HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kim, M. D. Articles by Cha, S. H. Search for Related Content PubMed PubMed Citation Articles by Kim, M. D. Articles by Cha, S. H. Social Bookmarking                      What's this?

Long-Term Results of Uterine Artery Embolization for Symptomatic Adenomyosis

¹ Department of Diagnostic Radiology, Bundang CHA General Hospital, Pochon CHA University, 351 Yatap-dong, Bundang-gu, Sungnam-si, Kyonggi-do, 463-712, Republic of Korea.
² Department of Health Science, Pochon CHA University, Sungnam 463-712, Republic of Korea.
³ Department of Obstetrics and Gynecology, Bundang CHA General Hospital, Pochon CHA University, Sungnam 463-712, Republic of Korea.

View larger version (153K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —42-year-old woman with focal adenomyosis. Angiogram obtained through right femoral artery approach shows tortuous and dilated uterine arteries (arrows).

View larger version (140K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —42-year-old woman with focal adenomyosis. Nonselective pelvic arteriogram obtained after bilateral embolization with polyvinyl alcohol particles shows occlusion of both uterine arteries.

View larger version (153K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —42-year-old woman with focal adenomyosis. Sagittal T2-weighted MR image shows junctional zone thickening (arrows) in posterior wall of uterus.

View larger version (148K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1D —42-year-old woman with focal adenomyosis. T2-weighted MR image obtained 4 years after embolization shows decrease in thickness of focal adenomyotic region. Volume reduction is 82.9%, from 488 cm3 to 83 cm3.

View larger version (155K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A —39-year-old woman with diffuse adenomyosis. Sagittal T2-weighted MR image shows diffuse and asymmetric junctional zone thickening of uterus.

View larger version (173K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B —39-year-old woman with diffuse adenomyosis. Sagittal T2-weighted MR image 3 months after embolization shows focal area of low signal intensity (arrows) without contrast enhancement. Findings indicate necrosis of adenomyosis. Volume reduction is 23.6%, from 279 cm3 to 213 cm3. Symptom scores for menorrhagia and dysmenorrhea showed 50% decrease.

View larger version (167K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2C —39-year-old woman with diffuse adenomyosis. Gadolinium-enhanced T1-weighted MR image corresponding to B.

View larger version (172K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2D —39-year-old woman with diffuse adenomyosis. Sagittal T2-weighted MR image obtained 5.7 years after uterine artery embolization shows slight increase in adenomyotic area and absence of necrotic area. Compared with short-term follow-up images, uterine volume is little changed, from 213 cm3 to 211 cm3. Resolution of symptoms is unchanged without relapse.

View larger version (145K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2E —39-year-old woman with diffuse adenomyosis. Gadolinium-enhanced T1-weighted MR image corresponding to D.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati