Evidence map›Paper›PMID 39023689›Full record

ArticleCVIR endovascular2024

Evaluation of junctional zone differential and ratio as possible markers of clinical efficacy in uterine artery embolisation of adenomyosis.

Kolos Turtóczki, Hyunsoo Cho, Sorour Dastaran, Pál N Kaposi, Zoltán Tömösváry, Szabolcs Várbíró, Nándor Ács, Ildikó Kalina, Viktor Bérczi

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Article in CVIR endovascular, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Head-to-head prospective comparison of diagnostic accuracy of preoperative ultrasonography and MRI in patients undergoing surgery for deep endometriosis using #Enzian classification.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kolos TurtóczkiMedical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary. turtoczki.kolos@semmelweis.hu.ORCID http://orcid.org/0009-0007-3296-3230
Hyunsoo ChoMedical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary.ORCID http://orcid.org/0009-0001-4492-8156
Sorour DastaranMedical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary.ORCID http://orcid.org/0009-0003-4763-9717
Pál N KaposiMedical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-7150-3495
Zoltán TömösváryDepartment of Obstetrics and Gynecology, Semmelweis University, VIII. Üllői Út 78/A, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-5553-5403
Szabolcs VárbíróDepartment of Obstetrics and Gynecology, Semmelweis University, VIII. Üllői Út 78/A, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-7109-6906
Nándor ÁcsDepartment of Obstetrics and Gynecology, Semmelweis University, VIII. Üllői Út 78/A, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-1919-1869
Ildikó Kalina *Medical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-2647-9123
Viktor Bérczi *Medical Imaging Centre, Semmelweis University, Üllői Út 78/a VIII. Korányi Sándor Utca 2., Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0003-4386-2527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine artery embolisation is a recommended method of adenomyosis treatment with good clinical results. Changes in uterine volume and maximal junctional zone thickness (JZmax) after embolisation are thoroughly analyzed in the literature. In contrast changes in other suggested morphological diagnostic markers of adenomyosis (junctional zone differential / JZdiff-and junctional zone ratio / JZratio) are rarely evaluated. This single-centre retrospective study aimed to analyse the changes in morphological parameters used for the MR imaging diagnosis of adenomyosis (including JZdiff and JZratio) after UAE. Clinical effectiveness and safety were also analysed. MATERIALS AND

methodsPatients who underwent UAE for pure adenomyosis from Jan 2008 to Dec 2021 were evaluated. Adenomyosis was diagnosed based on JZmax, JZdiff, and JZratio measured on MR imaging. To assess clinical efficacy, the numerical-analog-quality-of-life (QoL) score was routinely obtained from patients at our centre. MRI morphological data were analysed. Statistical analysis was conducted using Wilcoxon signed-rank test, uni- and multivariate regression models, Pearson product-moment correlation, and Kruskal-Wallis tests.

resultsFrom our database of 801 patients who underwent UAE between Jan 2008 to Dec 2021, preprocedural MR images were available in 577 cases and, 15 patients had pure adenomyosis (15/577, 2.6%). Uterine volume, JZmax, and JZdiff decreased significantly after UAE; QoL score increased significantly. A significant correlation was found between QoL change vs. JZmax and JZdiff change. Permanent amenorrhoea and elective hysterectomy 5 years after UAE were both 7.1%.

conclusionChange of JZdiff after UAE in adenomyosis is a potential marker of clinical success. UAE is a clinically safe and effective treatment for adenomyosis.

Indexed as

AdenomyosisClinical efficacyEmbolizationMRISafety

Identifiers

PMID39023689
PMCPMC11258104

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.