Shen Shu-Huei, Fennessy Fiona, McDannold Nathan, Jolesz Ferenc, Tempany Clare
Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Semin Ultrasound CT MR. 2009 Apr;30(2):91-104. doi: 10.1053/j.sult.2008.12.002.
Thermal ablation is an established treatment for tumors. The merging of newly developed imaging techniques has allowed precise targeting and real-time thermal mapping. This article provides an overview of the image-guided thermal ablation techniques in the treatment of uterine fibroids. Background on uterine fibroids, including epidemiology, histology, symptoms, imaging findings, and current treatment options, is first outlined. After describing the principle of magnetic resonance thermal imaging, we introduce the applications of image-guided thermal therapies, including laser ablation, radiofrequency ablation, cryotherapy, and in particular, magnetic resonance-guided focused ultrasound surgery, and how they apply to uterine fibroid treatment.
热消融是一种成熟的肿瘤治疗方法。新开发的成像技术的融合使得精确靶向和实时热成像成为可能。本文概述了图像引导热消融技术在子宫肌瘤治疗中的应用。首先概述了子宫肌瘤的背景知识,包括流行病学、组织学、症状、影像学表现和当前的治疗选择。在描述了磁共振热成像原理之后,我们介绍了图像引导热治疗的应用,包括激光消融、射频消融、冷冻疗法,特别是磁共振引导聚焦超声手术,以及它们如何应用于子宫肌瘤治疗。