Fibroid shrinkage

It is important to evaluate the uterine and fibroid volumes as patients that show poor reductions in uterine volume post embolization may be more likely to require hysterectomy [4]. MR not only provides easily understood images that can be shown to patients, but also information that can be used to predict future fibroid shrinkage or to predict regrowth and possible further therapy. 

Post-operative knowledge of the fibroid vasculature is of particular interest when UAE results in negligible shrinkage and persistent symptoms as it may suggest possible sources of alternate blood... 

Using three-dimensional color Doppler sonography, Fleischer et al. [36] found that hypervascular fibroids tend to decrease in size after UFE more than their isovascular or hypovascular fibroids. McLu-CAS et al. [15] showed that the initial peak systolic velocity was positively correlated with the shrinkage of fibroids and uterine volume reduction. 

Embolization of the uterine artery induces infarction of fibroids while uterine perfusion is maintained [84,119]. Infarction leads to coagulation necrosis and subsequent complete hyalinization of the fibroids [27, 119,211]. further transformations cause softening and shrinkage of the tumors. Eollow-up for 3-24 months has shown that there is an average size reduction of the uter-... 

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