I. Uterine fibroid embolization: Preprocedure assessment

Suresh Vedantham, Keith M. Sterling, Scott C. Goodwin, James B. Spies, Richard Shlansky-Goldberg, Robert L. Worthington-Kirsch, Robert T. Andrews, David M. Hovsepian, Steven J. Smith, Howard B. Chrisman

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Increasing clinical experience with uterine fibroid embolization (UFE) has improved the ability of interventionalist radiologists to discern who is and who is not an appropriate candidate for this procedure. Initial evaluation should be directed at obtaining answers to the following key questions: (1) Does the patient have uterine fibroids that account for her symptoms and are they severe enough to require invasive treatment? (2) Does she desire future childbearing? (3) Are there any clinical indications or imaging signs of uterine malignancy? (4) Are there any medical or anatomic features that would favor a particular therapeutic modality? (5) What are her own preferences regarding treatment? Ultrasound and magnetic resonance imaging are vital elements to the assessment and planning of the appropriate course of action. Given the lack of prospective comparative trials between UFE and surgical treatment, recommendations are often highly influenced by patient preference.

Original languageEnglish (US)
Pages (from-to)2-16
Number of pages15
JournalTechniques in Vascular and Interventional Radiology
Volume5
Issue number1
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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