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Abstract #0353

Impact of Routine Magnetic Resonance Imaging on Diagnosis and Treatment of Women with Benign Gynecologic Conditions Seen in a Multidisciplinary Fibroid Center

Kim Nhien Vu1, Angela Marie Fast1, Robyn Shaffer2, Deirdre A. Lum3, Berta Chen3, David Hovsepian1, and Pejman Ghanouni1

1Radiology, Stanford University, Stanford, CA, United States, 2Medicine, Stanford University, Stanford, CA, United States, 3Obstetrics & Gynecology, Stanford University, Stanford, CA, United States

Pelvic ultrasounds often represent the first and only line of imaging for uterine fibroid evaluation. Our study aims to determine the added value of routine pelvic magnetic resonance imaging (MRI) on diagnosis and treatment of women presenting with symptomatic uterine fibroids. A retrospective review was performed on 569 consecutive women referred to our multidisciplinary fibroid center over a three-year period. Compared to ultrasound alone, MRI affected diagnosis in over a third of patients, which also altered treatment options. These findings justify the use of routine pelvic MRI in women with symptomatic fibroids, particularly those presenting with dysmenorrhea.

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