Preprocedural MRI and MRA in planning fibroid embolization

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⚙ AI-generated summary by qwen3.7-flash, 2026-09-06 ⓘ

This pictorial review illustrates the utility of preprocedural MRI and MRA for patient selection, fibroid characterization, and pelvic vascular assessment to guide uterine artery embolization for fibroids.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-25 · read from full text ⓘ

This pictorial review examines the role of preprocedural magnetic resonance imaging and angiography in selecting patients for uterine artery embolization and planning the intervention. The authors illustrate how MRI features, such as fibroid location and size, along with MRA visualization of pelvic vascular anatomy, guide optimal catheterization angles to minimize radiation exposure. A reporting template is provided to standardize the assessment of fibroid characteristics and relevant arterial variants prior to treatment. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are highlighted. MRI features of fibroids and their main differential diagnoses are presented. Fibroid characteristics, such as location, size, and enhancement, which may impact patient selection and outcome, are presented based on recent literature. Pelvic arterial anatomy relevant to UAE, including vascular variants are illustrated, with conventional angiography and MRA imaging correlation. MRA preprocedural determination of the optimal projection angles for uterine artery catheterization is straightforward and constitutes an important strategy to minimize ionizing radiation exposure during UAE. A reporting template for MRI/MRA preassessement of UAE for fibroid treatment is provided.
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ABSTRACT This pictorial review aims to discuss and illustrate the up-to-date use of preprocedural magnetic resonance imaging (MRI) in selecting patients and planning uterine artery embolization (UAE). The merits of magnetic resonance angiography (MRA) in demonstrating the pelvic vasculature to guide UAE are highlighted. MRI features of fibroids and their main differential diagnoses are presented. Fibroid characteristics, such as location, size, and enhancement, which may impact patient selection and outcome, are presented based on recent literature. Pelvic arterial anatomy relevant to UAE, including vascular variants are illustrated, with conventional angiography and MRA imaging correlation. MRA preprocedural determination of the optimal projection angles for uterine artery catheterization is straightforward and constitutes an important strategy to minimize ionizing radiation exposure during UAE. A reporting template for MRI/MRA preassessement of UAE for fibroid treatment is provided.

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MeSH descriptors

Leiomyoma Magnetic Resonance Angiography Magnetic Resonance Imaging Pelvis Diagnosis, Differential Female Humans Leiomyoma Leiomyoma Magnetic Resonance Angiography Magnetic Resonance Imaging Pelvis Pelvis Treatment Outcome Uterine Artery Embolization Uterine Artery Embolization

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europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
pubmed
last seen: 2026-10-08T21:19:15.413326+00:00