Volume 25 , Issue 2 , December 2023 , Pages 380-389
Surala Qadr Mahmood 1 ; Kawa Abdulla Mahmood 1 ; Nyan Mustafa Muhamad 2
1 Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Kurdistan Region, Iraq
2 Department of Radiology, Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq
Background: The most frequent benign disease affecting women of reproductive age is
uterine leiomyoma. Magnetic Resonance Imaging (MRI) is the current state of art
imaging modality for localization and characterization. Objective: To determine the
relevance of MRI in the Characterization and management of leiomyoma and to analyze
clinical practice advantages of MRI findings. Patients and Methods: This study
included 50 individuals with uterine fibroids detected By trans-abdominal or transvaginal US. MRI was done to confirm, characterize and pinpoint their exact location and
any abnormal characterization. Results: There was a significant (p≤0.05) association
between the impression of fibroid (non-degenerated, degenerated leiomyoma), postgadolinium enhancement of fibroid and histopathological findings. There was no
significant relationship between MRI (T1-weighted image) results, and MRI (T2-
weighted image), their histological findings, and management. Conclusions:
leiomyomas can provide a standard signal during MR imaging, but larger tumour may
display a variety of degeneration patterns that significantly alter the look of the lesion.
MRI provide better fibroid characterization, helps differentiate degenerated from nondegenerated leiomyoma and guides in choosing safe and better management procedure.