The Diagnostic Value of Superb Microvascular Imaging in Prediction of Uterine Artery Embolization Treatment Response in Uterine Leiomyomas

The Diagnostic Value of Superb Microvascular Imaging in Prediction of Uterine Artery Embolization Treatment Response in Uterine Leiomyomas

Objectives We aimed to determine if superb microvascular imaging (SMI) can predict response to uterine artery embolization (UAE) as compared with power Doppler ultrasound. Methods The blood flow and the volume of the dominant leiomyoma was evaluated by power Doppler ultrasonography (PDUS) and SMI 1 ...

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Veröffentlicht in:Journal of ultrasound in medicine 2021-12, Vol.40 (12), p.2607-2615
Hauptverfasser: Samanci, Cesur, Ozkose, Burak, Ustabasioglu, Fethi Emre, Erol, Burak Caglar, Sirolu, Sabri, Yılmaz, Fatma, Ozkose, Zeynep Gedik, Yılmaz, Hatice, Kara, Sahra Cavuşoğlu, Caliskan, Raziye, Gulsen, Fatih
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power Doppler ultrasound
superb microvascular imaging
uterine artery embolization
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container_end_page 2615
container_issue 12
container_start_page 2607
container_title Journal of ultrasound in medicine
container_volume 40
creator Samanci, Cesur
Ozkose, Burak
Ustabasioglu, Fethi Emre
Erol, Burak Caglar
Sirolu, Sabri
Yılmaz, Fatma
Ozkose, Zeynep Gedik
Yılmaz, Hatice
Kara, Sahra Cavuşoğlu
Caliskan, Raziye
Gulsen, Fatih
description Objectives We aimed to determine if superb microvascular imaging (SMI) can predict response to uterine artery embolization (UAE) as compared with power Doppler ultrasound. Methods The blood flow and the volume of the dominant leiomyoma was evaluated by power Doppler ultrasonography (PDUS) and SMI 1 day before and 3 months after the UAE procedure. SMI and PDUS blood flow were classified to 4 grades of vascularity. The change in fibroid volume in Grades 0–2 (hypovascular group) was compared to the hypervascular Grade 3 group. Results Twenty‐eight women (mean age, 40.9 years; range, 33–53 years) were examined with PDUS and SMI before and 3 months after UAE. The volume reduction was statistically significantly higher hypervascular group (P 
doi_str_mv 10.1002/jum.15647
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Methods The blood flow and the volume of the dominant leiomyoma was evaluated by power Doppler ultrasonography (PDUS) and SMI 1 day before and 3 months after the UAE procedure. SMI and PDUS blood flow were classified to 4 grades of vascularity. The change in fibroid volume in Grades 0–2 (hypovascular group) was compared to the hypervascular Grade 3 group. Results Twenty‐eight women (mean age, 40.9 years; range, 33–53 years) were examined with PDUS and SMI before and 3 months after UAE. The volume reduction was statistically significantly higher hypervascular group (P &lt; .05). When we accept 30% or more volume reduction as a good response to UAE, the positive predictive value, negative predictive value, sensitivity, specificity, and accuracy of SMI were 100, 64, 73.6, 100, and 82.1%, respectively. There was excellent agreement between the two blinded observers in SMI measurements. Conclusions SMI, with its high reproducibility, provides further microvessel information than PDUS in uterine fibroids. It may be a useful tool in prediction of response to UAE treatment and improve counseling and patient selection for UAE versus medical or surgical treatment options. Access the CME test here and search by article title.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.15647</identifier><identifier>PMID: 33599335</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>power Doppler ultrasound ; superb microvascular imaging ; uterine artery embolization</subject><ispartof>Journal of ultrasound in medicine, 2021-12, Vol.40 (12), p.2607-2615</ispartof><rights>2021 American Institute of Ultrasound in Medicine</rights><rights>2021 American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3257-e5585c6d7f9cbb23711424e1951334a8551da0f7fed36f98327df49d0371516b3</citedby><cites>FETCH-LOGICAL-c3257-e5585c6d7f9cbb23711424e1951334a8551da0f7fed36f98327df49d0371516b3</cites><orcidid>0000-0002-0217-8895</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.15647$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.15647$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33599335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Samanci, Cesur</creatorcontrib><creatorcontrib>Ozkose, Burak</creatorcontrib><creatorcontrib>Ustabasioglu, Fethi Emre</creatorcontrib><creatorcontrib>Erol, Burak Caglar</creatorcontrib><creatorcontrib>Sirolu, Sabri</creatorcontrib><creatorcontrib>Yılmaz, Fatma</creatorcontrib><creatorcontrib>Ozkose, Zeynep Gedik</creatorcontrib><creatorcontrib>Yılmaz, Hatice</creatorcontrib><creatorcontrib>Kara, Sahra Cavuşoğlu</creatorcontrib><creatorcontrib>Caliskan, Raziye</creatorcontrib><creatorcontrib>Gulsen, Fatih</creatorcontrib><title>The Diagnostic Value of Superb Microvascular Imaging in Prediction of Uterine Artery Embolization Treatment Response in Uterine Leiomyomas</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives We aimed to determine if superb microvascular imaging (SMI) can predict response to uterine artery embolization (UAE) as compared with power Doppler ultrasound. Methods The blood flow and the volume of the dominant leiomyoma was evaluated by power Doppler ultrasonography (PDUS) and SMI 1 day before and 3 months after the UAE procedure. SMI and PDUS blood flow were classified to 4 grades of vascularity. The change in fibroid volume in Grades 0–2 (hypovascular group) was compared to the hypervascular Grade 3 group. Results Twenty‐eight women (mean age, 40.9 years; range, 33–53 years) were examined with PDUS and SMI before and 3 months after UAE. The volume reduction was statistically significantly higher hypervascular group (P &lt; .05). When we accept 30% or more volume reduction as a good response to UAE, the positive predictive value, negative predictive value, sensitivity, specificity, and accuracy of SMI were 100, 64, 73.6, 100, and 82.1%, respectively. There was excellent agreement between the two blinded observers in SMI measurements. Conclusions SMI, with its high reproducibility, provides further microvessel information than PDUS in uterine fibroids. It may be a useful tool in prediction of response to UAE treatment and improve counseling and patient selection for UAE versus medical or surgical treatment options. 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Conclusions SMI, with its high reproducibility, provides further microvessel information than PDUS in uterine fibroids. It may be a useful tool in prediction of response to UAE treatment and improve counseling and patient selection for UAE versus medical or surgical treatment options. Access the CME test here and search by article title.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>33599335</pmid><doi>10.1002/jum.15647</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0217-8895</orcidid></addata></record>
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subjects power Doppler ultrasound
superb microvascular imaging
uterine artery embolization
title The Diagnostic Value of Superb Microvascular Imaging in Prediction of Uterine Artery Embolization Treatment Response in Uterine Leiomyomas
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