Impact of pelvic magnetic resonance imaging findings in the indication of uterine artery embolization in the treatment of myoma

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dc.citation.issue3
dc.citation.volume88
dc.contributor.authorTenorio Brito Pires, Norma Maria
dc.contributor.authorGodoi, Emmanuelle Tenorio
dc.contributor.authorOliveira, Dinaldo Cavalcanti
dc.contributor.authorSoares Brandao, Simone Cristina
dc.contributor.authorAbath, Carlos Coutinho
dc.contributor.authorPires, Pedro
dc.contributor.authorAraujo Junior, Edward [UNIFESP]
dc.coverageGdansk
dc.date.accessioned2020-07-31T12:46:44Z
dc.date.available2020-07-31T12:46:44Z
dc.date.issued2017
dc.description.abstractObjective: To assess the impact of pelvic magnetic resonance imaging (MRI) findings in the indication for uterine-artery embolization in women with fibroids, as well as the correlation between MRI and ultrasound (US) examinations for diagnosing adenomyosis. Material and methods: A retrospective observational study was performed through the analysis of the medical records of 263 women referred for uterine-artery embolization as treatment for fibroids after undergoing US and MRI examinations. To compare uterine volume and fibroid measurement in US and MRI, the Wilcoxon test was useden
dc.description.abstractfor the number of fibroids, the McNemartest was used. The kappa coefficient was used to evaluate the correlation between US and MRI findings for diagnosing adenomyosis. Results: The mean age of patients was 37.9 +/- 6.8 years and 191 (72.6%) were nulliparous. Forty-three patients with adenomyosis associated with fibroid were diagnosed by MRIen
dc.description.abstractUS indicated the presence of adenomyosis in 12 (4.56%) women. There was agreement between MRI and US in the diagnosis of adenomyosis in 218/263 (82.9%) patients (p < 0.05). In the US examination, the mean uterine volume was lower (389 +/- 340.8 cm(3)) than that observed in MRI (472.2 +/- 415.9 cm(3)en
dc.description.abstractp < 0.001). Regarding the number of fibroids, MRI showed a greater number of patients with multiple fibroids (68.8% vs. 57.4%, MRI and US, respectivelyen
dc.description.abstractp < 0.001). Conclusions: In women with fibroids referred for uterine-artery embolization, MRI findings led to the revision of the initial diagnosis in 17.1% cases. US showed a lower sensitivity for diagnosing adenomyosis than MRI.en
dc.description.affiliationUniv Fed Pernambuco, Hlth Sci Ctr, Recife, PE, Brazil
dc.description.affiliationUniv Pernambuco, Dept Maternal & Child, Recife, PE, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Obstet, Paulista Sch Med, Sao Paulo, Brazil
dc.description.affiliationUnifespDepartment of Obstetrics, Paulista School of Medicine — Universidade Federal de São Paulo (UNIFESP), Brazil
dc.description.provenanceMade available in DSpace on 2020-07-31T12:46:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.description.sourceWeb of Science
dc.format.extent129-133
dc.identifierhttp://dx.doi.org/10.5603/GP.a2017.0024
dc.identifier.citationGinekologia Polska. Gdansk, v. 88, n. 3, p. 129-133, 2017.
dc.identifier.doi10.5603/GP.a2017.0024
dc.identifier.issn0017-0011
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56335
dc.identifier.wosWOS:000397946400003
dc.language.isoeng
dc.publisherVia Medica
dc.relation.ispartofGinekologia Polska
dc.rightsAcesso aberto
dc.subjectuterine-artery embolizationen
dc.subjectmagnetic resonance imagingen
dc.subjectultrasounden
dc.subjectadenomyosisen
dc.titleImpact of pelvic magnetic resonance imaging findings in the indication of uterine artery embolization in the treatment of myomaen
dc.typeArtigo
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