Evaluation of Uterine Fibroid Embolization using MRI

Abstract

Uterine fibroid embolization, a minimally invasive interventional radiology treatment for uterine fibroids, is a safe and effective option for women to consider. Interventional radiologists use MRIs to determine if fibroids can be emboli zed. This research aimed to detect and evaluate the uterine fibroid size, location pre and post uterine artery embolization procedure using MRI (Magnetic resonance imaging) in addition to be modality of choice to follow up the patient on regular interval and evaluate the outcome of the interventional procedure of the fibroid. This study performed in the clinical imaging institute of Al Ain hospital –UAE on a sample of (100 consecutive female patient with fibroid undergo the Uterine Artery Embolization ) with different age groups between 30-60 years old ,the measurements of the fibroid pre and post embolization MRI scan is used. MRI (GE 1.5tesla Discovery S360) machine is used to scan the patients in this study and the Siemens Zee Artis C-arm machine was used for fluoroscopy during the embolization procedure. The data of this study was collected from the radiology reports which documented by the radiologist in radiology information system. The study shows 67.35%(66patients)are totally resolved ,and significant improvement shows in 23.5%(23patients),some improvement in 5%(5patients)While 4%(4 patients)failed to show up in their clinic. It was conclude that MRI is playing significant role for characterization uterine fibroids and identifying their exact anatomical location. MRI supporting the efficiency of uterine fibroid embolization process proven by this study when shows significant reduction of fibroids, MRI evaluate the response of fibroid to UFE with age correlation as the study shows that fibroid is obvious shrink with menopause