UTERINE FIBROID EMBOLIZATION(UAE): CHANGE IN VOLUME OF FIBROID AND THE UTERUS

Authors

  • Krisdee PRABHASAVAT Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Pattamapun ANANTAPONG Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Chutakiat KRUATACHUE Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Trongtum TONGDEE Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Saowanee HOMSUD Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Weeasak WONGTIRAPORN Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University
  • Chanchai VANTANSIRI Radiology Dept, and OB-GYN Dept. Siriraj Hospital Faculty of medicine, Mahidol University

Abstract

Purpose: For evaluation the effectiveness of bilateral uterine arterial embolization, (UAE) in the treatment of fibroids, in aspect of changes in volume of fibroid and the uterus.

Material and Method: Retrospective study of pre and post UAE MRI in 8 Thai women, mean age 36 years who were to undergo bilateral UAE of uterine fibroids. from January, 2006-January, 2008. The follow up MRI was 15d, Imonth, 3months(3 pts), 6months (2pts) and 2 yrs(1pt). Bilateral UAE was performed by injecting 500-700 micron polyvinyl! alcohol (PVA) or 700-900 micron Beadblock. Two radiologists interprete MRI by consensus. The volume of fibroid and the uterus was calculated by the formula:lengthxdepthx width x 0.523 The signal intensity change in MRI after UAE was observed.

Result: Technical results Bilateral embolization of uterine arteries was accomplished in all patients( 100%). Patients had multiple fibroids (range 1-6 lesions). 26 fibroids were noted. The volume of fibroids varied from 3.6-512.4 cm3(mean=94.1 cm3). The mean volume reduction of fibroids after bilateral UAE was 36.75%. The mean volume reduction of intramural lesions was 44.54%. The mean volume reduction of subserosal and submucosal lesions were 28% and 25% respectively. No major complication, no mortality was occurred.

Conclusion: Significant volume reduction of fibroid after bilateral uterine artery embolization for treatment of fibroid with good clinical outcomes.

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Published

2023-04-27

How to Cite

1.
PRABHASAVAT K, ANANTAPONG P, KRUATACHUE C, TONGDEE T, HOMSUD S, WONGTIRAPORN W, et al. UTERINE FIBROID EMBOLIZATION(UAE): CHANGE IN VOLUME OF FIBROID AND THE UTERUS. ASEAN J Radiol [Internet]. 2023 Apr. 27 [cited 2025 Jan. 31];14(2):143-50. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/827

Issue

Vol. 14 No. 2 (2008): May-August

Section

Original Article

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