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回顾影响 MRI 引导聚焦超声治疗子宫肌瘤不良结局风险的临床因素。

Review of influential clinical factors in reducing the risk of unsuccessful MRI-guided HIFU treatment outcome of uterine fibroids.

机构信息

Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh city, Viet Nam.

出版信息

Diagn Interv Radiol. 2018 Sep;24(5):283-291. doi: 10.5152/dir.2018.18111.

DOI:10.5152/dir.2018.18111
PMID:30211682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6135061/
Abstract

Magnetic resonance imaging-guided high-intensity focused ultrasound (MRI-guided HIFU) is an effective noninvasive treatment option for symptomatic uterine fibroids. However, tissue characteristics of uterine fibroids and technical limitations can limit the patient population that can benefit from this therapy. In this article, we present our literature review focusing on the influential clinical factors that might reduce the risk of an unsuccessful MRI-guided HIFU treatment outcome of uterine fibroids.

摘要

磁共振引导高强度聚焦超声（MRI 引导 HIFU）是一种有效的治疗有症状的子宫肌瘤的非侵入性治疗选择。然而，子宫肌瘤的组织特征和技术限制可能会限制受益于这种治疗的患者人群。在本文中，我们进行了文献回顾，重点关注可能降低 MRI 引导 HIFU 治疗子宫肌瘤不成功风险的有影响的临床因素。

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Review of influential clinical factors in reducing the risk of unsuccessful MRI-guided HIFU treatment outcome of uterine fibroids.回顾影响 MRI 引导聚焦超声治疗子宫肌瘤不良结局风险的临床因素。
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本文引用的文献

1
Magnetic Resonance Imaging Parameters in Predicting the Treatment Outcome of High-intensity Focused Ultrasound Ablation of Uterine Fibroids With an Immediate Nonperfused Volume Ratio of at Least 90.磁共振成像参数在预测高强度聚焦超声消融治疗子宫肌瘤中即时非灌注体积比至少 90%的治疗效果。
Acad Radiol. 2018 Oct;25(10):1257-1269. doi: 10.1016/j.acra.2018.01.022. Epub 2018 Mar 7.
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The predictive value of quantitative DCE metrics for immediate therapeutic response of high-intensity focused ultrasound ablation (HIFU) of symptomatic uterine fibroids.定量 DCE 指标对高强度聚焦超声消融（HIFU）治疗症状性子宫肌瘤即刻治疗反应的预测价值。
Abdom Radiol (NY). 2018 Aug;43(8):2169-2175. doi: 10.1007/s00261-017-1426-7.
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Volumetric magnetic resonance-guided high-intensity focused ultrasound ablation of uterine fibroids through abdominal scars: the impact of a scar patch on therapeutic efficacy and adverse effects.通过腹部瘢痕进行的磁共振引导下高强度聚焦超声子宫肌瘤容积消融：瘢痕贴片对治疗效果和不良反应的影响
J Ther Ultrasound. 2017 Aug 17;5:22. doi: 10.1186/s40349-017-0100-4. eCollection 2017.
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The role of T1 perfusion-based classification in magnetic resonance-guided high-intensity focused ultrasound ablation of uterine fibroids.基于 T1 灌注的分类在磁共振引导高强度聚焦超声消融子宫肌瘤中的作用。
Eur Radiol. 2017 Dec;27(12):5299-5308. doi: 10.1007/s00330-017-4885-x. Epub 2017 Jun 14.
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Establishment of a scoring system for predicting the difficulty level of high-intensity focussed ultrasound ablation of uterine fibroids.建立高强度聚焦超声消融子宫肌瘤难度评分系统。
Int J Hyperthermia. 2018 Feb;34(1):77-86. doi: 10.1080/02656736.2017.1325015. Epub 2017 May 19.
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Usefulness of modified BRB technique in treatment to ablate uterine fibroids with magnetic resonance image-guided high-intensity focused ultrasound.改良的血视网膜屏障（BRB）技术在磁共振成像引导下高强度聚焦超声消融子宫肌瘤治疗中的应用价值
Obstet Gynecol Sci. 2017 Jan;60(1):92-99. doi: 10.5468/ogs.2017.60.1.92. Epub 2017 Jan 19.
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Preservation of the endometrial enhancement after magnetic resonance imaging-guided high-intensity focused ultrasound ablation of submucosal uterine fibroids.磁共振成像引导下高强度聚焦超声消融黏膜下子宫肌瘤后子宫内膜增强的保留情况
Eur Radiol. 2017 Sep;27(9):3956-3965. doi: 10.1007/s00330-017-4765-4. Epub 2017 Feb 16.
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The safety and effectiveness of volumetric magnetic resonance-guided high-intensity focused ultrasound treatment of symptomatic uterine fibroids: early clinical experience in China.容积磁共振引导下高强度聚焦超声治疗有症状子宫肌瘤的安全性和有效性：中国早期临床经验
J Ther Ultrasound. 2016 Nov 3;4:27. doi: 10.1186/s40349-016-0072-9. eCollection 2016.
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Volumetric MR-guided high-intensity focused ultrasound ablation to treat uterine fibroids through the abdominal scars using scar patch: a case report.基于容积磁共振引导的高强度聚焦超声消融术经腹部瘢痕利用瘢痕贴片治疗子宫肌瘤：一例报告
J Ther Ultrasound. 2016 Aug 11;4:20. doi: 10.1186/s40349-016-0064-9. eCollection 2016.
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Magnetic Resonance Imaging-Guided High-Intensity Focused Ultrasound Ablation of Uterine Fibroids: Effect of Bowel Interposition on Procedure Feasibility and a Unique Bowel Displacement Technique.磁共振成像引导下高强度聚焦超声消融子宫肌瘤：肠管介入对手术可行性的影响及一种独特的肠管移位技术
PLoS One. 2016 May 17;11(5):e0155670. doi: 10.1371/journal.pone.0155670. eCollection 2016.