Radiologic Evaluation of Uterine Vasculature of Uterus Transplant Living Donor Candidates: DUETS Classification Article Swipe
Jakub Křístek
,
Liza Johannesson
,
Matthew Paul Clemons
,
Dana Kautznerová
,
Jaroslav Chlupáč
,
Jiří Froněk
,
Giuliano Testa
,
Gregory dePrisco
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11154626
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11154626
Uterus transplantation is a treatment solution for women suffering from absolute uterine factor infertility. As much as 19.5% of uterus-transplanted patients underwent urgent graft hysterectomy due to thrombosis/hypoperfusion. The necessity to identify candidates with high-quality uterine vasculature is paramount. We retrospectively evaluated and compared the imaging results with actual vascular findings from the back table. In this article, we present a novel radiologic grading scale (DUETS classification) for evaluating both uterine arteries and veins concerning their suitability for uterus procurement and transplantation. This classification defines several criteria for arteries (caliber, tapering, atherosclerosis, tortuosity, segment, take-off, and course) and veins (caliber, tapering, plethora, fenestrations, duplication/multiplicity, dominant route of venous drainage, radiologist’s confidence with imaging and assessment). In conclusion, magnetic resonance angiography can provide reliable information on uterine venous characteristics if performed consistently according to a well-established protocol and assessed by a dedicated radiologist. The caliber of uterine arteries seems to be inversely related to the time passed since the last delivery. We recommend that the radiologist comments on the reliability and confidence of the imaging study. It cannot be over-emphasized that the most crucial aspect of surgical imaging is the necessity of high-quality communication between a surgeon and a radiologist.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm11154626
- https://www.mdpi.com/2077-0383/11/15/4626/pdf?version=1660190879
- OA Status
- gold
- Cited By
- 4
- References
- 16
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4291818669
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4291818669Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm11154626Digital Object Identifier
- Title
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Radiologic Evaluation of Uterine Vasculature of Uterus Transplant Living Donor Candidates: DUETS ClassificationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-08-08Full publication date if available
- Authors
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Jakub Křístek, Liza Johannesson, Matthew Paul Clemons, Dana Kautznerová, Jaroslav Chlupáč, Jiří Froněk, Giuliano Testa, Gregory dePriscoList of authors in order
- Landing page
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https://doi.org/10.3390/jcm11154626Publisher landing page
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https://www.mdpi.com/2077-0383/11/15/4626/pdf?version=1660190879Direct link to full text PDF
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/11/15/4626/pdf?version=1660190879Direct OA link when available
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Medicine, Uterus, Gynecology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
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2023: 4Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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