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CompletedNCT01992718Updated May 31, 2018

What Are we Missing? Diagnosing Uterine Adenomyosis Using Ultrasound Elastography

An Early Phase 1 interventional study of Evaluation of MRI, US for pelvic and uterine conditions and Patient preference between MRI and Ultrasound in Uterine Bleeding, Uterine Fibroids and Adenomyosis, sponsored by University of Michigan. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-31.

Sponsored by University of Michigan · Early Phase 1, Interventional, and Diagnostic

Phase
Early Phase 1
Study type
Interventional
Enrollment
49
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

To improve the clinical care of women with pelvic pain and abnormal uterine bleeding due to benign uterine conditions including leiomyomas (uterine fibroids) and adenomyosis by evaluating the accuracy of radiology diagnostic exams (MRI(magnetic resonance imaging), ultrasound and ultrasound with elastography).

Read the detailed description

Currently benign conditions of the uterus are frequently underdiagnosed or misdiagnosed. This project will help determine which diagnostic radiology exams are most helpful to the clinician in providing accurate diagnosis. In addition, this study will evaluate which exam (MRI vs. Ultrasound) patients prefer over another exam.

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Conditions studied

  • Uterine Bleeding
  • Uterine Fibroids
  • Adenomyosis
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In context

Leiomyoma

490 studies on the registry are indexed under Leiomyoma; 81 are open to participants now.

This study's enrollment of 49 is below the median of 62 across 345 interventional studies indexed under Leiomyoma.

Browse Leiomyoma studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. 18 years of age or older
  2. Pelvic pain and/or abnormal uterine bleeding. (this is specific for Arm. 1 of this study)
  3. If you have had or are scheduled to have both a pelvic MRI (magnetic resonance imaging) and a pelvic ultrasound with 6 months of the time of enrollment. (this is specific to Arm 2 of this study).

Exclusion criteria

-

Exclusion Criteria:

  1. If you are post-menopausal(have not had a period in at least one year's time).
  2. If you have been diagnosed with gynecological malignancy such as uterine, endometrial, cervical or ovarian cancer.
  3. If you are unable or unwilling to sign the informed consents
  4. If you are unable to undergo the research study exams -
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Study design

Phase
Early Phase 1
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
49 participants (actual)

Study arms

  • Active comparator
    Evaluation of MRI, US for pelvic conditions

    MRI and ultrasound imaging will be used clinically to evaluate pelvic pain and abnormal uterine bleeding. The goal is to determine which exams are most helpful to the clinician in providing an accurate diagnosis as well as evaluating patient preference.

    Procedure: Evaluation of MRI, US for pelvic and uterine conditions

  • Active comparator
    Patient preference MRI vs. US

    We are asking subjects to evaluate patient preference between MRI (magnetic resonance imaging) and ultrasound to determine which they would rather undergo.

    Procedure: Patient preference between MRI and Ultrasound

Interventions

  • ProcedureEvaluation of MRI, US for pelvic and uterine conditions

    Pelvic ultrasound with transabdominal and transvaginal imaging. The transvaginal ultrasound will include elastography (TVUS-E). Also, a pelvic MRI will be performed if not done in the last 6 months. The MRI is performed with IV gadolinium-based contrast (MultiHance ®). A patient survey will be included.

  • ProcedurePatient preference between MRI and Ultrasound

    Subjects may take part in this arm because they have recently had a MRI performed and scheduled for, or have recently undergone a pelvic ultrasound. Subjects will also be asked to complete a survey that will state their preference with regards to examination/imaging. This will be done over the phone and will take no longer than 30 minutes to complete.

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What researchers measure

Primary outcomes

  1. Diagnostic accuracy of MRI and ultrasound elastography for distinguishing adenomyosis and fibroids

    Arm 1 patients will undergo hysterectomy (per previously defined clinical decision unrelated to the study) 4-6 weeks after enrollment and imaging tests, allowing us to correlate imaging and pathologic findings

    Time frame: 1-2 months per patient

Secondary outcomes

  1. Patient preference between ultrasound and MRI

    Patients will take a survey to assess their experiences and preferences for pelvic imaging tests within 6 months after having those tests

    Time frame: 6 months per patient

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Study locations

1 site
  • University of Michigan Hospital
    Ann Arbor, Michigan 48109, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01992718
Lead sponsor
University of Michigan
Collaborators
Association of University Radiologists, GE Radiology Research Academic Fellowship
Responsible party
Katherine Maturen, M.D. (Principal Investigator, University of Michigan) — Principal investigator
First posted
Nov 25, 2013
Start date
Nov 2013
Primary completion
Mar 2018
Completion
Mar 2018
Last update
May 31, 2018

Study contacts

Katherine Maturen, MD, MS
principal investigator · University of Michigan

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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