MONITORING THERAPY WITH A GONADOTROPIN-RELEASING HORMONE ANALOG - UTILITY OF MR IMAGING

被引:41
作者
ZAWIN, M
MCCARTHY, S
SCOUTT, L
LANGE, R
LAVY, G
VULTE, J
COMITE, F
机构
[1] YALE UNIV,SCH MED,DEPT DIAGNOST IMAGING,333 CEDAR ST,NEW HAVEN,CT 06510
[2] YALE UNIV,SCH MED,DEPT OBSTET & GYNECOL,NEW HAVEN,CT 06510
[3] YALE UNIV,SCH MED,DEPT INTERNAL MED,NEW HAVEN,CT 06510
关键词
endometriosis; gynecology; MR studies; hormones; myoma; pelvis; neoplasms; uterine neoplasms; therapy;
D O I
10.1148/radiology.175.2.2109336
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The utility of magnetic resonance (MR) imaging in assessing response to therapy with a gonadotropin-releasing hormone (GnRH) analog was assessed in 19 women with uterine leiomyomas and 19 women with endometriosis. There was a significant reduction in individual fibroid volumes at 3 months (P<.05) and at 6 months (P<.005) in the drug group, whereas there was no significant change in the placebo group. Vessel conspicuity significantly decreased at 3 months (P<.02) and at 6 months (P<.01) in the drug group but not in the placebo group. In the patients with endometriosis, there was a significant decrease (P<.0006) in the number of endometriomas visualized. Significant changes were also noted in the pelvis in women who were receiving the GnRH analog. After 6 months of therapy, the identifiability of the ovaries was significantly poorer (P<.05). The authors conclude that the utility of conservative therapy with a GnRH analog can be quantitatively assessed with MR imaging.
引用
收藏
页码:503 / 506
页数:4
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