Original scientific paper
https://doi.org/10.20471/LO.2024.52.01.02
Uterine artery embolization for uterine fibroids: predictive MRI features of volumetric response
Alen Gabrić
; School of Medicine, University of Zagreb, (medical student), Zagreb, Croatia
Luka Novosel
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
*
Krunoslav Kuna
; Department of Obstetrics and Gynecology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvojka Soljačić-Vraneš
; Department of Obstetrics and Gynecology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivica Sijekavica
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
* Corresponding author.
Abstract
The aim of this study was to investigate whether initial fibroid volume, FIGO classification, signal intensity ratio (SIR) on T2-weighted magnetic resonance images (MRI) and the number of fibroids affect the outcome of Uterine Artery Embolization (UAE) as well as report of 6-year single-center experience with UAE procedures. Medical history, UAE and MRI examinations from 75 patients from the Sestre milosrdnice University Hospital Centre who underwent UAE between 2017 and 2023 were reviewed retrospectively. Results showed a negative correlation between baseline fibroid volume and volume reduction of the fibroid, with larger fibroids showing smaller volume reduction (p < 0.001). There was a statistically significant difference between FIGO classification groups and volume reduction of the fibroids. Submucosal fibroids showed the best volume reduction compared to hybrid fibroids and subserosal fibroids. There was no significant difference between hybrid and subserosal fibroids in volume reduction. We found no correlation between MRI SIR and the number of fibroids on UAE procedure outcomes. The present study suggests that submucosal fibroids and smaller baseline fibroid volume could be related to greater volume reduction and may be a useful prognostic factor for UAE procedure success. In conclusion, this study confirms that UAE is a safe and effective procedure for the treatment of uterine fibroids.
Keywords
magnetic resonance imaging (MRI); uterine artery embolization (UAE); uterine fibroid
Hrčak ID:
320737
URI
Publication date:
16.9.2024.
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