Your browser doesn't support javascript.
loading
Elastographic and vascular findings of uterine myomas assessed by ultrasound.
do Amaral Coutinho, Cristiana; Castro, Pedro Teixeira; Lopes, Flávia Paiva; de Freitas Lima, Luiz Alberto Coutinho; Araujo Júnior, Edward; Aranda, Osvaldo Luis; de Araújo, Luiz Felipe Bittencout; Marchiori, Edson; Werner, Heron.
Afiliación
  • do Amaral Coutinho C; Department of Radiology, Clínica Alta (DASA), Rio de Janeiro, Brazil.
  • Castro PT; Department of Radiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
  • Lopes FP; Department of Radiology, Clínica Alta (DASA), Rio de Janeiro, Brazil.
  • de Freitas Lima LAC; Department of Radiology, Clínica Alta (DASA), Rio de Janeiro, Brazil.
  • Araujo Júnior E; Department of Radiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
  • Aranda OL; Department of Radiology, Clínica Alta (DASA), Rio de Janeiro, Brazil.
  • de Araújo LFB; Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil.
  • Marchiori E; Discipline of Woman Health, Municipal University of São Caetano do Sul (USCS), São Caetano do Sul, Brazil.
  • Werner H; Department of Obstetrics, Vassouras University, Vassouras, Brazil.
J Clin Ultrasound ; 2024 Aug 16.
Article en En | MEDLINE | ID: mdl-39150480
ABSTRACT

OBJECTIVE:

The objectives of this study were to evaluate the vascularization pattern of uterine myoma (UM) by ultrasonography using Superb Microvascular Imaging (SMI) and tissue stiffness elastography.

METHOD:

A prospective and cross-sectional study was carried out between March 2020 and December 2022 among women with clinical and ultrasound diagnosis of UM who would subsequently undergo radiofrequency ablation. Ultrasound examination was performed using both transvaginal and transabdominal routes. UM vascularization pattern was assessed by power Doppler (PD) and SMI, while elastographic pattern was assessed by shear wave (SWE) and strain (STE). FIGO classification, location, and measurement of the largest UM were also described.

RESULTS:

A total of 21 women diagnosed with UM were evaluated. There was a predominance of nulliparous women and 20 women (95.2%) reported desire for pregnancy. Of the 18 women with abnormal uterine bleeding, 15 (83.3%) had abdominal cramping. As far as previous treatment, 7 (33.3%) had undergone myomectomy for other UM. The mean uterine and UM volumes were 341.9 cm3 (90-730) and 126.52 cm3 (6.0-430), respectively. There was a predominance of hypoechogenic lesions (90.5%). There was also preponderance of UM in the FIGO 2-5 classification (n = 9; 42.9%). Vascularization patter was mostly moderate (score 2) in 9 cases (42.9%). The majority of UM were considered to have intermediate stiffness (n = 10; 47.6%).

CONCLUSION:

The majority of UM showed vascularization and moderate stiffness. A relationship was observed between the stiffness of the UM assessed by elastography and its FIGO classification.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Ultrasound Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Ultrasound Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos