A retrospective comparison of microwave ablation and high intensity focused ultrasound for treating symptomatic uterine fibroids

Zhao, Wenpeng; Han, Zhiyu; Zhang, Jing; Liang, Ping

doi:10.1016/j.ejrad.2014.11.041

Cited by 33 publications

(32 citation statements)

References 22 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%

“…This method is currently used more frequently than percutaneous microwave ablation. The results of both treatments are quite similar [14]. The therapeutic potential of HIFU is related to its ability to deliver high-energy doses that are localized deep within the human body without harming the surrounding tissue.…”

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

confidence: 61%

“…The effects of cavitation are much less predictable than high temperature use for heating of the tissue and as a final effect the destruction of affected region with internal hemorrhage may be observed. Combination of heating effects with cavitation may be used for the enhancement of the destruction effects [12][13][14].…”

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 supporting

confidence: 61%

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

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…US-guided percutaneous microwave ablation (PMWA) therapy utilises electromagnetic microwave heat to induce cellular death via coagulation necrosis. Single-centre research studies have confirmed the safety and efficacy of this treatment; it has been shown that this treatment is effective, minimally invasive and uterus-conserving with effective relief of clinical symptoms after therapy [4][5][6][7][8][9][10][11]. However, no multicentre study with a large sample has been conducted to confirm the conclusions of these single-centre investigations.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroids: a multicentre study in China

Liu

Zhang

Han

et al. 2016

International Journal of Hyperthermia

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“…In recent years, image-guided percutaneous tumor ablation has become more and more widespread in clinical applications because of its minimally invasive characteristics [1][2][3]. Three imaging modalities are commonly used for guidance of intra-operative tumor ablation: computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound imaging (US).…”

Section: Introductionmentioning

confidence: 99%

Quantitative Assessment of Variational Surface Reconstruction from Sparse Point Clouds in Freehand 3D Ultrasound Imaging during Image-Guided Tumor Ablation

Deng

Jiang

et al. 2016

Applied Sciences

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Surface reconstruction for freehand 3D ultrasound is used to provide 3D visualization of a VOI (volume of interest) during image-guided tumor ablation surgery. This is a challenge because the recorded 2D B-scans are not only sparse but also non-parallel. To solve this issue, we established a framework to reconstruct the surface of freehand 3D ultrasound imaging in 2011. The key technique for surface reconstruction in that framework is based on variational interpolation presented by Greg Turk for shape transformation and is named Variational Surface Reconstruction (VSR). The main goal of this paper is to evaluate the quality of surface reconstructions, especially when the input data are extremely sparse point clouds from freehand 3D ultrasound imaging, using four methods: Ball Pivoting, Power Crust, Poisson, and VSR. Four experiments are conducted, and quantitative metrics, such as the Hausdorff distance, are introduced for quantitative assessment. The experiment results show that the performance of the proposed VSR method is the best of the four methods at reconstructing surface from sparse data. The VSR method can produce a close approximation to the original surface from as few as two contours, whereas the other three methods fail to do so. The experiment results also illustrate that the reproducibility of the VSR method is the best of the four methods.

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A retrospective comparison of microwave ablation and high intensity focused ultrasound for treating symptomatic uterine fibroids

Cited by 33 publications

References 22 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

Effectiveness of ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroids: a multicentre study in China

Quantitative Assessment of Variational Surface Reconstruction from Sparse Point Clouds in Freehand 3D Ultrasound Imaging during Image-Guided Tumor Ablation

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