Evidence map›Paper›PMID 40970558›Full record

ReviewInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Diagnosis and classification of uterine fibroids.

Rosa Lakabi, Sebastian Harth, Ivo Meinhold-Heerlein, Alisha V Olsthoorn, Malcolm G Munro, Ally Murji

Abstract readReview
In one paragraph

Review in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. From prevalence to precision: Integrating phenotype, symptoms, reproductive goals, and treatment in leiomyoma care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  12. The epidemiology and pathogenesis of uterine fibroids.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  13. Article
  14. Diagnosis and classification of uterine fibroids.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
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

6 authors.

Rosa LakabiDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
Sebastian HarthDepartment of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany.ORCID https://orcid.org/0000-0001-5272-2716
Ivo Meinhold-HeerleinDepartment of Gynecology and Obstetrics, Justus Liebig University Giessen, Giessen, Germany.ORCID https://orcid.org/0000-0002-0331-8781
Alisha V OlsthoornDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-3227-6648
Malcolm G MunroDepartment of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Ally MurjiDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-4216-4172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine fibroids, or leiomyomas, are benign uterine tumors with a lifetime prevalence of approximately 75%. While only a minority become symptomatic, their impact on quality of life remains profound owing to heavy menstrual bleeding, bulk symptoms, and reproductive dysfunction. Interestingly, fibroids are not reliably diagnosed on physical examination, nor can their impact be predicted through palpation. Consequently, the diagnosis and phenotypic categorization of uterine fibroids relies primarily on imaging to guide subsequent clinical management. Ultrasound should be the first-line diagnostic modality, and magnetic resonance imaging should be reserved for complex cases and/or surgical planning. Adherence to standardized structured reporting across imaging modalities is critical to improve diagnostic accuracy, differentiate fibroids from conditions such as adenomyosis or malignancies, predict therapeutic responses, and plan surgical interventions. Imaging reports should follow the FIGO classification system for uterine fibroids, to enable a standardized description of their relationship to the endometrium, myometrium, and uterine serosa.

Indexed as

LeiomyomaUterine NeoplasmsDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingQuality of LifeUltrasonographyabnormal uterine bleedingadenomyosisclassificationheavy menstrual bleedinginfertilitymagnetic resonance imagingultrasonographyuterine fibroids

Identifiers

PMID40970558
PMCPMC12553092

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.