{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T10:25:47Z","timestamp":1771669547695,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,1,5]],"date-time":"2019-01-05T00:00:00Z","timestamp":1546646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Focused Ultrasound Foundation Traveling Scholarship"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Pelvic ultrasound (US) diagnosis of uterine fibroids may overlook coexisting gynecological conditions that contribute to women's symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine the added value of pelvic MRI for women diagnosed with symptomatic fibroids by US, and to identify clinical factors associated with additional MRI findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Retrospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>In all, 367 consecutive women with fibroids diagnosed by US and referred to our multidisciplinary fibroid center between 2013\u20132017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Field Strength\/Sequence<\/jats:title><jats:p>All patients had both pelvic US and MRI prior to their consultations. MRIs were performed at 1.5 T or 3 T and included multiplanar T<jats:sub>2<\/jats:sub>\u2010weighted sequences, and precontrast and postcontrast T<jats:sub>1<\/jats:sub>\u2010weighted imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment<\/jats:title><jats:p>Demographics, symptoms, uterine fibroid symptom severity scores, and health\u2010related quality of life scores, as well as imaging findings were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Tests<\/jats:title><jats:p>Patients were separated into two subgroups according to whether MRI provided additional findings to the initial US. Univariate and multivariate regression analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pelvic MRI provided additional information in 162 patients (44%; 95% confidence interval [CI] 39\u201349%). The most common significant findings were adenomyosis (22%), endometriosis (17%), and partially endocavitary fibroids (15%). Women with pelvic pain, health\u2010related quality of life scores less than 30 out of 100, or multiple fibroids visualized on US had greater odds of additional MRI findings (odds ratio [OR] 1.68, 2.26, 1.63; <jats:italic>P<\/jats:italic> = 0.02, 0.004, 0.03, respectively), while nulliparous women had reduced odds (OR 0.55, <jats:italic>P<\/jats:italic> = 0.01). Patients with additional MRI findings were treated less often with uterine fibroid embolization (14% vs. 36%, <jats:italic>P<\/jats:italic> &lt; 0.001) or MR\u2010guided focused US (1% vs. 5%, <jats:italic>P<\/jats:italic> = 0.04), and more often with medical management (17% vs. 8%, <jats:italic>P<\/jats:italic> = 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusion<\/jats:title><jats:p>Pelvic MRI revealed additional findings in more than 40% of women presenting with symptoms initially ascribed to fibroids by US. Further evaluation using MRI is particularly useful for parous women with pelvic pain, poor quality of life scores, and\/or multiple fibroids.<\/jats:p><jats:p><jats:bold>Level of Evidence:<\/jats:bold> 4<\/jats:p><jats:p><jats:bold>Technical Efficacy:<\/jats:bold> Stage 3<\/jats:p><jats:p>J. Magn. Reson. Imaging 2019.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.26620","type":"journal-article","created":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T02:58:26Z","timestamp":1546829906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of the routine use of pelvic MRI in women presenting with symptomatic uterine fibroids: When is pelvic MRI useful?"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3154-6463","authenticated-orcid":false,"given":"Kim\u2010Nhien","family":"Vu","sequence":"first","affiliation":[{"name":"Department of Radiology Stanford University  Stanford California USA"},{"name":"Department of Radiology Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al (CHUM)  Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela M.","family":"Fast","sequence":"additional","affiliation":[{"name":"Department of Radiology 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