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Three-dimensional dispersion entropy for uterine fibroid texture quantification and post-embolization evaluation.

Delphine Lebret1, Andreia S Gaudêncio2, Mirvana Hilal3

  • 1Univ Angers, LARIS, SFR MATHSTIC, F-49000 Angers, France; Polytech Grenoble, Grenoble INP - Grenoble Alpes University, France.

Computer Methods and Programs in Biomedicine
|January 16, 2022
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Summary

A new texture analysis method, multiscale 3D dispersion entropy (MDispEn3D), objectively quantifies uterine fibroid changes after embolization. This aids in assessing patient quality of life and treatment effectiveness.

Keywords:
EntropyMagnetic resonance imagingMultiscale analysisQuality of lifeTextureUterine fibroid embolization

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Area of Science:

  • Medical Imaging Analysis
  • Quantitative Texture Analysis
  • Women's Health

Background:

  • Uterine fibroids cause significant quality of life issues.
  • Uterine fibroid embolization (UFE) is an effective non-surgical treatment.
  • Objectively measuring UFE's impact on quality of life is challenging.

Purpose of the Study:

  • To introduce and validate a novel texture analysis method, multiscale 3D dispersion entropy (MDispEn3D).
  • To objectively quantify changes in uterine fibroids and patient well-being post-UFE.
  • To assess quality of life, symptom severity, and sexual function after UFE.

Main Methods:

  • Utilized magnetic resonance imaging (MRI) scans and clinical data from patients before and after UFE.
  • Applied a novel multiscale 3D entropy-based texture analysis (MDispEn3D).
  • Analyzed data at baseline (D0), 10 days post-UFE (D10), and 6 months post-UFE (M6).

Main Results:

  • MDispEn3D showed an inverse correlation with fibroid size and volume.
  • MDispEn3D at 6 months correlated inversely with symptom severity scores.
  • Patient age and fibroma history influenced MDispEn3D values, indicating prognostic potential.

Conclusions:

  • MDispEn3D offers an objective method to quantify fibroid texture changes post-UFE.
  • This method can aid clinicians in predicting uterine fibroid prognosis and assessing patient quality of life.
  • The findings support UFE as a favorable treatment option compared to invasive surgeries.