MRI can provide detailed depiction of uterine fibroids, assessing size, number, relationship to the endometrial stripe, and vascular supply.

Sample Epic Order (click image to enlarge)

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Uterine Fibroids Order Form1.08 MB

Examples (click on images)

Sagittal T2 weighted image demonstrates a uterus enlarged by multiple predominantly intramural, circumscribed, T2 hypointense massses, compatible with fibroids.Large intramural fibroid.Same intramural fibroid but also an adjacent pedunculated fibroidSame pedunculated fibroid.  Contrast agent helps show the stalk.
Pedunculated and intramural fibroid.

References

  1. Stein K, Ascher-Walsh C. A comprehensive approach to the treatment of uterine leiomyomata. Mt Sinai J Med 2009; 76:546-556.PubMed link
  2. Kido A, Togashi K, Koyama T, Yamaoka T, Fujiwara T, Fujii S. Diffusely enlarged uterus: evaluation with MR imaging. Radiographics 2003; 23:1423-1439.PubMed link

Last modified Tue, 28 Aug, 2012 at 14:05