Ultrasound-guided high-intensity focused ultrasound treatment for uterine fibroid &amp; adenomyosis: A single center experience from the Republic of Korea

Lee, Jae‐Seong; Hong, Gi-Youn; Park, Byung-Joon; Kim, Tea-Eung

doi:10.1016/j.ultsonch.2015.05.033

Cited by 67 publications

(97 citation statements)

References 10 publications

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“…41 There were no permanent sequelae. 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.…”

Section: Safety/complicationsmentioning

confidence: 90%

“…[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.…”

Section: Studiesmentioning

confidence: 99%

“…In their recent large analysis of 346 cases, Lee et al 41 reported a range of more unusual complications, including foot drop (one case), transient unilateral leg weakness (one case), tumor lysis syndrome with transient acute prerenal failure (one case), sleep apnea due to a sedative agent (one case), first degree skin burn (five cases), second degree skin burn (three cases), and transient hematuria (ten cases). 41 There were no permanent sequelae.…”

Section: Safety/complicationsmentioning

confidence: 99%

“…Treatment and follow-up protocols generally therefore include imaging to assess the overall uterine volume and volume of adenomyosis pre-and posttreatment, and the nonperfused volume of adenomyosis posttreatment. 36,41,42 It is clinically important to correlate this with actual symptom resolution. In order to quantify changes in symptoms, study groups have used recognized scoring systems such as Symptom Severity Score, Uterine Fibroid Symptom and Quality of Life, and Visual Analog Scale for pain.…”

Section: Efficacymentioning

confidence: 99%

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

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

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Adenomyosis is a benign gynecological condition causing significant morbidity among women of reproductive age. The available treatments are currently limited in number and efficacy. While hysterectomy is curative, it is unacceptable to many women, particularly those wishing to conserve their fertility. Magnetic resonance-guided focused ultrasound surgery is a noninvasive treatment method that has been used to effectively treat uterine leiomyomata, but until recently has not been routinely used to treat adenomyosis. This review summarizes the current understanding of adenomyosis and high-intensity focused ultrasound, and the recent research into the safety and efficacy of this technique.

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“…41 There were no permanent sequelae. 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.…”

Section: Safety/complicationsmentioning

confidence: 90%

Section: Studiesmentioning

confidence: 99%

Section: Safety/complicationsmentioning

confidence: 99%

Section: Efficacymentioning

confidence: 99%

See 2 more Smart Citations

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

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

View full text Add to dashboard Cite

show abstract

“…16 Some non-English-speaking countries have used this questionnaire for studies on women with UF without validating it, such as a study conducted in Korea. 17 This study presented some limitations: we did not calculate the criterion validity, which would consist of assessment of the UFS-QOL questionnaire using a clinical tool that is considered to be the gold standard. In this case, we would have had to compare it with the alkaline hematin technique for quantifying blood loss, or with a pictorial blood assessment chart (PBAC).…”

Section: Discussionmentioning

confidence: 99%

Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire for the Brazilian Portuguese language

et al. 2017

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CONTEXT AND OBJECTIVE: Uterine fibroids (UF), also known as leiomyomas, are the most prevalent gynecological tumors. The Uterine Fibroid Symptoms and Quality of Life (UFS-QOL) is the only specific questionnaire that assesses symptom intensity and quality-of-life issues for women with symptomatic UF; however, it only exists in the English language. Thus, we aimed to translate and culturally validate the UFS-QOL questionnaire for the Brazilian Portuguese language. DESIGN AND SETTING: Cross-sectional study, Department of Gynecology and Obstetrics, FMRP-USP. METHODS: 113 patients with UF (case group) and 55 patients without UF (control group) were interviewed using the UFS-QOL questionnaire after translation and cultural adaptation. The Short Form-36 questionnaire was used as a control. Demographic and psychometric variables were analyzed. RESULTS: Women with UF presented higher mean age, body mass index, weight, parity and comorbidities than the control group (P < 0.05). The most prevalent complaints were abnormal uterine bleeding (93.8%), pelvic pain (36.3%) and extrinsic compression (10.6%) and these presented adequate construct validity regarding UFS-QOL severity (P < 0.05). The UFS-QOL questionnaire presented good internal consistency regarding symptom severity and quality-of-life-related domains (intraclass correlation coefficient, ICC = 0.82/0.88). Structural validity presented correlation coefficients ranging from 0.59 to 0.91.

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Magnetic resonance imaging T2WI hyperintense foci number and the prognosis of adenomyosis after high‐intensity focused ultrasound treatment

Wang

et al. 2021

Intl J Gynecology & Obste

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Objective To investigate the relationship between the number of hyperintense foci of T2‐weighted imaging (T2WI) and the efficacy of high‐intensity focused ultrasound (HIFU) in the treatment of adenomyosis. Methods This prospective cohort study enrolled 102 patients with adenomyosis. Participants were classified into two groups: 50 patients in whom the number of hyperintense foci on magnetic resonance imaging (MRI) T2WI was more than five were placed in the >5 group and 52 patients in whom the number of hyperintense foci on MRI T2WI was five or fewer were placed in the ≤5 group. Uterine fibroid symptoms (UFS) and visual analog scale (VAS) scores were recorded as indicators for the course of adenomyosis treatment. Results Among the enrolled patients, 84 received HIFU treatment and were followed up. At 6, 12, 24, and 36 months after HIFU treatment, the UFS score of women in the >5 group was higher than that of the patients in the ≤5 group (P < 0.05). The ablation rate of MRI T2WI in the hyperintense foci ≤5 group was higher than the hyperintense foci >5 group (P < 0.05). Conclusion Number of MRI T2WI hyperintense foci is a factor affecting the ablation rate and the clinical efficacy of HIFU treatment in women with adenomyosis. It is likely to be a predictor of the efficacy of HIFU in adenomyosis treatment.

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Ultrasound-guided high-intensity focused ultrasound treatment for uterine fibroid & adenomyosis: A single center experience from the Republic of Korea

Cited by 67 publications

References 10 publications

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

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

Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire for the Brazilian Portuguese language

Magnetic resonance imaging T2WI hyperintense foci number and the prognosis of adenomyosis after high‐intensity focused ultrasound treatment

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