Patient suitability for magnetic resonance guided focused ultrasound surgery of uterine fibroids.

Eur J Obstet Gynecol Reprod Biol

Academic Department of Obstetrics and Gynaecology, Department of Radiology, Imperial College London at St. Mary's Hospital, Praed Street, London, W2 1NY, UK.

Published: April 2009

AI Article Synopsis

  • The study analyzed the eligibility criteria for magnetic resonance-guided focused ultrasound surgery (MRgFUS) in patients with symptomatic uterine fibroids, focusing on a group of 144 women seeking treatment.
  • All patients interested in MRgFUS were found clinically eligible, while 74% were technically suitable for the procedure.
  • The research suggests that using mitigation techniques allows for broader selection criteria, potentially increasing the number of patients who can benefit from MRgFUS for treating uterine fibroid symptoms.

Article Abstract

Objective: To assess selection criteria used to determine eligibility for magnetic resonance-guided focused ultrasound surgery (MRgFUS) for the treatment of symptomatic uterine fibroids; to assess the percentage of patients suitable for MRgFUS.

Study Design: A retrospective analysis of 144 patients seeking minimally invasive treatment options for symptomatic uterine fibroids at a single treatment center. Clinical eligibility for MRgFUS was assessed at a gynecology clinic by a Gynecology research fellow trained in the procedure and suitability was assessed by magnetic resonance imaging. Several techniques were used to mitigate against factors that are contra-indications for MRgFUS.

Results: 100% of patients interested in MRgFUS were deemed clinically eligible for the procedure and 74% were deemed technically suitable to proceed with treatment.

Conclusions: Mitigation techniques allow for less restrictive MRgFUS selection criteria for treatment for symptomatic uterine fibroids. These less restrictive criteria are expected to expand the pool of patients for whom MRgFUS is a viable treatment option for uterine fibroid symptoms.

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http://dx.doi.org/10.1016/j.ejogrb.2008.12.011DOI Listing

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