Learning objectives
The purpose of this exhibit are
1.
To know indications of UFE correlating with clinical aspects
2.
To learn patient select,
technique and UFE results
3.
To know strategy of UFE for expecting mothers
4.
To understand effectiveness pre and post UFE MR imagings
Background
Uterine leiomyoma,
is most common benign tumor of uterus,
often causes symptoms such as pelvic pain,
abnormal uterine bleeding,
menoxenia and pressure on adjacent organ.
Treatments of uterine leiomyoma are medication,
hysterectomy or myomectomy,
and UFE.
Over the past decade,
UFE has been an effective minimally invasive treatment for uterine leiomyoma.
UFE is associated with decrease of blood loss and operation time,
shorter hospital stay,
consequentially,
associated with reduce of medical expensive.
Imaging findings OR Procedure details
Materials and methods:
We proceeded UFE on900 cases. The location of uterine leiomyomas in our casesis shown in table1.We inserted tip of the catheter into the bilateral uterine artery under the X-ray guidance approached from right femoral artery.
After the angiography of the uterine artery,
we injected embolizing material(gelatin sponge particle) into the uterine artery carefully.
The end point of embolization was determined by the blood flow disappearance of ascending uterine artery and retention of horizontal uterine artery. It is not all,
themajority of patients...
Conclusion
Recently,
UFE has been an effective treatment for the uterine leiomyoma.
UFE is less invasive than operation and has both effects in monetary and non-monetary.
And UFE is also effective for uterine leiomyoma of those who expecting mothers.
MRI imaging before and after may indicate effects of UFE for uterine leiomyoma.We foundnocorrelation withthe reduction rate in size and improvement in patients' symptoms.
References
1.
Sandeep PD,
Carin FG,
Flavius EG,
Donald GM.
Role of MR Imaging of Uterine Leiomyomas before and after Embolization.
Radiographics 2012; 32: E251-281.
2.
Reena CJ,
Susan MA,
Izumi I,
James BS.
Symptomatic Fibroleiomyomata: MR imaging of the Uterus before and after Uterine Arterial Embolization.
Radiology 2000; 217: 228-235.
3.
Sachit KV,
Diane B,
Carin FG,
Donald GM,
Anna SL,
Laurence P.
Submucosal Fibrosis Becoming Endocavitary Following Uterine Artery Embolizaation: Risk Assessment by MRI.
AJR 2008; 190: 1220-1226.
4.
Man DK,
Myungsu L,
Dae...
