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Imaging Studies VII: Vascular Imaging01:19

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
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Imaging Studies IV: Magnetic Resonance Imaging01:27

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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Clinical, Imaging and Procedural Risk Factors for Intrauterine Infective Complications After Uterine Fibroid

Josephine Mollier1, Neeral R Patel2, Alison Amoah3

  • 1Medicine, Imperial College London, Exhibition Road, London, SW7 2AZ, UK. jam515@ic.ac.uk.

Cardiovascular and Interventional Radiology
|August 28, 2020
PubMed
Summary

Uterine fibroid embolisation (UFE) is safe, but obesity and large uterine volume increase infection risk. Careful counselling and follow-up are recommended for these patients undergoing UFE for symptomatic fibroids.

Keywords:
EndometritisFibroidsInfectionUterine fibroid embolisation

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Area of Science:

  • Interventional Radiology
  • Gynecology
  • Women's Health

Background:

  • Retrospective case-control study analyzing UFE procedures for symptomatic fibroids (Jan 2013-Dec 2018).
  • Investigated risk factors for post-embolization intrauterine infection.
  • Identified cases with infection versus controls without infection.

Purpose of the Study:

  • Determine clinical, imaging, and procedural risk factors for intrauterine infection after UFE.
  • Assess the impact of patient and uterine characteristics on post-UFE infection risk.
  • Evaluate the need for emergency hysterectomy as an outcome measure.

Main Methods:

  • Analysis of clinical demographics, symptoms, and imaging characteristics.
  • Evaluation of procedural variants in UFE procedures.
  • Statistical analysis to identify significant risk factors (p < 0.05).

Main Results:

  • 333 successful UFEs performed; 7.5% (25 procedures) resulted in infection.
  • 3 patients (1.1%) required emergency hysterectomy due to sepsis.
  • Obesity (BMI > 30) and large uterine volume (>1000cm³) significantly increased infection risk.

Conclusions:

  • Uterine fibroid embolisation is generally safe for symptomatic fibroids.
  • Obesity and large uterine volume are associated with a slightly increased risk of post-UFE infection.
  • Pre-procedural assessment of BMI and uterine volume is crucial for counselling and managing infection risk.