Exposure to Magnetic Field, Uterine Leiomyoma
Conditions
Keywords
Leiomyoma, uterine artery embolization, magnetic resonance imaging
Brief summary
The purpose of this study is to determine predictive factors in the pelvic magnetic resonance in the response of arterial embolization of uterine leiomyoma.
Detailed description
This study followed symptomatic premenopausal women with uterine leiomyoma who underwent uterine artery embolization (UAE). Treatment was accompanied by magnetic resonance imaging of both the volume of the entire uterus and the leiomyomas one month before and six months after UAE. This patients were treated at the Uterine Leiomyoma Sector of the Department of Obstetrics and Gynecology, Medicine College of the University of São Paulo. In this study, the investigators examined 179 leiomyomas in 50 patients.
Interventions
The leiomyomas were evaluated individually. MR was used to evaluate morphology: the radiological dimension(s) of the leiomyoma and uterus and the volume. The number of leiomyoma fibroids was determined, and their location in the myometrium. Perfusion and the characterization of the T2 signal were also evaluated.
Sponsors
Study design
Eligibility
Inclusion criteria
* ultrasound diagnosis of uterine leiomyoma * presence of symptoms (menorrhalgia and/or pelvic pain) * indication for UAE(the desire to keep the uterus and/or contraindications for surgery).
Exclusion criteria
* malignant genital neoplasms * pelvic inflammatory disease * allergy to iodinated contrast * coagulopathy, renal failure * vasculitis * pelvic irradiation * pregnancy * subserosal leiomyoma with a pedicle smaller than 50% of diameter of the fibroid.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Leiomyoma reduction in patients who underwent uterine artery embolization | One month before(baseline) and six month after the embolization | Use the magnetic resonanse to evaluate factors that predicted leiomyoma reduction in patients who underwent uterine artery embolization |
Countries
Brazil