Can pre-procedural MRI signal intensity ratio predict the success of uterine arteryembolization in treatment of myomas?

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dc.authorid0000-0001-8030-6795en_US
dc.authorid0000-0002-7224-7737en_US
dc.authorid0000-0002-9586-2425en_US
dc.authorid0000-0002-2795-4766en_US
dc.contributor.authorÇakır, Çağlayan
dc.contributor.authorKılınç, Fatih
dc.contributor.authorDeniz, Muhammed Akif
dc.contributor.authorKarakaş, Sema
dc.date.accessioned2023-10-26T13:07:20Z
dc.date.available2023-10-26T13:07:20Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalıen_US
dc.description.abstractBackground/aim: Magnetic resonance (MR) images, signal intensity ratios calculated using region of interests (ROI) in T2W images by proportioning the dominant myoma to iliac muscle can aid patient selection and, thus, in achieving better outcomes with the uterine artery embolization (UAE) procedure. The present study investigates the association between the success of UAE treatment with signal intensity (SI) ratio of the dominant myoma to the iliac muscle in MR imaging performed prior to the procedure. Materials and methods: This is a retrospective study and included 30 patients who admitted to our clinic between February 2017 and July 2019 due to symptoms associated with myoma and who underwent MR imaging before and after UAE treatment. All patients, MR images obtained before UAE treatment and at the 12th month after the procedure were evaluated. In MRI, SI values were calculated by proportioning the dominant myoma to the iliac muscle using circular ROI in T1 weighted (W), T2W, and post-contrast T1W images. In the present study, 50% or more volumetric regression of the myoma with infarction of fibroids (loss of enhancement) at the 12-month follow-up MRI after the procedure was considered a successful procedure. Results: Myoma volumes calculated in MR images showed significant differences between the MRI performed before UAE procedure and the MRI performed at the 12th month after the procedure (p < 0.0001). SI ratio calculated from pre-procedure T2W MR images was found to be a significant determinant of 50% or more volumetric regression in the myoma after UAE procedure (p = 0.017), T1W, post-contrast T1W images were not statistically significant (p = 0.211). Conclusion: Our results indicate that SI ratio of the dominant myoma to the iliac muscle calculated using ROI in T2W images of MR studies performed before UAE procedure can predict the success of the procedure.en_US
dc.identifier.citationÇakır, Ç., Kılnç, F., Deniz, M. A. ve Karakaş, S. (2021). Can pre-procedural MRI signal intensity ratio predict the success of uterine arteryembolization in treatment of myomas?. Turkish Journal of Medical Sciences, 51(3), 1380-1387.en_US
dc.identifier.doi10.3906/sag-2012-136
dc.identifier.endpage1387en_US
dc.identifier.issn1300-0144
dc.identifier.issue3en_US
dc.identifier.pmid33550765
dc.identifier.scopus2-s2.0-85110020615
dc.identifier.scopusqualityQ1
dc.identifier.startpage1380en_US
dc.identifier.trdizinid482873
dc.identifier.urihttps://journals.tubitak.gov.tr/medical/vol51/iss3/61/
dc.identifier.urihttps://hdl.handle.net/11468/12964
dc.identifier.volume51en_US
dc.identifier.wosWOS:000668244900060
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorDeniz, Muhammed Akif
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmbolizationen_US
dc.subjectMagnetic resonance imagingen_US
dc.subjectMyomaen_US
dc.subjectUterine arteryen_US
dc.titleCan pre-procedural MRI signal intensity ratio predict the success of uterine arteryembolization in treatment of myomas?en_US
dc.titleCan pre-procedural MRI signal intensity ratio predict the success of uterine arteryembolization in treatment of myomas?
dc.typeArticleen_US

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