Fig. 4

Infertile female patient aged 41 years old. a, b Sagittal and axial T2WI of the uterus showing anterior wall submucous fibroid [F] with low T2 SI and central areas of high T2 SI due to central necrosis measuring 6 × 5 × 5.5 cm (ApxTrxHt). c, d ASL gray scale map and ASL color map with the ROIs put at the anterior wall (positive wall; p), posterior wall (negative wall: n), and in the fibroid (f). e, f ASL gray scale map and color map with the ROI put at the gluteus muscle (m). In this case, the perfusion of the positive wall was 725, the negative wall was 862 while in the fibroid was 670 denoting that the perfusion was lower in the positive wall than the negative wall while the perfusion of the fibroid was less than both positive and negative uterine walls