Abstract | PURPOSE: To evaluate the efficacy and completeness of uterine fibroid embolization (UFE) measured by changes in volume and signal intensity at magnetic resonance imaging (MRI), and to compare with clinical outcome. MATERIAL AND METHODS: RESULTS: UFE was bilaterally successful in 38 patients. After UFE, MRI showed no enhancement of myomas in 30 patients. In 8 patients, post-procedural MRI revealed partially remaining vascularization of fibroids despite angiographically complete embolization of the uterine arteries. On average, uterine volume decreased by 46.2% at 12 months. There was significant improvement of symptoms in the majority of patients, but slightly less improvement in patients with partially remaining vascularization of myomas. CONCLUSION: UFE causes significant volume reduction of myomas and clinical improvement. MRI can reveal remaining vascularization in myomas despite angiographically complete embolization of uterine arteries.
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Authors | E J Dorenberg, Z Novakovic, H J Smith, G Hafsahl, J A Jakobsen |
Journal | Acta radiologica (Stockholm, Sweden : 1987)
(Acta Radiol)
Vol. 46
Issue 5
Pg. 547-53
(Aug 2005)
ISSN: 0284-1851 [Print] England |
PMID | 16224935
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
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Topics |
- Adult
- Contrast Media
(administration & dosage)
- Embolization, Therapeutic
(methods)
- Female
- Follow-Up Studies
- Humans
- Leiomyoma
(therapy)
- Magnetic Resonance Imaging
(methods)
- Middle Aged
- Prospective Studies
- Treatment Outcome
- Uterine Neoplasms
(therapy)
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