Maine Medical Center (MMC), together with Spectrum Medical Group radiologists, provides the widest range of adult and pediatric radiology services available in the state of Maine. From routine x-ray exams to the most complex interventional procedures, MMC can meet your needs. We use advanced diagnostic imaging technology to ensure the best health outcomes for patients. As a patient you will receive personalized care, with tests tailored to your individual needs.
Radiology Services include:
MMC Dept of Radiology: 207-396-7750 or toll-free at 800-540-1918
Spectrum Medical Group: 207-956-6650
RadiologistA radiologist, a doctor who is a specialist in radiology, leads the radiology team. Radiologists work side-by-side with primary care physicians, pediatricians, obstetricians, surgeons, oncologists and many other doctors to determine the best treatment plan for each patient.
The radiologists at Maine Medical Center (MMC) are members of Spectrum Medical Group, Maine's largest physician managed multi-specialty group practice. MMC has chosen to work with Spectrum Medical Group because of their focus on providing compassionate, quality, cost-effective care to all patients at MMC. All Spectrum radiologists are board certified and have substantial subspecialization within the field of diagnostic and therapeutic radiology in such areas as neuroradiology, cardiovascular and interventional radiology, nuclear medicine, radiation oncology, magnetic resonance imaging, ultrasound, and computerized axial tomography.
Radiology TechnologistsRadiology technologists work with doctors and patients to conduct a number of imaging tests, the results of which are then read by a radiologist. MMC's technologists are highly trained and dedicated to educating patients, answering questions, and making patients feel comfortable during a procedure. All radiology technologists are certified nationally by the American Registry of Radiologic Technologists and are licensed by the State of Maine.
Uterine fibroid embolization (UFE) represents a relatively new approach to treating fibroids. UFE is a minimally invasive procedure used to treat symptomatic fibroids by blocking the supply of blood to the fibroids. Using angiographic techniques similar to those used in heart catheterization, the interventional radiologist places a catheter into the uterine arteries. By injecting small particles into the arteries, the arteries feeding the fibroids are blocked. By cutting off the blood supply, the fibroids shrink and symptoms are resolved.
Who is eligible for uterine fibroid embolization?
Women with symptomatic fibroids are candidates for UFE. Any woman, regardless of the size and location of her fibroids, can undergo UFE. Some women have been able to achieve pregnancy after having UFE. UFE offers a minimally invasive option to surgery.
What is the pre-procedure evaluation?
An interventional radiologist sees the patient for consultation at the hospital. During the evaluation, patients are fully informed about the risks and benefits of the procedure, as well as about expected results.
How is the procedure performed?
The procedure is done in the hospital with an overnight stay after the procedure. The patient is sedated using local anesthesia. In general the procedure takes 1 to 1½ hours. Initially a needle is used to enter the femoral artery. The catheter is advanced over the branch of the aorta and into the uterine artery on the opposite side of the puncture. A second arterial catheter is then placed from the opposite femoral artery to the other uterine artery. Using an angiogram, the uterine arteries are located. After the arteriogram, particles of poly vinyl alcohol are injected into the artery until blood flow to the fibroids stops. The catheter is then re-positioned into the other uterine artery and the process is repeated. After the procedure, the patient is on bed rest for 6 hours to allow the puncture site to heal sufficiently.
What are the results?
The expected average reduction in the volume of fibroids is 50% in three months, with reduction in the overall uterine volume of 35%. This reduction may be greater in some patients and less in others. Bleeding symptoms usually resolve immediately.
What are the risks of UFE?
Complications are anticipated in less than 3% of patients. Serious possible complications include injury to the uterus from decreased blood supply or infection. Hysterectomy to treat either of these complications occurs in less than 1% of patients. The chance of other significant complications is less than 1%. As the outcome of pregnancy following UFE is unknown, we do not recommend the procedure for women who plan to have children.
What is the post-procedural care?
Each woman undergoing the procedure experiences varying degrees of pelvic pain and discomfort. The discomfort is most severe in the first 24 hours and women are given medication to control their discomfort. After an initial period of 6-8 hours bed rest, patients with mild to moderate symptoms may be discharged. Most patients are hospitalized overnight and are discharged home the next morning. Patients are discharged home with prescriptions for both narcotic pain medication to be used as needed and ibuprofen to help control uterine cramping.
Imaging Clinical Decision Support
As of 1/1/20, CMS requires that physicians and APPs consult a clinical decision support system when ordering advanced imaging procedures. Learn more.