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AJR 2001; 176:1597-1598
© American Roentgen Ray Society


A Question of Scale

Leslie A. Kory

Jacobi Medical Center Bronx, NY 10461

In reference to the article by Bunereau et al. [1], "Uterine Artery Embolization in the Primary Treatment of Uterine Leiomyomas," I draw your attention to page 1271, Figure 3. What is the significance of the images? There are four images of a leiomyoma, and no scale is indicated on the images C, D, and E. The direct measurements of the leiomyomas do not correspond to the legend.

References

  1. Bunereau L, Herbreteau D, Gallas S, et al. Uterine artery embolization in the primary treatment of uterine leiomyomas: technical features and prospective follow-up with clinical and sonographic examinations in 58 patients. AJR 2000;175 : 1267-1272[Abstract/Free Full Text]

Reply

Laurent Brunereau, Denis Herbreteau and Philippe Rouleau

CHRU Bretonneau F.37044 Tours, France

We thank Dr. Kory for taking interest in our recent article [1], and we agree that figures 3B, 3C, 3D, and 3E did not accurately illustrate the reduction in size of the leiomyoma. In fact, in these figures we reported four sonographic views acquired in the same patient at 3 months, 6 months, 1 year, and 2 years after embolization. The initial largest diameter of the leiomyoma was 58 mm. Sonographic examinations were performed with different approaches (abdominal, transvaginal) and different fields of view. Direct measurements of the leiomyoma were therefore mandatory on figures to appreciate the real reduction in size of the uterine lesion. All values of the largest diameter of leiomyoma were available in the first set of figures submitted with the manuscript. However, these were removed in the editing process, probably because the figures were reduced in size. We regret this modification, and we provide (Fig. 1) the four diameters that clearly demonstrate the progressive reduction in size of the leiomyoma.

References

  1. Bunereau L, Herbreteau D, Gallas S, et al. Uterine artery embolization in the primary treatment of uterine leiomyomas: technical features and prospective follow-up with clinical and sonographic examinations in 58 patients. AJR 2000;175:1267 -1272

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