Contrast enhanced magnetic resonance imaging for uterine artery embolization efficiency assessment in women with leiomyoma uteri
https://doi.org/10.17650/1994-4098-2014-0-3-64-69
Abstract
Uterine artery embolization (UAE) is minimally invasive, less complicated and uterine-preserve procedure when compared to traditional surgical options. Magnetic resonance imaging (MRI) is the preferred modality in gynecologic pathology visualization. MRI is more accurate than transvaginal ultrasound in evaluating number, size and structure of the fibroids as well as their vascularization (by means of contrast enhancement) on pre-UAE uterus. On post-UAE contrast enhanced MRI, performed in 1, 6 and 12 month after the procedure, shrinkage of fibroids as well as the absence of their enhancement can be registered, showing the success or the manipulation. In case when leiomyoma is accompanied with adenomyosis, poor response of UAE can be noted by means of enhanced MRI revealing revascularization of fibroids. Thus, enhanced MRI is essential in UAE efficiency assessment, predicting treatment response and it’s complications.
About the Authors
Ye. A. Pavlovskaya
Department of Roentgenology and Radiology with Course of Ultrasound Diagnosis, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Russian Federation
Russian Federation
Ye. A. Yukhno
Department of Roentgenology and Radiology with Course of Ultrasound Diagnosis, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Russian Federation
Russian Federation
V. V. Ryazanov
Department of Roentgenology and Radiology with Course of Ultrasound Diagnosis, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Russian Federation
Russian Federation
I. A. Trofimenko
City Hospital Forty, Saint Petersburg
Russian Federation
Russian Federation
S. A. Sosin
V.A. Almazov Federal Medicine Research Center, Ministry of Health, Saint Petersburg
Russian Federation
Russian Federation
S. V. Serebryakova
A.M. Nikiforov All-Russian Center of Emergency and Radiation Medicine, Ministry of Emergency Situations of Russia, Saint Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Pavlovskaya Ye.A., Yukhno Ye.A., Ryazanov V.V., Trofimenko I.A., Sosin S.A., Serebryakova S.V. Contrast enhanced magnetic resonance imaging for uterine artery embolization efficiency assessment in women with leiomyoma uteri. Tumors of female reproductive system. 2014;(3):64-69. (In Russ.) https://doi.org/10.17650/1994-4098-2014-0-3-64-69
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