They can be asymptomatic but can also cause problems such as pain, pressure, vaginal bleeding, and infertility. Uterine fibroids can sometimes be felt by your doctor when he examines you.
Uterine fibroids can be found in different parts of the uterus. Those which involve the uterine cavity can be especially problematic as they can cause vaginal bleeding, infertility and miscarriages.
Do uterine fibroids show up on MRI?
An MRI exam can provide a lot of detail about fibroids. MRI will show us the location of the fibroids in the uterus. MRI will provide detail about their appearance and if they have undergone degeneration. We can also see how much blood supply fibroids have by looking at the enhancement after contrast administration.
MRI can also help us when a mass is seen next to the uterus on an ultrasound exam. In these cases, it may not be clear whether it’s a fibroid or mass arising from the ovary. MRI can help distinguish the possibilities. The treatment is different for an ovarian mass.
Fibroid locations on MRI scan
These are fibroids which protrude into the uterine cavity or endometrium. These fibroids can cause problems with uterine bleeding, pain and fertility.
These fibroids grow within the uterine muscular wall. These can cause symptoms of pain and bleeding.
These are fibroids which are located along the outer wall of the uterus. They can sometimes be pedunculated and on a stalk. They can cause pain and place pressure on other structures next to them.
A rare location for uterine fibroids is the cervix.
What do fibroids look like on a MRI?
They are masses of varying size in the uterus. They can have different internal appearances on MRI. Fibroids often enhance after giving contrast because they receive blood supply.
Can MRI tell if a fibroid is cancerous?
Not reliably. Fortunately, transformation into cancer (leiomyosarcoma) is rare.
What percentage of fibroids turn cancerous?
Less then one out of a thousand
Why do I need a MRI scan for fibroids?
MRI can find another reasons for your pelvic symptoms since we image the entire pelvis. We can find an ovarian cyst or mass for example.
We can also find problems somewhere in your pelvis not related to the uterus and ovaries like the bowel or urinary tract.
When should you worry about fibroids?
When you get troublesome symptoms. This can include anemia from heavy fibroid bleeding. Feelings of pain and pressure. Problems with fertility or pregnancy. Problems with the bowel and urinary tract.
Fibroids treatment can include medical options like hormone administration, minimally invasive procedures like fibroid embolization and surgery.
Uterine fibroids on MRI: Summary
Pelvic MRI provides us information about the location, appearance and blood supply of fibroids. This can help us with diagnosis and treatment planning. Pelvic MRI can also offer an alternative diagnosis for any pelvic symptoms since we image the entire pelvis.