Clinical utility of ultrasound versus magnetic resonance imaging for deciding to proceed with uterine artery embolization for presumed symptomatic fibroids

Rajan, Dheeraj K.; Margau, Ryan; Kroll, Ryan R.; Simons, Martin; Tan, Kiat Tsong; Jaskolka, Jeffrey D.; Kachura, John R.; Sniderman, Kenneth W.; Beecroft, R.; Haider, Masoom A.

doi:10.1016/j.crad.2010.08.005

Cited by 22 publications

(13 citation statements)

References 29 publications

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“…The reduction in uterine and dominant fibroid volumes was greater in the success group compared with the failure group; however, the difference was not statistically significant. The reduction in total fibroid In the present study, MRI altered the indication for uterine-artery embolization in 51/263 (19.4%) cases, a result similar to that reported by Rajan et al [9], who observed that the indication was altered in 14/116 (12.1%) women because US did not correctly quantify/locate the fibroids. In the present study, adenomyosis was associated with fibroids in 43/263 (16.35%) cases.…”

Section: Discussionsupporting

confidence: 88%

“…The mean age of the women in the present study was lower than that observed by Laios et al [12] (43.3 years) and by Rajan et al [9] (43.4 years), who evaluated 118 and 180 women, respectively. In the present study, uterine volume was significantly higher in MRI than in US.…”

Section: Discussioncontrasting

confidence: 84%

“…This result was also observed by Stoelinga et al [13], who assessed 83 women who underwent uterine-artery embolization because of fibroids, and observed a mean uterine volume 557 cm 3 in MRI and 472 cm 3 in US. Likewise, Rajan et al [9] observed a mean volume of 701 cm 3 in MRI and 658 cm 3 in US. As for the number of fibroids, MRI showed a greater number of women with multiple fibroids.…”

Section: Discussionmentioning

confidence: 89%

“…But because of its multiplanar capacity, excellent tissue contrast, and reproducibility, magnetic resonance imaging (MRI) has become the investigation of choice in cases requiring further investigation [3]. One study showed that when the indication for imaging investigations is to define the best therapeutic strategy, especially in cases selected for uterine-artery embolization, information provided from US imaging is insufficient and may lead to therapeutic errors in up to 25% cases [9].…”

Section: Introductionmentioning

confidence: 99%

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Impact of pelvic magnetic resonance imaging findings in the indication of uterine artery embolization in the treatment of myoma

et al. 2017

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Objectives: To assess the impact of pelvic magnetic resonance imaging (MRI) findings in the indication for uterine-artery embolization in women with fibroids, as well as the correlation between MRI and ultrasound (US) examinations for diagnosing adenomyosis. Material and methods:A retrospective observational study was performed through the analysis of the medical records of 263 women referred for uterine-artery embolization as treatment for fibroids after undergoing US and MRI examinations. To compare uterine volume and fibroid measurement in US and MRI, the Wilcoxon test was used; for the number of fibroids, the McNemar test was used. The kappa coefficient was used to evaluate the correlation between US and MRI findings for diagnosing adenomyosis. Results:The mean age of patients was 37.9 ± 6.8 years and 191 (72.6%) were nulliparous. Forty-three patients with adenomyosis associated with fibroid were diagnosed by MRI; US indicated the presence of adenomyosis in 12 (4.56%) women. There was agreement between MRI and US in the diagnosis of adenomyosis in 218/263 (82.9%) patients (p < 0.05). In the US examination, the mean uterine volume was lower (389 ± 340.8 cm³) than that observed in MRI (472.2 ± 415.9 cm³; p < 0.001). Regarding the number of fibroids, MRI showed a greater number of patients with multiple fibroids (68.8% vs. 57.4%, MRI and US, respectively; p < 0.001). Conclusions:In women with fibroids referred for uterine-artery embolization, MRI findings led to the revision of the initial diagnosis in 17.1% cases. US showed a lower sensitivity for diagnosing adenomyosis than MRI.

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 84%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Impact of pelvic magnetic resonance imaging findings in the indication of uterine artery embolization in the treatment of myoma

et al. 2017

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“…It may therefore be necessary to repeat the US or perform an MRI for specific fibroid mapping prior to embolisation. MRI has been shown to be more accurate at characterising fibroids, in particular for defining fibroid number and location (Spielmann et al 2006;Rajan et al 2011). In addition, early studies showed MRI prior to UAE lead to a significant change in management in up to 22 % of patients (Omary et al 2002;Spielmann et al 2006;Rajan et al 2011).…”

Section: Introductionmentioning

confidence: 99%