6 174

Cited 0 times in

Contrast-enhanced MR angiography of uterine arteries for the prediction of ovarian artery embolization in 349 patients

Authors
 Mu Sook Lee  ;  Man Deuk Kim  ;  Myungsu Lee  ;  Jong Yun Won  ;  Sung Il Park  ;  Do Yun Lee  ;  Kwang-hun Lee 
Citation
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.23(9) : 1174-1179, 2012 
Journal Title
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY 
ISSN
 1051-0443 
Issue Date
2012
MeSH
Adenomyosis/pathology* ; Adenomyosis/therapy ; Adult ; Arteries/pathology ; Chi-Square Distribution ; Collateral Circulation ; Contrast Media* ; Embolization, Therapeutic* ; Female ; Humans ; Leiomyoma/blood supply ; Leiomyoma/pathology* ; Leiomyoma/therapy ; Magnetic Resonance Angiography* ; Middle Aged ; Ovary/blood supply* ; Patient Selection ; Predictive Value of Tests ; Republic of Korea ; Retrospective Studies ; Sensitivity and Specificity ; Uterine Artery/pathology* ; Uterine Artery Embolization ; Uterine Neoplasms/blood supply ; Uterine Neoplasms/pathology* ; Uterine Neoplasms/therapy
Keywords
Adenomyosis/pathology* ; Adenomyosis/therapy ; Adult ; Arteries/pathology ; Chi-Square Distribution ; Collateral Circulation ; Contrast Media* ; Embolization, Therapeutic* ; Female ; Humans ; Leiomyoma/blood supply ; Leiomyoma/pathology* ; Leiomyoma/therapy ; Magnetic Resonance Angiography* ; Middle Aged ; Ovary/blood supply* ; Patient Selection ; Predictive Value of Tests ; Republic of Korea ; Retrospective Studies ; Sensitivity and Specificity ; Uterine Artery/pathology* ; Uterine Artery Embolization ; Uterine Neoplasms/blood supply ; Uterine Neoplasms/pathology* ; Uterine Neoplasms/therapy
Abstract
PURPOSE: To assess contrast-enhanced magnetic resonance (MR) angiographic findings of uterine arteries (UAs) and to evaluate the diagnostic utility of this imaging modality for the prediction of ovarian artery (OA) embolization (OAE). MATERIALS AND METHODS: The authors retrospectively evaluated 349 patients who underwent contrast-enhanced MR angiography before UA embolization (UAE) for symptomatic fibroid tumors or adenomyosis. The diameters of the UAs were compared with those of the inferior mesenteric arteries (IMAs) and classified into two groups: group I, in which the diameters of both UAs were the same as or greater than that of the IMA; and group II, in which at least one UA was smaller than the IMA or was not visible. The presence of an enlarged OA was also evaluated. Sensitivity and specificity were calculated for UA diameter, enlarged OA, and the combination of the two. RESULTS: Nine of 22 patients (40.9%) in group II underwent OAE, which was a significantly higher incidence (P < .001) than in group I (nine of 327; 2.8%). Among eight patients with enlarged OAs, six (75%) underwent OAE. Relative UA diameter had a sensitivity of 50% and specificity of 96.1%; the respective values for enlarged OAs were 33.3% and 99.3%. The combination of UA diameter and enlarged OAs showed a sensitivity and specificity of 72.2% and 95.4%, respectively. CONCLUSIONS: In addition to the identification of enlarged OAs, contrast-enhanced MR angiography allows a comparison between UA and IMA diameters and therefore can be helpful for the prediction of OAE.
Full Text
http://www.sciencedirect.com/science/article/pii/S1051044312006355
DOI
22920980
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
Park, Sung Il(박성일)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
Lee, Myung Su(이명수)
Lee, Mu Sook(이무숙)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91192
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse