FEATURES OF MRI IMAGING OF UTERINE FIBROIDS IN THE PREOPERATIVE STAGE
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2021.1.11920Keywords:
uterine fibroids, diagnosis, magnetic resonance imagingAbstract
Summary. Uterine fibroids are benign monoclonal tumors of uterine smooth muscle, which usually have multiple multimodal nature, but can also occur in the form of single fibroids. Uterine leiomyoma is one of the most common gynecological diseases in women and is of reproductive age, according to various authors, from 10 to 40 %.
The aim of the study – to assess the diagnostic value of MRI imaging of uterine fibroids in the preoperative stage.
Materials and Methods. The study was performed on the basis of the Regional Perinatal Center and the Maternity Hospital No. 5 (Odesa). 35 women with uterine fibroids detected by ultrasound were examined. All patients underwent MRI examination using Siemens Symphony (Germany). Subsequently, patients underwent surgery: in 20 cases conservative myomectomy in 15 – hysterectomy. Statistical processing was performed by analysis of variance using Statistica 13.5 software (StatSoft Inc., USA).
Results. Comparing the results of MRI examination with the data of previous ultrasound screening and histological analysis of myomas removed during surgery, it was found that the specificity of the MRI method is 100 %, sensitivity – 97.1 %, which corresponds to the Juden coefficient J = 0.97.
Conclusions. MRI examination has a high diagnostic value and can be recommended to clarify the diagnosis in complex clinical cases. The most common hyperdensive myomas with low intensity of contrast accumulation.
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