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11866

MRI Enhancement as A Predicator of Uterine Fibroid Volume Reduction after Embolism

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Last updated: 03 Jan 2025

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Abstract

Aim of the Study:  To evaluate the response of necrotic fibroids to UAE and to identify whether pre-UAE enhancement or other factors are predictors of fibroid shrinkage. Materials and methods: This is a retrospective review of all women who underwent UAE for symptomatic fibroids from January 2013 till July 2017, who experienced a follow-up MRI 5-6 months after UAE were included. There were 54 fibroids (37 non-enhancing and 17 enhancing) among 24 women with a mean age of 56 (range 40-59) years. All fibroids were assessed for size, position, enhancement on subtraction images, and Apparent Diffusion Constant (ADC). Results: Enhancing fibroids had an average decrease in diameter by 23 ± 6%, not significantly different compared to that non-enhancing fibroids which decreased by 19 ± 3% (p=0.491). Multiple linear regression with percent change in fibroid diameter as the dependent variable and patient age, fibroid position, and pre-UAE fibroid diameter, enhancement, and ADC as independent variables, showed that ADC (p<0.005) and pre-UAE diameter (p<0.005) were the only significant independent variables. Conclusion:   Pre-UAE size and ADC, but not contrast enhancement, predicted fibroid diameter reduction. Enhancing and non-enhancing fibroids had similar size reduction after UAE. Non-enhancement should not be considered a contraindication to UAE.  

DOI

10.12816/0041526

Keywords

MRI, diffusivity, Uterine artery embolization, Fibroid

Authors

First Name

Amor Abdullah

Last Name

Al Mehdar

MiddleName

-

Affiliation

Ministry of Health

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City

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Orcid

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First Name

Alaa Ibrahim

Last Name

Tukruna

MiddleName

-

Affiliation

Batterjee Medical College

Email

-

City

-

Orcid

-

First Name

Abdulaziz Raja Najim

Last Name

Alotaibi

MiddleName

-

Affiliation

King Faisal Medical Complex

Email

-

City

-

Orcid

-

First Name

Alaa Mohammed Ali

Last Name

Alshahrani

MiddleName

-

Affiliation

King Khalid University

Email

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City

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Orcid

-

First Name

Fatimah Nasser

Last Name

Alsaad

MiddleName

-

Affiliation

Imam Abdulrahman Bin Faisal University

Email

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City

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Orcid

-

First Name

Zahra Adel Ali

Last Name

Jaffa

MiddleName

-

Affiliation

Almaarefa Colleges

Email

-

City

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Orcid

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First Name

Azharmuslimsarhan

Last Name

Aljohan

MiddleName

-

Affiliation

Taibah University

Email

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City

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Orcid

-

First Name

Zahra Ibrahim

Last Name

Alqarrash

MiddleName

-

Affiliation

Imam Abdulrahman Bin Faisal University

Email

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City

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Orcid

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First Name

Hajarayad

Last Name

Alluhaybi

MiddleName

-

Affiliation

Taibah University

Email

-

City

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Orcid

-

First Name

Afnan Omer

Last Name

Aludaini

MiddleName

-

Affiliation

King Abdulaziz University

Email

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City

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Orcid

-

First Name

Luayesam

Last Name

Hakami

MiddleName

-

Affiliation

Umm Al-Qura University

Email

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City

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Orcid

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First Name

Amnah Abdullah

Last Name

Alanzi

MiddleName

-

Affiliation

University of Tabuk

Email

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City

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Orcid

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First Name

Abdullah Abdulrahman I

Last Name

Muharib

MiddleName

-

Affiliation

King Saud Bin Abdulaziz University for Health Sciences

Email

-

City

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Orcid

-

First Name

Abdulsalam Ibrahim A.

Last Name

Althumairy

MiddleName

-

Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Atheer Raja

Last Name

Alyami

MiddleName

-

Affiliation

Najran University

Email

-

City

-

Orcid

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Volume

69

Article Issue

4

Related Issue

2178

Issue Date

2017-10-01

Receive Date

2018-08-29

Publish Date

2017-10-01

Page Start

2,254

Page End

2,257

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 69_Issue 4_Pages 2254-2257.pdf

PDF . 289.7kB

Link

https://ejhm.journals.ekb.eg/article_11866.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11866

Order

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Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

MRI Enhancement as A Predicator of Uterine Fibroid Volume Reduction after Embolism

Details

Type

Article

Created At

22 Jan 2023