Fibroid vascularisation assessed with three‐dimensional power Doppler ultrasound is a predictor for uterine fibroid growth: a prospective cohort study

Objective To analyse fibroid vascularisation measured with three‐dimensional (3D) power Doppler in relation to absolute fibroid volume change during 12 months of follow up and in relation to fibroid growth rate per year. Design A prospective cohort study was performed between March 2012 and March 20...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 2018-04, Vol.125 (5), p.577-584
Hauptverfasser: Nieuwenhuis, LL, Keizer, AL, Stoelinga, B, Twisk, JWR, Hehenkamp, WJK, Brölmann, HAM, Huirne, JAF
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Objective To analyse fibroid vascularisation measured with three‐dimensional (3D) power Doppler in relation to absolute fibroid volume change during 12 months of follow up and in relation to fibroid growth rate per year. Design A prospective cohort study was performed between March 2012 and March 2014. Setting Outpatient clinic of the VU medical centre, Amsterdam. Population or sample All premenopausal women diagnosed with a maximum of two fibroids with expectant management were consecutively included. Methods Three‐dimensional ultrasound including power Doppler was performed at baseline, 3, 6 and 12 months. Volume and vascular parameters were calculated using VOCAL software. Main outcome measures The relationship between vascular index (VI) at baseline and fibroid volume over time was analysed using linear mixed model analyses for repeated measurements. Second, the relationship between VI at baseline and fibroid growth rate per year was calculated using linear regression analyses. Analyses were adjusted for possible confounders. Results In all, 66 women (mean age 42 years) completed 12 months of follow up without treatment. Baseline fibroid vascularisation (VI) measured with 3D power Doppler is correlated with fibroid volume at 12 months (P = 0.02 ). An increase of 1% in VI at baseline was associated with a 7.00‐cm3 larger fibroid volume at 12 months. Furthermore, vascularisation was also associated with fibroid growth rate per year (P = 0.04). Conclusion In women with uterine fibroids without therapy, baseline vascularisation (VI) measured with 3D power Doppler is correlated with absolute fibroid volume change at 12 months and with fibroid growth rate per year. Tweetable Fibroid vascularisation correlates with absolute fibroid volume change and fibroid growth rate per year. Tweetable Fibroid vascularisation correlates with absolute fibroid volume change and fibroid growth rate per year.
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.14608