Abstract:
OBJECTIVE:To evaluate the effectiveness of uterine artery embolization (UAE) for treating symptomatic fibroids with high signal intensity (SI) on magnetic resonance (MR) T2-weighted imaging (T2WI). MATERIALS AND METHODS:A total of 537 cases, consisting of 14 patients with high SI fibroids on T2WI (T2 high group), were retrospectively included and compared with 28 randomly selected patients with low SI fibroids on T2WI (control group). High SI of a predominant fibroid on T2WI was defined as having the same or higher SI than the myometrium. Patient ages ranged from 28 to 52 years (mean, 38.1 years). All patients underwent MRI before and after UAE. Predominant fibroid and uterine volumes were calculated with MR images. Symptom status in terms of menorrhagia and dysmenorrhea was scored on a scale of 0-10, with 0 being no symptoms and 10 being the baseline, or initial symptoms. RESULTS:Of the patients in the T2 high group, 13 out of 14 (92.9%) patients demonstrated complete necrosis of the predominant fibroids. The mean volume reduction rates of the predominant fibroids in the T2 high group was 61.7% at three months after UAE, which was significantly higher than the volume reduction rates of 42.1% noted in the control group (p < 0.05). Changes in symptom scores for menorrhagia and dysmenorrhea after UAE (baseline score minus follow-up score) were 4.9 and 7.5 in T2 high group and they were 5.0 and 7.7 in control group, suggesting a significant resolution of symptoms (p < 0.01) in both groups but no significant difference between the two groups. CONCLUSION:UAE is effective for uttering fibroids showing high SI on T2WI. The mean volume reduction rate of the predominant fibroids three months after UAE was greater in the T2 high group than in the control group.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Chang S,Kim MD,Lee M,Lee MS,Park SI,Won JY,Lee DY,Lee KHdoi
10.3348/kjr.2012.13.5.618subject
Has Abstractpub_date
2012-09-01 00:00:00pages
618-24issue
5eissn
1229-6929issn
2005-8330journal_volume
13pub_type
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journal_title:Korean journal of radiology
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更新日期:2008-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
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更新日期:2011-11-01 00:00:00
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2002-04-01 00:00:00
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更新日期:2010-11-01 00:00:00
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doi:10.3348/kjr.2006.7.1.7
更新日期:2006-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2018.0599
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2008.9.1.80
更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2008-07-01 00:00:00
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更新日期:2018-05-01 00:00:00
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更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-02-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-11-01 00:00:00
abstract::[This corrects the article on p. 878 in vol. 15, PMID: 25469103.]. ...
journal_title:Korean journal of radiology
pub_type: 已发布勘误
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更新日期:2015-01-01 00:00:00