Uterine Evaluation Using Morphological Uterus Sonographic Assessment Diagnostic Protocol: A Literature Review


  • Muhammad Rusda Department of Obstetrics and Gynaecology, Division of Reproductive Endocrinology and Infertility, Medical Faculty, Universitas Sumatera Utara, Medan, Indonesia
  • Muhammad Rafi Junior Adnani Department of Obstetrics and Gynaecology, Division of Reproductive Endocrinology and Infertility, Medical Faculty, Universitas Sumatera Utara, Medan, Indonesia




Ultrasonography, Morphological Uterus Sonographic Assessment, Myometrium


Background: Myometrial lesion is one of the major causes of the need for gynecologic surgeries. Ultrasonography (USG) is the primary modality in myometrial radiological examination. Thus a consistent procedure for reporting evaluation findings is needed. 

Method: We reviewed literature from textbooks and journals from 2000 to 2019 containing information about myometrial sonographic evaluation. 

Results: MUSA (Morphological Uterus Sonographic Assessment) is a consensus statement on terms, definitions, and measurements that may be used to describe findings and report the sonographic features of the myometrium using gray-scale sonography, colour/power Doppler and three-dimensional (3D) ultrasound imaging. The procedure consists of reports on the sonographic features of the uterine corpus, myometrium, and myometrial lesion.  

Conclusion: The need for a standardized terminology to describe sonographic findings of the myometrium, both normal and pathological, has given this protocol an advantage to show its benefit, that is not only just for a clinical background but also research purposes. We suggest researchers and clinicians continue to develop further and study the relevance and use of the consensus, especially the correlation of sonographic findings with clinical and histological features. 


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How to Cite

Rusda M, Adnani MRJ. Uterine Evaluation Using Morphological Uterus Sonographic Assessment Diagnostic Protocol: A Literature Review. Open Access Maced J Med Sci [Internet]. 2022 Aug. 5 [cited 2024 Feb. 23];10(T7):209-16. Available from: https://oamjms.eu/index.php/mjms/article/view/9294

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