Leiomyomas, also known as fibroids or myomas, are the most common gynecologic neoplasm, occurring in 20%–30% of women of reproductive age. (1) Fibroids are composed of smooth muscle with varying amounts of fibrous connective tissue. Fibroids are benign and, the most part of them, asymptomatic. Unfortunately, patients with fibroids can suffer symptoms such as menorrhagia, dysmenorrhea, urinary frequency, pelvic and back pain, dyspareunia, constipation, or bulk-related symptoms. The symptomatic patients are suitable to be treated with medical or Surgical treatments. For well over a decade,...

Between 2004 And 2007, 39 patients with symptomatic uterine transmural myomas were treated with UAE in our department. All of them were enrolled in a comparative prospective study to evaluate the diagnostic power of c-US scan vs c-MRI scan in order to evaluate patients follow up. (figure 1) UAE was always performed at the interventional radiology suite. Both uterine arteries were successfully catheterized and embolised with particles in all cases. No ovarian artery embolisation was performed during the first procedure attempt. All patients were admitted...

39 patients were included in the study, with a mean age of 44.5 years (36-55). 24 months follow up was completed in 18 cases (46.2%), 21 patients were followed up during 12 month (53.8%) and all them during 6 months (100%). Pre-embolization ultrasound was performed at 27 (69.2%), pre-embolization MRI at 39 (100%), c-US scan and c-MRI scan follow up were performed in all cases (100%). 26% of patients had a single myoma (Figure 2). 77% of treated myomas were transmural, while the remaining 23%...

This study shows that pelvic Contrast Enhanced Ultrasound (CEUS) is a sensible and specific follow up imaging technique to asses treatment responses in patients with uterine fibroids treated with UAE, being it cheaper and more easily accessible than cMRI (gold standard).

Dr. Mireia TeixidorViñas Interventional radiologist. Department of Interventional Radiology, Udiat-CD University Hospital Parc Taulí. Address Parc Taulí, 1, 08208 Sabadell, Sabadell, Spain Email:[email protected] Dr. Aleiny B. Castro García Resident in training. Department of Radiology, Terrassa Hospital. Address Torrebonica, S / N, 08227 Terrassa, Barcelona. Email:[email protected]

Role of MR Imaging of uterine leiomyomas before and after embolization. Sandeep P. Deshmukh, Carin F Gonsalves, Flavius F Guglielmo, Donald G. Mitchell. Radiographics 2012; 32: E251-E281. Long-term results of symptomatic fibroids treated with uterine artery embolization: in conjunction with MR evaluation. Man Deuk Kim, Hyun Seok Lee, Hee Jin Kim, Jin Ho Cho, Sun Hee Cha. European Journal of Radiology 73 (2010)339-344. Worthington-Kirsch R, Popky P, Hutchins F. Uterine Artery Embolization for the management of leyomyomas: quality of life assessment and clinical response. Radiology...