High-field MRI and US evaluation of the pelvis in women with leiomyomas

Zawin, Marlene; McCarthy, Shirley; Scoutt, Leslie M.; Comite, Florence

doi:10.1016/0730-725x(90)90044-3

Cited by 77 publications

(31 citation statements)

References 12 publications

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“…MRI is superior to transabdominal ultrasound in evaluation of the pelvis in women with leiomyoma, especially its location, endometrial stripe and junctional zone [15,16] . Transvaginal ultrasound is as effi cient as MRI for the diagnosis of adenomyosis in women without leiomyoma, while MRI could be recommended for women with associated leiomyoma [17] .…”

Section: Discussionmentioning

confidence: 99%

MRI Evaluation of the Uterine Structure after Myomectomy

Tsuji

Takahashi

Imaoka

et al. 2006

Gynecol Obstet Invest

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Myomectomy is a good indication for women with uterine leiomyoma who desire to preserve their child-bearing potential. However, there are still no reports about how long it takes the uterus to reach a stable state after myomectomy. We evaluated the changes in uterine structure during the recovery process after myomectomy by MR images. MR images were used to analyze the time-dependant changes in the length of the uterine cavity, the volume of the uterus, recovery of the junctional zone, prevalence of modification of the endometrium, and uterine structure in the region of the enucleated myoma. The cavity length and the volume of the uterus, and the myometrium were stabilized at six weeks after the myomectomy. With regard to the endometrium, 12 weeks were required for it to achieve a stable state after myomectomy. However, even at 12 weeks postoperatively, 14.2% of the cases showed an unusual view near the uterine incision on MR images. We concluded that the recovery process is complete at 12 weeks after the operation if there are no clear findings of hematoma or edema formation in the myometrium on MR images.

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Section: Discussionmentioning

confidence: 99%

MRI Evaluation of the Uterine Structure after Myomectomy

Tsuji

Takahashi

Imaoka

et al. 2006

Gynecol Obstet Invest

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“…MRI is accurate in diagnosing a leiomyoma with a sensitivity of 88%–93% and a specificity of 66%–91%,47,48 and in differentiating leiomyoma from focal adenomyosis. Thus, MRI is more sensitive in identifying uterine fibroids than ultrasound, does not involve the use of ionizing radiation, and it can readily demonstrate the uterine zonal anatomy 37,42,49. Submucosal, intramural, and subserosal fibroids are usually easily differentiated with MRI, and fibroids as small as 5 mm in diameter can be demonstrated.…”

Section: Diagnosismentioning

confidence: 99%

Uterine fibroids: current perspectives

Khan¹,

Shehmar²,

Gupta³

2014

IJWH

304

252

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Uterine fibroids are a major cause of morbidity in women of a reproductive age (and sometimes even after menopause). There are several factors that are attributed to underlie the development and incidence of these common tumors, but this further corroborates their relatively unknown etiology. The most likely presentation of fibroids is by their effect on the woman’s menstrual cycle or pelvic pressure symptoms. Leiomyosarcoma is a very rare entity that should be suspected in postmenopausal women with fibroid growth (and no concurrent hormone replacement therapy). The gold standard diagnostic modality for uterine fibroids appears to be gray-scale ultrasonography, with magnetic resonance imaging being a close second option in complex clinical circumstances. The management of uterine fibroids can be approached medically, surgically, and even by minimal access techniques. The recent introduction of selective progesterone receptor modulators (SPRMs) and aromatase inhibitors has added more armamentarium to the medical options of treatment. Uterine artery embolization (UAE) has now been well-recognized as a uterine-sparing (fertility-preserving) method of treating fibroids. More recently, the introduction of ultrasound waves (MRgFUS) or radiofrequency (VizAblate™ and Acessa™) for uterine fibroid ablation has added to the options of minimal access treatment. More definite surgery in the form of myomectomy or hysterectomy can be performed via the minimal access or open route methods. Our article seeks to review the already established information on uterine fibroids with added emphasis on contemporary knowledge.

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“…3,4 In this case, translabial and transurethral sonography revealed a well-circumscribed, solid, vascular, hypoechoic mass separate from the urethra. The urethra texture is similar to that of the vaginal tissues, both of which are less echogenic than the surrounding connective tissue or the bladder wall.…”

Section: Discussionmentioning

confidence: 93%

Evaluation of Urethra and Anterior Wall Vaginal Leiomyoma by Translabial/Transurethral Sonography

Goss

2009

Journal of Diagnostic Medical Sonography

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Recent advances in sonography have dramatically improved the evaluation of the female urethra and vaginal canal. Widespread use of sonography for the detection of vaginal masses presents a less expensive way to identify pathology. The author recently encountered a patient with a rare vaginal mass. The following case illustrates translabial and transurethral sonography defining a vaginal mass directly under the urethra with no urethra luminal abnormalities. In general, the identification of a vaginal mass would lead most physicians to consider magnetic resonance imaging for characterization. Sonography presents an opportunity to provide accurate information without increasing medical cost to the patient. To the author’s knowledge, this is the first report describing translabial and transurethral sonography using a 10-MHz linear transducer to determine extension of a tumor from the vaginal wall into the lumen of the urethra.

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High-field MRI and US evaluation of the pelvis in women with leiomyomas

Cited by 77 publications

References 12 publications

MRI Evaluation of the Uterine Structure after Myomectomy

MRI Evaluation of the Uterine Structure after Myomectomy

Uterine fibroids: current perspectives

Evaluation of Urethra and Anterior Wall Vaginal Leiomyoma by Translabial/Transurethral Sonography

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