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In patients with fibroids, treatment decision must always be made based on the “Contrast-enhanced pelvic MRI” findings, because:
With MRI, the size of the fibroids can be measured more objectively and accurately while in ultrasound these measurements are operator-dependent.
The location of the fibroids (submucosal, intramural, subserosal), their connection to the uterus (pedinculated or not) and the size of the pedincule (wide or narrow) can be much more accurately demonstrated with MRI compared with ultrasound.
In conclusion, it is extremely important that all patients with fibroids should undergo an MRI examination and consult to an interventional radiologists before any therapeutic decision is made.