Utility of MRI Before and After Uterine Fibroid Embolization: Why to Do It and What to Look For
- 18 November 2010
- journal article
- review article
- Published by Springer Science and Business Media LLC in CardioVascular and Interventional Radiology
- Vol. 34 (4), 705-716
- https://doi.org/10.1007/s00270-010-0029-2
Abstract
The utility of magnetic resonance imaging (MRI) in the selection, procedure planning, and follow-up of patients undergoing arterial embolization for uterine fibroids is reviewed. Advantages of MRI over ultrasound include multiplanar imaging capability, a larger field of view, increased spatial resolution, improved anatomic detail, and the ability to detect other pelvic disorders. MRI can assess fibroid viability by detecting contrast agent enhancement. Magnetic resonance angiography has a useful role in evaluation of pelvic vasculature. Magnetic resonance parameters such as T1 and T2 relaxation times and diffusion-weighted characteristics have an emerging role in predicting outcome before and after embolization. MRI may be used to evaluate technical success and to image potential complications after embolization.Keywords
This publication has 65 references indexed in Scilit:
- Assessment of the uterine artery before uterine arterial embolization: Comparison of unenhanced 3D water-excitation sensitivity-encoding time-of-flight (WEST) and gadolinium-enhanced 3D sensitivity-encoding water-excitation multishot echo-planar (SWEEP) MR angiographyJournal of Magnetic Resonance Imaging, 2008
- Uterine artery embolisation or hysterectomy for the treatment of symptomatic uterine fibroids: a cost‐utility analysis of the HOPEFUL studyBJOG: An International Journal of Obstetrics and Gynaecology, 2007
- Assessment of the Vascularity of Uterine Leiomyomas Using Double-Echo Dynamic Perfusion-Weighted MRI With the First-Pass Pharmacokinetic ModelInvestigative Radiology, 2007
- Uterine fibroid embolization (UFE)International Journal of Gynecology & Obstetrics, 2005
- MRI Detection of Uterine Necrosis After Uterine Artery Embolization for FibroidsAmerican Journal of Roentgenology, 2004
- Differentiation between completely hyalinized uterine leiomyomas and ordinary leiomyomas: Three‐phase dynamic magnetic resonance imaging (MRI) vs. diffusion‐weighted MRI with very small b‐factorsJournal of Magnetic Resonance Imaging, 2004
- Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow upBJOG: An International Journal of Obstetrics and Gynaecology, 2002
- Uterine Artery Embolization for the Treatment of AdenomyosisAmerican Journal of Roentgenology, 2001
- Uterine Fibroid Embolization: Nonsurgical Treatment for Symptomatic FibroidsJournal of the American College of Surgeons, 2001
- MR Detection of Degenerating Uterine LeiomyomasJournal of Computer Assisted Tomography, 1993