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Patient selection guidelines in MR-guided focused ultrasound surgery of uterine fibroids: a pictorial guide to relevant findings in screening pelvic MRI.

Authors :
Yoon SW
Lee C
Cha SH
Yu JS
Na YJ
Kim KA
Jung SG
Kim SJ
Yoon, Sang-Wook
Lee, Chan
Cha, Sun Hee
Yu, Jeong-Sik
Na, Young-Jeong
Kim, Kyoung Ah
Jung, Sang-Geun
Kim, Seung-Jo
Source :
European Radiology; Dec2008, Vol. 18 Issue 12, p2997-3006, 10p
Publication Year :
2008

Abstract

Uterine leiomyomas (fibroids), the most common benign tumor in women of childbearing age, can cause symptoms including dysmenorrhea, menorrhagia, urinary symptoms, pain and infertility. Hysterectomy is a common approach to treating uterine fibroids, and less invasive surgical approaches such as myomectomy and uterine artery embolization also have been shown to alleviate symptoms. Magnetic resonance-guided focused ultrasound surgery (MRgFUS) is the only totally non-invasive surgical approved method for treating uterine fibroids. In clinical trials, MRgFUS resulted in significant relief of uterine fibroid symptoms. The safe and effective use of MRgFUS is affected by fibroid type and location, position relative to adjacent anatomical structures and the presence of co-existent pelvic disease. Additionally, successful outcomes with MRgFUS have been correlated with the volume of fibroids ablated during the procedure. Thus, selection of patients in whom sufficient fibroid volumes can be treated safely using the MRgFUS system is critical for successful outcomes. The MR images in this pictorial essay provide examples of uterine fibroids for which MRgFUS should be considered and is designed to facilitate the selection of patients for whom MRgFUS is most likely to provide sustained symptom relief. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09387994
Volume :
18
Issue :
12
Database :
Complementary Index
Journal :
European Radiology
Publication Type :
Academic Journal
Accession number :
105570944
Full Text :
https://doi.org/10.1007/s00330-008-1086-7