Efficiency of forced ultrasound use in uterine myoma under guidance of magnetic resonance imaging


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Abstract

The clinical efficiency of focused ultrasound use under guidance of magnetic resonance imaging (FSU-MRI) was evaluated. Retrospective and prospective studies were made in 1087 patients aged 20 to 55 years. A total of 645 RSU-MRI procedures were performed on an ExAblate-2000 unit under guidance of MRI 1.5 Tesla in March 2006 to March 2009. There were two groups: 1) a randomized option; 2) option in accordance with the developed criteria. Their follow-up lasted 3.5 years. The standard and specifying methods were employed. FSU coagulation results in a blood flow reduction in the node and regression of major clinical manifestations. Its clinical effect and remission duration depend on the volume of FSU destruction and the type of uterine myoma. The technique is effective in treating the symptomatic myoma meeting the selection criteria, in preventing the clinical manifestations of the diseases, and in preparing for myomectomy.

About the authors

Yuliya Borisovna Kurashvili

Email: muki@imbox.ru

G E Salamandina

O V Batarshina

E N Chmyr

G B Zelenin

Yu B Kurashvili

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

G Ye Salamandina

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

O V Batarshina

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Ye N Chmyr

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

G B Zelenin

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies

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