Cited 12 times in
Can measurement of apparent diffusion coefficient before treatment predict the response to uterine artery embolization for adenomyosis?
DC Field | Value | Language |
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dc.contributor.author | 김경민 | - |
dc.contributor.author | 김만득 | - |
dc.contributor.author | 박성일 | - |
dc.contributor.author | 원정윤 | - |
dc.contributor.author | 이도연 | - |
dc.contributor.author | 이신재 | - |
dc.contributor.author | 정대철 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 박예원 | - |
dc.date.accessioned | 2016-02-04T11:19:45Z | - |
dc.date.available | 2016-02-04T11:19:45Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0938-7994 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/140180 | - |
dc.description.abstract | OBJECTIVES: To determine the usefulness of the apparent diffusion coefficient (ADC) in predicting response to uterine artery embolization (UAE) for symptomatic adenomyosis. METHODS: A prospective study was performed on 25 patients who underwent diffusion-weighted (DW) magnetic resonance imaging (MRI) before UAE between June 2011 and December 2012. All patients underwent 3-month follow-up MRI after UAE using non-spherical polyvinyl alcohol (PVA) particles ranging from 150 to 500 μm. Quantitative measurement of the ADC was performed for each adenomyosis. Complete response and incomplete response were defined as ≥ 90 % or < 90 %, respectively, of the non-perfusion area with adenomyosis at the follow-up MRI. The ADC values were compared between patients who achieved complete or incomplete response which was assessed according to the MRI findings after UAE. RESULTS: Nineteen patients showed complete response, and six showed incomplete response. The ADC value ranged from 0.842 to 1.346 × 10(-3) mm(2)/s (mean 1.075 ± 0.117). The mean ADC was 1.043 ± 0.237 in the complete response group and 1.176 ± 0.429 in the incomplete response group (0.012). Using a threshold of <1.147 × 10(-3) mm(2)/s, the sensitivity and specificity of the ADC to predict success after UAE were 83.3 % and 84.2 %. CONCLUSION: The ADC of adenomyosis may potentially predict a successful response to UAE for adenomyosis. KEY POINTS: • Pre-procedural MRI might help clinicians predict response of UAE in adenomyosis • ADC might help predict UAE outcomes in adenomyosis • MR predictors might be used to counsel patients with symptomatic adenomyosis. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | EUROPEAN RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenomyosis/therapy* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Contrast Media | - |
dc.subject.MESH | Diffusion Magnetic Resonance Imaging/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Image Enhancement | - |
dc.subject.MESH | Meglumine | - |
dc.subject.MESH | Myometrium/pathology | - |
dc.subject.MESH | Organometallic Compounds | - |
dc.subject.MESH | Polyvinyl Alcohol/therapeutic use | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Uterine Artery Embolization/methods* | - |
dc.title | Can measurement of apparent diffusion coefficient before treatment predict the response to uterine artery embolization for adenomyosis? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Yaewon Park | - |
dc.contributor.googleauthor | Man Deuk Kim | - |
dc.contributor.googleauthor | Dae Chul Jung | - |
dc.contributor.googleauthor | Shin Jae Lee | - |
dc.contributor.googleauthor | Gyoungmin Kim | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.identifier.doi | 10.1007/s00330-014-3504-3 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02443 | - |
dc.contributor.localId | A00296 | - |
dc.contributor.localId | A00420 | - |
dc.contributor.localId | A01510 | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A02944 | - |
dc.contributor.localId | A03592 | - |
dc.relation.journalcode | J00851 | - |
dc.identifier.eissn | 1432-1084 | - |
dc.identifier.pmid | 25481638 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00330-014-3504-3 | - |
dc.subject.keyword | Uterine arterial embolization | - |
dc.subject.keyword | Adenomyosis | - |
dc.subject.keyword | Magnetic resonance | - |
dc.subject.keyword | Apparent diffusion coefficient | - |
dc.subject.keyword | Prediction of improvement | - |
dc.contributor.alternativeName | Kim, Gyoung Min | - |
dc.contributor.alternativeName | Kim, Man Deuk | - |
dc.contributor.alternativeName | Park, Sung Il | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Lee, Do Yun | - |
dc.contributor.alternativeName | Lee, Shin Jae | - |
dc.contributor.alternativeName | Jung, Dae Chul | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Kim, Gyoung Min | - |
dc.contributor.affiliatedAuthor | Kim, Man Deuk | - |
dc.contributor.affiliatedAuthor | Park, Sung Il | - |
dc.contributor.affiliatedAuthor | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Lee, Shin Jae | - |
dc.contributor.affiliatedAuthor | Jung, Dae Chul | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 25 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1303 | - |
dc.citation.endPage | 1309 | - |
dc.identifier.bibliographicCitation | EUROPEAN RADIOLOGY, Vol.25(5) : 1303-1309, 2015 | - |
dc.identifier.rimsid | 53949 | - |
dc.type.rims | ART | - |
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