Small submucosal fibroids are more likely to migrate into the endometrial cavity after uterine artery embolization (UAE), according to a new study published this month in the American Journal of Roentgenology (May 2008, Vol. 190:5, pp. 1220-1226).
Forty-nine patients with 140 fibroids had an MRI exam before and after UAE; 39 of these fibroids were submucosal, according to Dr. Sachit Verma of the department of radiology at Thomas Jefferson University Hospital in Philadelphia. Of these 39, 33% moved to the endometrial cavity after UAE.
Verma and colleagues found that submucosal fibroids with an interface-dimension ratio (the ratio between the largest endometrial interface and the maximum dimension of the dominant submucosal fibroid) greater than 0.55 at the preprocedural MRI have a higher risk of becoming endocavitary following UAE.
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Uterine artery embolization controls postabortion hemorrhage, April 1, 2008
Both UAE, hysterectomy improve quality of life, February 20, 2008
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