Three cases of complications after high-intensity focused ultrasound treatment in unmarried women

Kim, Hyun Kyung; Kim, Doa; Lee, Min-Kyoung; Lee, Chae-Rim; Kang, So Yeon; Chung, Youn‐Jee; Cho, Hyun Hee; Kim, Jang Heub; Kim, Mee‐Ran

doi:10.5468/ogs.2015.58.6.542

Cited by 13 publications

(10 citation statements)

References 10 publications

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“…Following 3 years of the 3T MRI guided HIFU procedure application our initial results indicate that in 56% cases the effect of therapy revealed more than 70% of fibroid tissue ablation, which is similar to the results reported by other centers [7,14,15,17,18]. The most common causes of the withdrawal from treatment attempts were largely related to bowel location in relation to the fibroid position.…”

Section: Side Effects/complications Of Mri Guided Hifu Therapysupporting

confidence: 77%

“…Recently, Kim al. [17] reported three cases of complications after US-guided HIFU ablation for huge uterine fibroids, including two cases of rapid increase in size of the fibroids and one case of heavy vaginal bleeding. Upon completion of thermoablation, the control MRI scan should indicate the lack of contrast in the target tissue.…”

Section: Rationale For Mri Use For Guided Focused Ultrasound Fibroid mentioning

confidence: 99%

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Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids

Łoziński¹,

Filipowska²,

Gurynowicz

et al. 2017

Ginekol Pol

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Benign uterine fibroids are common female genital tract tumors and if symptomatic often require extensive surgery. When tumors are multiple and large or unusually located, the operative treatment may lead to significant morbidity and compromise quality of life. Recovery period after surgical treatment may be complicated by patient's medical condition and wound healing problems. Currently used other non-surgical treatment modalities usually provide only a temporal symptoms relief and may not be efficient in all affected women. In the last decade, minimally invasive treatment of uterine fibroids called Magnetic Resonance guided High-Intensity Focused Ultrasound (MRI HIFU) was introduced. This technique uses thermal ablation simultaneously with MRI imaging of the mass and tissue temperature measurements during the procedure where a focused ultrasound beam is applied externally to destroy tumors located in the human body. Successful application of MRI HIFU has been recently described in patients with various malignancies, such as breast, prostate and hepatocellular cancers as well as soft tissue and bone tumors. This technique is innovative and has been proven to be safe and effective but there are several limitations for treatment. The article highlights the relative advantages and disadvantages of MRI guided HIFU in women with uterine fibroids. The authors also describe high-resolution MRI technique on 3T MRI, along with the approach to interpretation of HIFU results applied to uterine fibroids that has been experienced at one institution.

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Section: Side Effects/complications Of Mri Guided Hifu Therapysupporting

confidence: 77%

Section: Rationale For Mri Use For Guided Focused Ultrasound Fibroid mentioning

confidence: 99%

Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids

Łoziński¹,

Filipowska²,

Gurynowicz

et al. 2017

Ginekol Pol

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“…В 2015 г. H. Kim и соавт. [18] опу-бликовали три клинических случая, в двух из кото-рых проводилась МЭ пациенткам после ранее пе-ренесенной ФУЗ-МРТ абляции миомы. На МРТ снимках и интраоперационно, также как и в на-шем исследовании, было выявлено наличие деге-неративно-дистрофических изменений миоматоз-ных узлов.…”

Section: Discussionunclassified

Surgical treatment of uterine myoma after ineffective UAE and MRgFUS ablation

Porotikova¹,

Adamyan²,

Gavrilova³

et al. 2016

Probl. reprod.

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Миома матки является доброкачественной, хо-рошо ограниченной капсулированной опухолью, ко-торая развивается из мышечной ткани и имеет моно-клональное происхождение [1][2][3][4][5][6]. Это второе по ча-e-mail: irinaevgdoc@gmail.com стоте заболевание у женщин репродуктивного воз-раста, которое составляет, по данным разных авто-ров [2,4,5], от 10 до 30% всех гинекологических за-болеваний. Миома матки может иметь симптомное и Цель исследования -оценка характера изменений органов репродуктивной системы у женщин после ранее перенесенной неэффективной ЭМА, ФУЗ-МРТ абляции и миомэктомии (МЭ) на основании интраоперационных наблюдений. Материал и методы. Обследованы 110 женщин с наличием в анамнезе неэффективного лечения миомы матки с помощью ЭМА и ФУЗ-МРТ абляции и МЭ. Указанным пациенткам нами была проведена МЭ. 1-ю группу составили 32 пациентки с наличием в анамнезе ЭМА, 2-ю группу -26 пациенток с наличием в анамнезе ФУЗ-МРТ абляции миомы и 3-ю группу -52 пациентки, ранее перенесшие МЭ. Результаты. В 1-й группе отмечались трудности при вылущивании миоматозных узлов в связи с наличием конгломератов у 13 (40,6%) пациенток, отсутствием четких границ миомы -у 23 (71,9%), явлением некроза -у 20 (62,5%), явлениями отека -у 15 (46,9%) и наличием дегенеративных изменений -у 29 (90,6%) (p<0,05). Во 2-й группе конгломераты узлов были выявлены у 7 (26,9%), отсутствие четких границ миомы -у 5 (19,2%), явления отека -у 8 (30,8%), явления некроза -у 9 (34,6%), дегенеративные изменения миоматозных узлов -у 13 (50%). Выводы. Необходимо продолжить исследование для поиска новых критериев применения альтернативных методов лечения миомы матки у женщин репродуктивного возраста, страдающих бесплодием. Objective -to estimate the character of the changes of the reproductive system in women after previously made ineffective EMA, MRgFUS ablation and myomectomy on the basis of intraoperative observations. Material and methods. 110 women with a history of ineffective treatment of uterine fibroids with UAE, MRgFUS ablation and myomectomy. All patients had myomectomy. Group I included 32 patients with a history of UAE, II group consisted of 26 patients with a history of MRgFUS ablation of fibroids and III group contained 52 patients with previously made myomectomy. Ключевые слова: миома матки, миомэктомия, эмболизация маточных артерий, фокусированный ультразвук, магнитно-резонансная томография. Surgical treatment of uterine myoma after ineffective UAE and MRgFUS ablationResults. It was difficult to remove the fibroids in Group I due to the presence of conglomerates in 13 (40.6%) patients, the absence of clear borders fibroids of fibroids in 23 (71.9%) patients, necrosis phenomenon in 20 (62.5%) patients, edema -in 15 (46.9%) and the presence of degenerative changes -in 29 (90.6%) (p<0.05). In Group II conglomerates were identified in 7 (26.9%) patients, the absence of clear borders of fibroids -in 5 (19.2%), edema -in 8 (30.8%), the necrosis -in 9 (34,6%), degenerative changes of myoma -in 13 (50%). Conclusion. It is necessary to continue the resea...

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“…Her blood test further exhibited a hemoglobin concentration of 5.0 mIU/L, for which a blood transfusion was performed to increase the hemoglobin concentration up to 9.2 mIU/L, while the MRI showed a 6.1 cm submucosal leiomyoma, for which a surgery was performed to eradicate the tumor. 20…”

Section: Heavy Vaginal Dischargementioning

confidence: 99%

Adverse events of focused ultrasound surgery for uterine fibroids and adenomyosis

Duc¹,

Huy²,

Keserci³

2018

RMI

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Three cases of complications after high-intensity focused ultrasound treatment in unmarried women

Cited by 13 publications

References 10 publications

Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids

Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids

Surgical treatment of uterine myoma after ineffective UAE and MRgFUS ablation

Adverse events of focused ultrasound surgery for uterine fibroids and adenomyosis

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