EURORAD ESR

Case 7339

Uterine leiomyoma treated with transcatheter uterine artery embolization.

Author(s)
Ginanni B, Guidi E, Bianchi F, Faggioni L, Zampa V, Petruzzi P, Vignali C, Caramella D, Bartolozzi C.
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    Pretreatment MRI
     

    Sagittal T1-weighted image shows large, inhomogenous uterine mass formed by an anterior fluid-like portion and a posterior solid part. The bladder dome is moderately compressed by the mass.

     

    Sagittal T2-weighted image shows large, inhomogenous uterine mass formed by an anterior fluid-like portion and a posterior solid part. The bladder dome is moderately compressed by the mass.

     

    Sagittal T1-weighted image obtained after intravenous administration of gadolinium chelate shows intense enhancement of the solid portion of the mass.

     

    Signal-intensity-versus-time plot shows progressively increasing contrast enhancement of the solid portion of the mass (magenta curve), compared with the gluteal muscle taken as a reference (green curve).

     
     
     
  • Figure 2
    Digital subtraction angiography.
     

    Selective DSA of the right uterine artery shows marked hypervascular pattern of the mass.

     

    After particle embolization the lesion appears to be devascularized.

     

    Selective DSA of the left uterine artery shows hypervascular pattern of the mass.

     

    After particle embolization the lesion appears to be devascularized.

     
     
     
Sagittal T1-weighted image shows large, inhomogenous uterine mass formed by an anterior fluid-like portion and a posterior solid part. The bladder dome is moderately compressed by the mass.
 
Sagittal T2-weighted image shows large, inhomogenous uterine mass formed by an anterior fluid-like portion and a posterior solid part. The bladder dome is moderately compressed by the mass.
 
Sagittal T1-weighted image obtained after intravenous administration of gadolinium chelate shows intense enhancement of the solid portion of the mass.
 
Signal-intensity-versus-time plot shows progressively increasing contrast enhancement of the solid portion of the mass (magenta curve), compared with the gluteal muscle taken as a reference (green curve).
 
Selective DSA of the right uterine artery shows marked hypervascular pattern of the mass.
 
After particle embolization the lesion appears to be devascularized.
 
Selective DSA of the left uterine artery shows hypervascular pattern of the mass.
 
After particle embolization the lesion appears to be devascularized.
 
 
 
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