{"paper_id":"5f7ef9f1-1ded-4494-9fb4-d3a34c70a34f","body_text":"YUHASpace Repository\n0\n961\nCited 0 times in\nCited 26 times in\nUterine Artery Embolization for Adenomyosis: Percentage of Necrosis Predicts Midterm Clinical Recurrence\n- Authors\n- Sohi H.Bae ; Man Deuk Kim ; Gyoung Min Kim ; Shin Jae Lee ; Sung Il Park ; Jong Yun Won ; Do Yun Lee\n- Citation\n- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.26(9) : 1290-1296, 2015\n- Journal Title\n- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY\n- ISSN\n- 1051-0443\n- Issue Date\n- 2015\n- MeSH\n- Adenomyosis/diagnosis ; Adenomyosis/epidemiology* ; Adenomyosis/therapy* ; Adult ; Comorbidity ; Female ; Follow-Up Studies ; Humans ; Menorrhagia/diagnosis ; Menorrhagia/epidemiology* ; Middle Aged ; Necrosis ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology* ; Prevalence ; Recurrence ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Factors ; Symptom Assessment ; Treatment Outcome ; Uterine Artery Embolization/statistics & numerical data* ; Uterus/pathology*\n- Abstract\n- PURPOSE: To evaluate the effect of degree of necrosis after uterine artery embolization (UAE) on symptom recurrence at midterm clinical follow-up in patients with adenomyosis.\nMATERIALS AND METHODS: Women (N = 50) who underwent UAE for symptomatic adenomyosis were retrospectively analyzed. All patients underwent contrast-enhanced magnetic resonance (MR) imaging at baseline and 3 months after UAE and were followed clinically for at least 18 months. The type of adenomyosis was classified as focal or diffuse. The uterine volume and the percentage of necrosis after embolization were measured three-dimensionally on MR imaging. The percentage of the necrosis cutoff point for predicting recurrence was estimated. Patients were divided into 2 groups according to the cutoff point. The rate of recurrence was compared between groups, and risk factors for recurrence were identified.\nRESULTS: During the follow-up period (range, 18-48 mo), symptom recurrence occurred in 12 of 50 patients. A necrosis cutoff point of 34.3% was calculated to predict recurrence (area under the curve = 0.721; 95% confidence interval [CI] = 0.577-0.839; P = .004). Patients with < 34.3% necrosis (group A, n = 12) were at a significantly higher risk of recurrence than patients with > 34.3% necrosis (group B, n = 38; hazard ratio = 7.0; 95% CI = 2.2, 22.4; P = .001). Initial uterine volume and type of adenomyosis were not associated with recurrence.\nCONCLUSIONS: The percentage of necrosis in patients with adenomyosis after UAE may predict symptom recurrence at midterm follow-up. The cutoff percentage of necrosis required to predict symptom recurrence was 34.3% in this study.\n- Appears in Collections:\n- 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers\nItems in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.","source_license":"CC0","license_restricted":false}