FUNCTIONAL MAGNETIC RESONANCE IMAGING FOR THE DETERMINATION OF BLOOD FLOW IN SYMMETRIC UTERINE ANOMALIES


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Abstract

Objective. To investigate blood circulation in symmetric uterine anomalies by functional magnetic resonance imaging (MRI). Subjects and methods. A total of 107 patients with symmetric uterine anomalies were operated on during the period 2015-2016. Standard MRI was performed in 34 patients; contrast-enhanced functional MRI was conducted in 12. Results. Patients with impaired reproductive function were observed to have decreased blood flow, as evidenced by functional MRI in the rudimentary loci to 32% as compared to that in the myometrium at the bottom and in the wall of the uterus. Conclusion. Functional MRI can evaluate myometrial blood flow in various anomalies of the uterus, including its septum, and to elaborate recommendations for surgical policy and management in pregnancy in relation to the anatomical shape of an abnormal uterus and to the specific features of its blood flow.

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About the authors

Zograb Nikolaevich Makiyan

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; Moscow State University

Email: makiyan@mail.ru
MD, senior researcher of department of operative gynecology; associate professor of reproductive medicine and surgery, faculty of postgraduate education 117997, Russia, Moscow, Ac. Oparina 4

Leila Vladimirovna Adamyan

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; Moscow State University

Email: l_adamyan@oparina4.ru
MD, professor, academician of RAS, deputy director on science, head of department of operative gynecology, ; head the department of reproductive medicine and surgery, faculty of postgraduate education; chief specialist in obstetrics-gynecology of Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina 4

Vladimir Gennadievich Bychenko

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: vladimir.bychenko@gmail.com
PhD, head of radiology department 117997, Russia, Moscow, Ac. Oparina 4

Nadezhda Andreevna Miroshnikova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: lodochca@gmail.com
postgraduate student of the department of operative gynecology 117997, Russia, Moscow, Ac. Oparina 4

Alina Vladimirovna Kozlova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a.v.kozlova@inbox.ru
radiologist 117997, Russia, Moscow, Ac. Oparina 4

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