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CTRI Number  CTRI/2025/12/099138 [Registered on: 15/12/2025] Trial Registered Prospectively
Last Modified On: 14/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Link between MUSA signs of adenomyosis and patient symptoms 
Scientific Title of Study   Correlation of MUSA criteria of adenomyosis with clinical characteristics 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Palak Gupta 
Designation  Junior Resident 
Affiliation  MAHE 
Address  Department of Obstetrics and Gynecology Kasturba Medical College MAHE Manipal Udupi

Udupi
KARNATAKA
576104
India 
Phone  9760671919  
Fax    
Email  palakgpt02.pg@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shyamala G  
Designation  Professor and Head of the department  
Affiliation  MAHE 
Address  Department of Obstetrics and Gynecology Kasturba Medical College MAHE Manipal Udupi

Udupi
KARNATAKA
576104
India 
Phone  9844551037  
Fax    
Email  Shyamala.g@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Palak Gupta 
Designation  Junior Resident 
Affiliation  MAHE 
Address  Department of Obstetrics and Gynecology Kasturba Medical College MAHE Manipal Udupi

Udupi
KARNATAKA
576104
India 
Phone  9760671919  
Fax    
Email  palakgpt02.pg@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Kasturba Medical College  
Address  MAHE Manipal Udupi Karnataka 576104 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Palak gupta  Kasturba Medical College and Hospital  Department of Obstetrics and Gynecology Kasturba Medical College MAHE Manipal
Udupi
KARNATAKA 
9760671919

palakgpt02.pg@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethic Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N859||Noninflammatory disorder of uterus, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Female 
Details  Women aged 18 to 55 years undergoing Transvaginal/ Transabdominal sonography for clinical features of adenomyosis and diagnosed with adenomyosis on scan 
 
ExclusionCriteria 
Details  Women with uterine fibroids, uterine anomalies, or postmenopausal status. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
-Identification of specific Ultrasound markers strongly associated with clinical symptoms
-Improved diagnostic accuracy for adenomyosis using sonographic assessment
-Better patient stratification for management based on sonographic severity 
1 day 
 
Secondary Outcome  
Outcome  TimePoints 
Improved diagnostic accuracy for adenomyosis using sonographic assessment
-Better patient stratification for management based on sonographic severity 
1 day 
 
Target Sample Size   Total Sample Size="182"
Sample Size from India="182" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This prospective observational study will be conducted in the Department of Obstetrics and
Gynecology, Kasturba Hospital, Manipal. Women of reproductive age presenting with
symptoms suggestive of adenomyosis (e.g., dysmenorrhea, menorrhagia, pelvic pain, or
infertility) will be recruited after obtaining written informed consent.
Participants will undergo a thorough clinical evaluation, including menstrual and obstetric
history, symptom severity assessment using VAS and PBAC, and general and pelvic
examination. Transvaginal ultrasound (TVUS) will then be performed using MUSA criteria.
This includes assessment of direct features (myometrial cysts, hyperechoic islands,
echogenic subendometrial lines or buds) and indirect features (asymmetrical myometrial
thickening, globular uterus, fan-shaped shadowing, translesional vascularity, irregular
junctional zone).
All findings will be documented and correlated with clinical symptoms to assess the
relationship between ultrasound features and symptom severity. Data will be collected using
a standardized format and analyzed using appropriate statistical tools. Ethical approval will
be obtained, and confidentiality will be strictly maintained.
 
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