High-intensity focused ultrasound (HIFU) for adenomyosis: Two-year follow-up results

Abstract

With its ability to sustain long-term clinical improvements, HIFU is a safe and effective treatment for adenomyosis.

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

“…Objective treatment success is demonstrated by a significant reduction in the uterine volume in several studies, with values from 12.7% to 54%. 36,37,41 The NPVR, where reported, ranges from 62.5% to 80.7% 33,35,36,39,41 (Table 1).…”

“…To avoid bowel injury during treatment and minimize interference with treatment images, bowel loops in the acoustic pathway are pushed away or compressed by placing a degassed water balloon over the abdominal wall of the patient, or a urinary catheter is inserted. 33,35,36 Skin preparation including degassing and degreasing are performed immediately before treatment to reduce the risk of skin burns. 35 Some centers use sedation with fentanyl, midazolam, and/or propofol for the procedure.…”

“…33,35,36 Skin preparation including degassing and degreasing are performed immediately before treatment to reduce the risk of skin burns. 35 Some centers use sedation with fentanyl, midazolam, and/or propofol for the procedure.…”

“…[36][37][38][39][40] More recently, the focus has moved to examine the level of reduction of symptoms in treated patients. 33,35,41 Treatment adjuncts have also been explored in an attempt to further enhance clinical effectiveness and improve efficiency. 42 As the therapeutic technique is the same for both MR-guided and US-guided HIFU, studies using both guidance methods have been included in this review.…”

“…It has been observed that old surgical scars can predispose a patient to skin burns over the area of the old scar when using HIFU. 35 A novel scar tape has been developed that appears to reduce this risk. 43 …”