子宫腺肌病
医学
子宫动脉栓塞术
临床试验
多学科方法
放射科
介入放射学
疾病
医学物理学
重症监护医学
栓塞
妇科
子宫内膜异位症
病理
社会科学
社会学
作者
T. Caridi,Cynthia De la Garza‐Ramos,Olga R. Brook,Lee A. Learman,Jessica Opoku‐Anane,Debbie Phipps,Susan M. Ascher,John C. Lipman,Paul N.M. Lohle,Lisa M. Halvorson,Nadine Abi‐Jaoudeh,Maureen P. Kohi
标识
DOI:10.1016/j.jvir.2022.01.017
摘要
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.
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