Uterine artery embolization

Sonographic imaging findings

Joshua L. Weintraub, William J. Romano, Matthias J. Kirsch, Dana M. Sampaleanu, Beatrice Madrazo

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective. To examine the sonographic and angiographic imaging findings before and after uterine fibroid embolization for symptomatic leiomyoma. Methods. This prospective study involved 14 premenopausal women who underwent uterine fibroid embolization for symptomatic leiomyoma. Preprocedure sonography with color Doppler imaging was performed. Bilateral uterine artery embolization was successfully performed with the use of polyvinyl alcohol. Follow-up sonographic examinations were performed between 1 and 3 months after the procedure. The correlation between the sonographic appearance before and after embolization and the degree of decrease in uterine size was evaluated by using the Jonckheere-Terpstra 2-sided P test. Results. Preprocedure sonographic imaging showed a varied appearance to the fibroids. Color Doppler imaging primarily showed the fibroids to be vascular with marked peripheral blood flow. Postprocedure sonographic imaging showed decreased uterine size and echogenicity. Color Doppler imaging showed a marked decrease in the blood flow to the leiomyoma. There was no statistical significance in the relationship between echogenicity and vascularity shown before the procedure and the percent decrease in the size of the uterus. Conclusions. Although sonography is an efficient method for identifying leiomyomata and determining the reduction in size after uterine artery embolization, we were unable to identify any predictive characteristics of success for aiding the preprocedural assessment.

Original languageEnglish
Pages (from-to)633-637
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume21
Issue number6
StatePublished - Jan 1 2002
Externally publishedYes

Fingerprint

Uterine Artery Embolization
Leiomyoma
arteries
blood flow
color
uterus
Color
polyvinyl alcohol
Ultrasonography
examination
Polyvinyl Alcohol
Uterus
Blood Vessels
Prospective Studies

Keywords

  • Angiography, comparative studies
  • Arteries, therapeutic blockade
  • Arteries, uterine
  • Leiomyoma
  • Sonography, comparative studies
  • Uterus, sonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Acoustics and Ultrasonics
  • Radiological and Ultrasound Technology

Cite this

Weintraub, J. L., Romano, W. J., Kirsch, M. J., Sampaleanu, D. M., & Madrazo, B. (2002). Uterine artery embolization: Sonographic imaging findings. Journal of Ultrasound in Medicine, 21(6), 633-637.

Uterine artery embolization : Sonographic imaging findings. / Weintraub, Joshua L.; Romano, William J.; Kirsch, Matthias J.; Sampaleanu, Dana M.; Madrazo, Beatrice.

In: Journal of Ultrasound in Medicine, Vol. 21, No. 6, 01.01.2002, p. 633-637.

Research output: Contribution to journalArticle

Weintraub, JL, Romano, WJ, Kirsch, MJ, Sampaleanu, DM & Madrazo, B 2002, 'Uterine artery embolization: Sonographic imaging findings', Journal of Ultrasound in Medicine, vol. 21, no. 6, pp. 633-637.
Weintraub JL, Romano WJ, Kirsch MJ, Sampaleanu DM, Madrazo B. Uterine artery embolization: Sonographic imaging findings. Journal of Ultrasound in Medicine. 2002 Jan 1;21(6):633-637.
Weintraub, Joshua L. ; Romano, William J. ; Kirsch, Matthias J. ; Sampaleanu, Dana M. ; Madrazo, Beatrice. / Uterine artery embolization : Sonographic imaging findings. In: Journal of Ultrasound in Medicine. 2002 ; Vol. 21, No. 6. pp. 633-637.
@article{74642cdf2e7c41a2954829ec7a388083,
title = "Uterine artery embolization: Sonographic imaging findings",
abstract = "Objective. To examine the sonographic and angiographic imaging findings before and after uterine fibroid embolization for symptomatic leiomyoma. Methods. This prospective study involved 14 premenopausal women who underwent uterine fibroid embolization for symptomatic leiomyoma. Preprocedure sonography with color Doppler imaging was performed. Bilateral uterine artery embolization was successfully performed with the use of polyvinyl alcohol. Follow-up sonographic examinations were performed between 1 and 3 months after the procedure. The correlation between the sonographic appearance before and after embolization and the degree of decrease in uterine size was evaluated by using the Jonckheere-Terpstra 2-sided P test. Results. Preprocedure sonographic imaging showed a varied appearance to the fibroids. Color Doppler imaging primarily showed the fibroids to be vascular with marked peripheral blood flow. Postprocedure sonographic imaging showed decreased uterine size and echogenicity. Color Doppler imaging showed a marked decrease in the blood flow to the leiomyoma. There was no statistical significance in the relationship between echogenicity and vascularity shown before the procedure and the percent decrease in the size of the uterus. Conclusions. Although sonography is an efficient method for identifying leiomyomata and determining the reduction in size after uterine artery embolization, we were unable to identify any predictive characteristics of success for aiding the preprocedural assessment.",
keywords = "Angiography, comparative studies, Arteries, therapeutic blockade, Arteries, uterine, Leiomyoma, Sonography, comparative studies, Uterus, sonography",
author = "Weintraub, {Joshua L.} and Romano, {William J.} and Kirsch, {Matthias J.} and Sampaleanu, {Dana M.} and Beatrice Madrazo",
year = "2002",
month = "1",
day = "1",
language = "English",
volume = "21",
pages = "633--637",
journal = "Journal of Ultrasound in Medicine",
issn = "0278-4297",
publisher = "American Institute of Ultrasound in Medicine",
number = "6",

}

TY - JOUR

T1 - Uterine artery embolization

T2 - Sonographic imaging findings

AU - Weintraub, Joshua L.

AU - Romano, William J.

AU - Kirsch, Matthias J.

AU - Sampaleanu, Dana M.

AU - Madrazo, Beatrice

PY - 2002/1/1

Y1 - 2002/1/1

N2 - Objective. To examine the sonographic and angiographic imaging findings before and after uterine fibroid embolization for symptomatic leiomyoma. Methods. This prospective study involved 14 premenopausal women who underwent uterine fibroid embolization for symptomatic leiomyoma. Preprocedure sonography with color Doppler imaging was performed. Bilateral uterine artery embolization was successfully performed with the use of polyvinyl alcohol. Follow-up sonographic examinations were performed between 1 and 3 months after the procedure. The correlation between the sonographic appearance before and after embolization and the degree of decrease in uterine size was evaluated by using the Jonckheere-Terpstra 2-sided P test. Results. Preprocedure sonographic imaging showed a varied appearance to the fibroids. Color Doppler imaging primarily showed the fibroids to be vascular with marked peripheral blood flow. Postprocedure sonographic imaging showed decreased uterine size and echogenicity. Color Doppler imaging showed a marked decrease in the blood flow to the leiomyoma. There was no statistical significance in the relationship between echogenicity and vascularity shown before the procedure and the percent decrease in the size of the uterus. Conclusions. Although sonography is an efficient method for identifying leiomyomata and determining the reduction in size after uterine artery embolization, we were unable to identify any predictive characteristics of success for aiding the preprocedural assessment.

AB - Objective. To examine the sonographic and angiographic imaging findings before and after uterine fibroid embolization for symptomatic leiomyoma. Methods. This prospective study involved 14 premenopausal women who underwent uterine fibroid embolization for symptomatic leiomyoma. Preprocedure sonography with color Doppler imaging was performed. Bilateral uterine artery embolization was successfully performed with the use of polyvinyl alcohol. Follow-up sonographic examinations were performed between 1 and 3 months after the procedure. The correlation between the sonographic appearance before and after embolization and the degree of decrease in uterine size was evaluated by using the Jonckheere-Terpstra 2-sided P test. Results. Preprocedure sonographic imaging showed a varied appearance to the fibroids. Color Doppler imaging primarily showed the fibroids to be vascular with marked peripheral blood flow. Postprocedure sonographic imaging showed decreased uterine size and echogenicity. Color Doppler imaging showed a marked decrease in the blood flow to the leiomyoma. There was no statistical significance in the relationship between echogenicity and vascularity shown before the procedure and the percent decrease in the size of the uterus. Conclusions. Although sonography is an efficient method for identifying leiomyomata and determining the reduction in size after uterine artery embolization, we were unable to identify any predictive characteristics of success for aiding the preprocedural assessment.

KW - Angiography, comparative studies

KW - Arteries, therapeutic blockade

KW - Arteries, uterine

KW - Leiomyoma

KW - Sonography, comparative studies

KW - Uterus, sonography

UR - http://www.scopus.com/inward/record.url?scp=0036261658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036261658&partnerID=8YFLogxK

M3 - Article

VL - 21

SP - 633

EP - 637

JO - Journal of Ultrasound in Medicine

JF - Journal of Ultrasound in Medicine

SN - 0278-4297

IS - 6

ER -