Uterine-Sparing Interventional Techniques for Managing Fibroids

A discussion of uterine fibroids and their diagnosis, pharmacotherapy, surgical treatment, and non-surgical interventional treatment including uterine artery embolization, and magnetic resonance-guided ultrasound.

Course ID: Q00501 Category:
Modalities: , ,

2.5

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$29.00

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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:

Registered Radiologist Assistant: 2.50
Patient Care: 0.50
Patient Management: 0.50
Procedures: 2.00
Abdominal Section: 2.00

Vascular-Interventional Radiography: 2.50
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 2.00
Vascular Interventional Procedures: 2.00

Outline

  1. Introduction
  2. Clinical Features (Signs and Symotoms
  3. Imaging Classification
  4. Noninterventional and Surgical Treatment Options
    1. Pharmacotherapy
    2. Surgical Treartment
  5. Uterine Artery (Fibroid) Embolization
    1. Procedure History
    2. Pelvic Arterial Anatomy and Pitfalls
    3. Technical Details and Costs
    4. Patient Selection
    5. Outcomes
    6. Fertility and Pregnancy
  6. Focused Ultrasound Therapy
    1. Patient Selection
    2. Patient Preparation and Procedure
    3. Complications
    4. Outcomes
  7. Future Directions
  8. Conclusion

Objectives

Upon completion of this course, students will:

  1. k
  2. now the other name of uterine fibroids
  3. describe the prevalence and average population statistics affected by uterine fibroids
  4. be familiar with uterine fibroids and their origin
  5. describe the symptoms associated with uterine fibroids
  6. understand the most common and least common types of fibroids and identify the symptoms associated with each type
  7. describe the advantages of MRI in the pretreatment planning of patients with fibroids
  8. know the medication therapies used to treat fibroids and their limitations
  9. discuss the surgical treatments of uterine fibroids
  10. identify the most common variations of uterine artery branching patterns
  11. describe the risks of inadvertent embolization of the cervicovaginal artery
  12. understand the importance of evaluating for utero-ovarian anastomosis prior to embolization
  13. discuss how the internal iliac arteries and uterine arteries are catheterized during UAE
  14. be familiar with embolic agents and their use in the embolization of fibroids
  15. describe how a physician can determine the endpoint of the UAE procedures
  16. identify practices patients should avoid post-UAE procedure
  17. discuss postembolization syndrome
  18. identify contraindications of the UAE procedure
  19. discuss post-UAE procedure outcomes
  20. be familiar with complications of UAE
  21. discuss complications of UAE in relation to fertility and pregnancy
  22. understand the development of MR-guided FUS for the treatment of symptomatic fibroids
  23. describe how FUS/HIFU is used to treat uterine fibroids
  24. define sonication
  25. understand how MRI is used to monitor FUS therapy during the ablation
  26. know the limitations of MR-guided FUS
  27. discuss factors to consider when selecting patients for MR-guided FUS
  28. be familiar with the techniques to displace the bowel prior to MR-guided FUS
  29. understand the pre-procedure preparation of a patient for MR-guided FUS
  30. identify the safe focal spot distance of the ultrasound to prevent sacral nerve damage in FUS therapy procedures
  31. be familiar with the use of electronic fiducial markers during FUS therapy
  32. identify the symptoms of complications during FUS therapy
  33. be familiar with post-procedure care of patients receiving FUS therapy
  34. discuss patient complications after MR-guided FUS therapy
  35. understand correlations between nonperfused volumes and FUS procedure outcomes
  36. identify imaging modalities currently being considered for future use in the treatment of uterine fibroids