Uterine Artery Embolization for Symptomatic Adenomyosis: Proceedings from a Society of Interventional Radiology Foundation Research Consensus Panel.

Autor:	Caridi TM; Department of Radiology, Division of Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: tcaridi@uabmc.edu., De la Garza-Ramos C; Division of Interventional Radiology, Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida., Brook OR; Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts., Learman LA; Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, Virginia., Opoku-Anane J; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California., Phipps D; Departments of Family Medicine and Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., Ascher SM; Department of Radiology, Georgetown University School of Medicine, Washington, DC., Lipman JC; Atlanta Fibroid Center, Atlanta, Georgia., Lohle PNM; Department of Radiology, Elisabeth Tweesteden Ziekenhuis, Tilburg, The Netherlands., Halvorson LM; Gynecologic Health and Disease Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland., Abi-Jaoudeh N; Department of Radiological Sciences, University of California Irvine, Orange, California., Kohi MP; Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jazyk:	angličtina
Zdroj:	Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2022 May; Vol. 33 (5), pp. 586-592.
DOI:	10.1016/j.jvir.2022.01.017
Abstrakt:	Adenomyosis poses an important diagnostic and therapeutic challenge in women's health because of a variety of clinical/imaging presentations and frequent coexistence with other benign gynecologic conditions. In recent years, uterine artery embolization (UAE) for the treatment of adenomyosis has shown encouraging and favorable outcomes and long-term symptom improvement. To expand the current understanding of adenomyosis pathophysiology, imaging diagnostic criteria, and treatment outcomes, the Society of Interventional Radiology Foundation gathered a multidisciplinary Research Consensus Panel with experts from diverse backgrounds. The topics addressed were centered around the following: (i) the clinical presentation and imaging findings to diagnose adenomyosis; (ii) the currently available medical, interventional, and surgical treatment options; and (iii) existing literature for and experiences with UAE in symptomatic disease. The panel acknowledged that before the pursuit of a clinical trial, it would be necessary to first evaluate the imaging criteria for adenomyosis and correlate them with pathology and symptoms to establish a noninvasive imaging classification system. Second priority was given to the development of a quality of life questionnaire to assess patient outcomes following treatment. The third priority was the performance of a prospective clinical trial comparing UAE with medical therapy, which would help establish UAE in the treatment algorithm and societal guidelines for symptomatic adenomyosis. (Copyright © 2022 SIR. All rights reserved.)
Databáze:	MEDLINE
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