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聚焦超声消融动静脉畸形模型

Focused Ultrasound Ablation of an Arteriovenous Malformation Model.

作者信息

Jones Jesse, Bolding Mark, Ullman Henrik, Kaneko Naoki, Tateshima Satoshi

机构信息

Departments of Neurosurgery and Radiology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.

Department of Radiology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.

出版信息

Front Neurol. 2021 Jun 3;12:671380. doi: 10.3389/fneur.2021.671380. eCollection 2021.

DOI:10.3389/fneur.2021.671380
PMID:34149602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8209376/
Abstract

Brain AVMs are rare but serious vascular lesions that often pose a management dilemma between the risk of various treatment modalities and uncertain natural history during observation. We describe preliminary data on the use of focused ultrasound as a novel therapeutic strategy. In an AVM model, one session of ultrasound gradually reduced flow through the lesion without inducing rupture. Due to its non-invasive yet immediate ablative effects, focused ultrasound may allow safer treatment of AVMs. However, further studies are needed to clarify its efficacy and side effect profile.

摘要

脑动静脉畸形(AVM)虽罕见但严重,在各种治疗方式的风险与观察期间不确定的自然病程之间,常常带来治疗上的两难困境。我们描述了关于使用聚焦超声作为一种新型治疗策略的初步数据。在一个AVM模型中,单次超声治疗可逐渐减少通过病变的血流量,且不会引发破裂。由于其具有非侵入性但即时的消融作用,聚焦超声可能使AVM的治疗更安全。然而,还需要进一步研究来阐明其疗效和副作用情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/a7bb4fd9537d/fneur-12-671380-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/c1e540b15eed/fneur-12-671380-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/c08a8cd34a0a/fneur-12-671380-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/f1876f2431f0/fneur-12-671380-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/a7bb4fd9537d/fneur-12-671380-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/c1e540b15eed/fneur-12-671380-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/c08a8cd34a0a/fneur-12-671380-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/f1876f2431f0/fneur-12-671380-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/849b/8209376/a7bb4fd9537d/fneur-12-671380-g0004.jpg

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Ultrasound-guided high-intensity focused ultrasound as pretreatment before surgical excision for fertility-preserving management of uterine arteriovenous malformation.
Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:384-386. doi: 10.1016/j.ejogrb.2019.07.030. Epub 2019 Jul 22.
2
Treatment of Low-Flow Vascular Malformations of the Extremities Using MR-Guided High Intensity Focused Ultrasound: Preliminary Experience.使用磁共振引导高强度聚焦超声治疗四肢低流量血管畸形:初步经验
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Ultrasound-guided high-intensity focused ultrasound ablation for treating uterine arteriovenous malformation.超声引导高强度聚焦超声消融治疗子宫动静脉畸形。
BJOG. 2017 Aug;124 Suppl 3:93-96. doi: 10.1111/1471-0528.14749.
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Treatment of Movement Disorders With Focused Ultrasound.聚焦超声治疗运动障碍
J Cent Nerv Syst Dis. 2017 Jun 6;9:1179573517705670. doi: 10.1177/1179573517705670. eCollection 2017.
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Arteriovenous Malformations of the Brain.脑动静脉畸形
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Intracranial Applications of MR Imaging-Guided Focused Ultrasound.磁共振成像引导聚焦超声的颅内应用
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Noninvasive high-intensity focused ultrasound treatment of twin-twin transfusion syndrome: A preliminary in vivo study.非侵入性高强度聚焦超声治疗双胎输血综合征:初步体内研究。
Sci Transl Med. 2016 Jul 13;8(347):347ra95. doi: 10.1126/scitranslmed.aaf2135.
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Non-invasive magnetic resonance-guided high intensity focused ultrasound ablation of a vascular malformation in the lower extremity: a case report.非侵入性磁共振引导下高强度聚焦超声消融治疗下肢血管畸形:一例报告
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First noninvasive thermal ablation of a brain tumor with MR-guided focused ultrasound.首次使用磁共振引导聚焦超声对脑肿瘤进行非侵入性热消融。
J Ther Ultrasound. 2014 Oct 16;2:17. doi: 10.1186/2050-5736-2-17. eCollection 2014.
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