"Uterine artery embolisation (UAE) is used as an alternative to hysterectomy in selected patients and MRI assessment is key in allowing not only pre-procedure assessment but also assessing post-procedural outcome."
"Uterine artery embolisation (UAE) is used as an alternative to hysterectomy in selected patients and MRI assessment is key in allowing not only pre-procedure assessment but also assessing post-procedural outcome."
"MRI is used for patient selection, planning and documenting baseline appearances prior to uterine artery embolisation (UAE). Additionally, MRI is also useful following UAE, where it is used to assess post-embolisation outcome and complications."
"Although the relationship between the size of the fibroid and post-embolisation outcome is not entirely clear, most operators select a threshold of 13-15 cm. It is suspected that embolisation of larger leiomyomas may still result in bulk symptoms due to residual fibroid mass. Additionally, with larger amount of necrotic tissue, prolonged post-embolisation syndrome might occur 1."
"Although the relationship between the size of the fibroid and post-embolisation outcome is not entirely clear, most operators select a threshold of 13-15 cm. It is suspected that embolisation of larger leiomyomas may still result in bulk symptoms due to residual fibroid mass. Additionally, with larger amount of necrotic tissue, prolonged post-embolisation syndrome might occur 1."
"MR technique"
"MR angiography using 3D gradient recalled echo with IV gadolinium (e.g. 20 ml gadodiamide)"
"Non-degenerate fibroids appear as well-circumscribed masses of homogenous decreased signal intensity (cf. outer myometrium) on T2 images. Cellular leiomyomas show a slightly higher signal intensity on T2 images as well as enhancement on post-contrast images."
Expected headings
"MR technique"
"Pre-embolisation assessment"
"Appearance"
"Location"
"Fibroid size"
"Vascularity"
"Differential diagnosis"
"Post UAE MRI appearances"
"Vascularity"
"Liquefaction"
"Size reduction"
"Location"
"Fibroid recurrence"
"Complications"
"MRI is used for patient selection, planning and documenting baseline appearances prior to uterine artery embolisation (UAE). Additionally, MRI is also useful following UAE, where it is used to assess post-embolisation outcome and complications."
"T1 and T2 fast spin echo (FSE) in sagittal, coronal and axial planes"
"Fibroids with red degeneration may show peripheral or diffuse high signal intensity on T1 images (probably due to the proteinaceous content of blood or T1 shortening effects of methaemoglobin). They may show variable signal intensity on T2 images, with or without a low signal intensity rim."
"MR angiography using 3D gradient recalled echo with IV gadolinium (e.g. 20 ml gadodiamide)"