The effect of pelvic MR imaging on the diagnosis and treatment of women with presumed symptomatic uterine fibroids

Reed A. Omary*, Syam Vasireddy, Howard B Chrisman, Robert K. Ryu, F. Scott Pereles, James Carr, Scott A Resnick, Albert A Nemcek Jr, Robert L Vogelzang

*Corresponding author for this work

Research output: Contribution to journalArticle

72 Scopus citations

Abstract

PURPOSE: To determine if magnetic resonance (MR) imaging significantly alters the diagnostic thinking and treatment plans of interventional radiologists during the evaluation of women for uterine fibroid embolization (UFE) for presumed uterine fibroids. MATERIALS AND METHODS: At a single institution, interventional radiologists prospectively completed questionnaires (n = 60) before and after MR imaging was performed in their evaluation of women presenting for potential UFE. The questionnaires asked these physicians the probability (0%-100%) of their most likely diagnosis before MR imaging and after receiving the MR imaging information. They were also asked their anticipated and final treatment plans. Diagnostic confidence gains and the proportion of patients with changed initial diagnoses or anticipated management were calculated. The Wilcoxon signed-rank test was used to assess gains in diagnostic confidence. RESULTS: MR imaging caused a mean gain in diagnostic confidence of 22% (P < .0001). MR imaging changed initial diagnoses in 11 patients (18%). Immediate clinical management changed in 13 patients (22%). UFE was not performed in 11 of 57 women (19%) who were anticipated before MR imaging to receive UFE. CONCLUSIONS: MR imaging significantly alters the diagnoses and treatment plans of interventional radiologists evaluating women with presumed symptomatic fibroids. MR imaging should be considered in all patients before UFE.

Original languageEnglish (US)
Pages (from-to)1149-1153
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume13
Issue number11
DOIs
StatePublished - Nov 1 2002

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Keywords

  • Fibroid
  • Pelvic organs, MR
  • Uterine arteries, embolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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