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Oral contraceptives and uterine peristalsis: Evaluation with MRI
Author(s) -
Kido Aki,
Togashi Kaori,
Nakai Asako,
Kataoka Milliam L.,
Koyama Takashi,
Fujii Shingo
Publication year - 2005
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.20384
Subject(s) - myometrium , peristalsis , uterus , medicine , endometrium , menstrual cycle , contractility , magnetic resonance imaging , intensity (physics) , gynecology , anatomy , radiology , physics , hormone , quantum mechanics
Purpose To evaluate the effects of oral contraceptives (OCs) on uterine contractility using cine MRI, and correlate the kinematic findings with the static findings. Materials and Methods Healthy female volunteers of reproductive age (23 taking OCs, and 15 not) were evaluated at mid‐cycle. MR images were obtained with a 1.5T magnet, with 60 serial images taken every three seconds by half‐Fourier acquisition single‐shot turbo spin echo (HASTE) to be displayed in cine mode. Assessments were based on the 1) detectability of uterine peristalsis in cine mode, 2) peristaltic frequency and direction, 3) thickness of the endometrium, myometrium, and junctional zone (JZ) on T2‐weighted images (T2WIs), and 4) intensity of the myometrium and cervical mucus on T2WIs and T1‐weighted images (T1WIs), respectively. Results Uterine peristalsis was markedly decreased in the OC users. The endometrium and JZ were significantly thinner, and the myometrium was thicker in the OC users compared to controls. The signal intensity of the myometrium and cervical mucus was significantly higher in the OC users than in controls. Conclusion OCs markedly suppressed uterine peristalsis at mid‐cycle, and the uterus displayed a globular configuration with a thin JZ that may be related to decreased uterine peristalsis in OC users. J. Magn. Reson. Imaging 2005;22:265–270. © 2005 Wiley‐Liss, Inc.