Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review
Abstract Background Uterine Artery Embolization (UAE) and Magnetic Resonance guided High Intensity Focused Ultrasound (MRgHIFU) are two noninvasive treatments for uterine leiomyoma. Methods This systematic review, following PRISMA guidelines, analyzed the effectiveness of two treatments by comparing...
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01627-y |
| _version_ | 1818915594299244544 |
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| author | Madina Yerezhepbayeva Milan Terzic Gulzhanat Aimagambetova Byron Crape |
| author_facet | Madina Yerezhepbayeva Milan Terzic Gulzhanat Aimagambetova Byron Crape |
| author_sort | Madina Yerezhepbayeva |
| collection | DOAJ |
| description | Abstract Background Uterine Artery Embolization (UAE) and Magnetic Resonance guided High Intensity Focused Ultrasound (MRgHIFU) are two noninvasive treatments for uterine leiomyoma. Methods This systematic review, following PRISMA guidelines, analyzed the effectiveness of two treatments by comparing percent fibroid volume shrinkage immediately after the procedure and after 3, 6, 12 and 24 months of follow-up and also assessed and compared common complications following treatment. The search utilized Science Direct, PubMed, MEDLINE, Google Scholar and BioMed Central databases, selecting manuscripts published during the period 2000 and 2020. Studies with premenopausal patients with previous treatments for uterine leiomyoma and/or with other pelvic diseases were excluded. Results Twenty-nine papers satisfied inclusion and exclusion criteria. Results were pooled and stratified by treatment and follow-up time. Weighted fibroid volume percent shrinkage after UAE was statistically significantly greater than MRgHIFU at 6, 12, and 24 months follow-up times. However, UAE had statistically significantly more complications, such as pain, nausea and vomiting. However, this study cannot conclude that UAE is more effective than MRgHIFU due to confounding factors. |
| first_indexed | 2024-12-20T00:04:45Z |
| format | Article |
| id | doaj.art-ced300f3c674476cbb48e6635d5cbd97 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-20T00:04:45Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-ced300f3c674476cbb48e6635d5cbd972022-12-21T20:00:40ZengBMCBMC Women's Health1472-68742022-03-0122111110.1186/s12905-022-01627-yComparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic reviewMadina Yerezhepbayeva0Milan Terzic1Gulzhanat Aimagambetova2Byron Crape3Department of Medicine, School of Medicine, Nazarbayev UniversityDepartment of Medicine, School of Medicine, Nazarbayev UniversityDepartment of Biomedical Sciences, School of Medicine, Nazarbayev UniversityDepartment of Medicine, School of Medicine, Nazarbayev UniversityAbstract Background Uterine Artery Embolization (UAE) and Magnetic Resonance guided High Intensity Focused Ultrasound (MRgHIFU) are two noninvasive treatments for uterine leiomyoma. Methods This systematic review, following PRISMA guidelines, analyzed the effectiveness of two treatments by comparing percent fibroid volume shrinkage immediately after the procedure and after 3, 6, 12 and 24 months of follow-up and also assessed and compared common complications following treatment. The search utilized Science Direct, PubMed, MEDLINE, Google Scholar and BioMed Central databases, selecting manuscripts published during the period 2000 and 2020. Studies with premenopausal patients with previous treatments for uterine leiomyoma and/or with other pelvic diseases were excluded. Results Twenty-nine papers satisfied inclusion and exclusion criteria. Results were pooled and stratified by treatment and follow-up time. Weighted fibroid volume percent shrinkage after UAE was statistically significantly greater than MRgHIFU at 6, 12, and 24 months follow-up times. However, UAE had statistically significantly more complications, such as pain, nausea and vomiting. However, this study cannot conclude that UAE is more effective than MRgHIFU due to confounding factors.https://doi.org/10.1186/s12905-022-01627-yMagnetic resonance guided high intensity focused ultrasoundUterine artery embolizationUterine leiomyomaUterine fibroid |
| spellingShingle | Madina Yerezhepbayeva Milan Terzic Gulzhanat Aimagambetova Byron Crape Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review BMC Women's Health Magnetic resonance guided high intensity focused ultrasound Uterine artery embolization Uterine leiomyoma Uterine fibroid |
| title | Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review |
| title_full | Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review |
| title_fullStr | Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review |
| title_full_unstemmed | Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review |
| title_short | Comparison of two invasive non-surgical treatment options for uterine myomas: uterine artery embolization and magnetic resonance guided high intensity focused ultrasound—systematic review |
| title_sort | comparison of two invasive non surgical treatment options for uterine myomas uterine artery embolization and magnetic resonance guided high intensity focused ultrasound systematic review |
| topic | Magnetic resonance guided high intensity focused ultrasound Uterine artery embolization Uterine leiomyoma Uterine fibroid |
| url | https://doi.org/10.1186/s12905-022-01627-y |
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