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

Mu Sook Lee, Man Deuk Kim, Myungsu Lee, Jong Yun Won, Sung Il Park, Do Yun Lee, Kwang Hun Lee

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Abstract

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). 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. 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. 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.

Original languageEnglish
Pages (from-to)1174-1179
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume23
Issue number9
DOIs
Publication statusPublished - 2012 Sep 1

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Uterine Artery
Magnetic Resonance Angiography
Arteries
Inferior Mesenteric Artery
Sensitivity and Specificity
Uterine Artery Embolization
Adenomyosis
Leiomyoma
Diagnostic Imaging
Magnetic Resonance Spectroscopy
Incidence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Lee, Mu Sook ; Kim, Man Deuk ; Lee, Myungsu ; Won, Jong Yun ; Park, Sung Il ; Lee, Do Yun ; Lee, Kwang Hun. / Contrast-enhanced MR angiography of uterine arteries for the prediction of ovarian artery embolization in 349 patients. In: Journal of Vascular and Interventional Radiology. 2012 ; Vol. 23, No. 9. pp. 1174-1179.
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abstract = "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). 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. 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. 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.",
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Contrast-enhanced MR angiography of uterine arteries for the prediction of ovarian artery embolization in 349 patients. / Lee, Mu Sook; Kim, Man Deuk; Lee, Myungsu; Won, Jong Yun; Park, Sung Il; Lee, Do Yun; Lee, Kwang Hun.

In: Journal of Vascular and Interventional Radiology, Vol. 23, No. 9, 01.09.2012, p. 1174-1179.

Research output: Contribution to journalArticle

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