and other gynecological diseases, the enhancement method and enhancement time of ultrasound images are significantly different. TIC can reflect the hemodynamic difference between the lesion and the normal ones. Therefore, the CEUS based on the three-dimensional image fusion algorithm can be applied to the image diagnosis of adenomyosis.

Highlights

Adenomyosis is a common estrogen-dependent disease. e cause of the disease is the invasion of the uterine muscle wall by the endometrium. e main pathological features are dysmenorrhea, increased menstrual flow, and anemia [1], along with endometriosis, uterine fibroids, and other problems [2]
Adenomyosis can be classified into the diffuse type and localized type according to the location and range of the ectopic endometrium invading the uterine muscle wall [3]
The patient’s uterus, double appendages, and the entire pelvic region were observed. en, two-dimensional ultrasound images of the patient’s lesions were obtained. e location, size, boundary, shape, and internal echo were mainly observed. en, the color Doppler blood flow imaging technique was adopted to detect the blood flow direction and distribution in and around the patient’s uterine lesions, so as to clarify the sections that need to be observed during the contrast-enhanced ultrasonic (CEUS). e detection method was determined according to the results of the two-dimensional ultrasound image. e probe was placed at the best detection surface, and the ultrasound contrast was saved as a dynamic image

Summary

Introduction

Adenomyosis is a common estrogen-dependent disease. e cause of the disease is the invasion of the uterine muscle wall by the endometrium. e main pathological features are dysmenorrhea, increased menstrual flow, and anemia [1], along with endometriosis, uterine fibroids, and other problems [2]. E cause of the disease is the invasion of the uterine muscle wall by the endometrium. Adenomyosis can be classified into the diffuse type and localized type according to the location and range of the ectopic endometrium invading the uterine muscle wall [3]. A common treatment for adenomyosis is hysterectomy, in which the wall of the uterus opens and the muscles of the uterus thicken and harden significantly. A small number of endometrial muscle layers grow locally, forming nodules or masses, called adenomyomas. E difference between adenomyoma and fibroids is that adenomyoma does not have a surrounding envelope, nor does it have a boundary with the surrounding muscle layer. Microscopic examination of the muscle layer shows endometrial glands and stroma [5,6,7]

Methods

Results

Conclusion