Preprocedural MRI and MRA in planning fibroid embolization

This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are...

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Main Authors: Cristina Maciel, Yen Zhi Tang, Anju Sahdev, António Miguel Madureira, Paulo Vilares-Morgado
Format: Article
Language:English
Published: Galenos Publishing House 2017-03-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/preprocedural-mr-and-mra-in-planning-fibroid-embol/55341
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author Cristina Maciel
Yen Zhi Tang
Anju Sahdev
António Miguel Madureira
Paulo Vilares-Morgado
author_facet Cristina Maciel
Yen Zhi Tang
Anju Sahdev
António Miguel Madureira
Paulo Vilares-Morgado
author_sort Cristina Maciel
collection DOAJ
description This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are highlighted. MRI features of fibroids and their main differential diagnoses are presented. Fibroid characteristics, such as location, size, and enhancement, which may impact patient selection and outcome, are presented based on recent literature. Pelvic arterial anatomy relevant to UAE, including vascular variants are illustrated, with conventional angiography and MRA imaging correlation. MRA preprocedural determination of the optimal projection angles for uterine artery catheterization is straightforward and constitutes an important strategy to minimize ionizing radiation exposure during UAE. A reporting template for MRI/MRA preassessement of UAE for fibroid treatment is provided.
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spelling doaj.art-4049341eb9924ded9413ca6a72fbf8722023-09-06T13:28:41ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122017-03-0123216317110.5152/dir.2016.1662313049054Preprocedural MRI and MRA in planning fibroid embolizationCristina Maciel0Yen Zhi Tang1Anju Sahdev2António Miguel Madureira3Paulo Vilares-Morgado4 Department of Radiology, Centro Hospitalar São João, Porto, Portugal Department of Radiology, St. Bartholomew´s Hospital, London, UK Department of Radiology, St. Bartholomew´s Hospital, London, UK Department of Radiology, Centro Hospitalar São João, Porto, Portugal Department of Radiology, Centro Hospitalar São João, Porto, Portugal This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are highlighted. MRI features of fibroids and their main differential diagnoses are presented. Fibroid characteristics, such as location, size, and enhancement, which may impact patient selection and outcome, are presented based on recent literature. Pelvic arterial anatomy relevant to UAE, including vascular variants are illustrated, with conventional angiography and MRA imaging correlation. MRA preprocedural determination of the optimal projection angles for uterine artery catheterization is straightforward and constitutes an important strategy to minimize ionizing radiation exposure during UAE. A reporting template for MRI/MRA preassessement of UAE for fibroid treatment is provided. http://www.dirjournal.org/archives/archive-detail/article-preview/preprocedural-mr-and-mra-in-planning-fibroid-embol/55341
spellingShingle Cristina Maciel
Yen Zhi Tang
Anju Sahdev
António Miguel Madureira
Paulo Vilares-Morgado
Preprocedural MRI and MRA in planning fibroid embolization
Diagnostic and Interventional Radiology
title Preprocedural MRI and MRA in planning fibroid embolization
title_full Preprocedural MRI and MRA in planning fibroid embolization
title_fullStr Preprocedural MRI and MRA in planning fibroid embolization
title_full_unstemmed Preprocedural MRI and MRA in planning fibroid embolization
title_short Preprocedural MRI and MRA in planning fibroid embolization
title_sort preprocedural mri and mra in planning fibroid embolization
url http://www.dirjournal.org/archives/archive-detail/article-preview/preprocedural-mr-and-mra-in-planning-fibroid-embol/55341
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