Abstract:
STUDY OBJECTIVE:To evaluate the thermal ablative effects of magnetic resonance-(MR) guided focused ultrasound surgery (MRgFUS) on adenomyosis and to assess improvement in clinical parameters. DESIGN:Twenty patients with adenomyosis were treated with MRgFUS. Extensive adenomyosis (6 cases) was treated with 2 applications. Uterine volume was evaluated by MR imaging before and immediately after MRgFUS. Ablation of adenomyosis and the architecture of nonperfused areas were evaluated immediately after MRgFUS. Improvement in patient symptoms was assessed through the symptom severity score questionnaire (Canadian Task Force classification II-3). SETTING:Department of gynecology at a Japanese general hospital. PATIENTS:Premenopausal women at least 18 years of age with symptomatic adenomyosis. INTERVENTIONS:Thermal ablation by MRgFUS. MEASUREMENTS AND MAIN RESULTS:We classified the nonperfused lesions on contrast-enhanced MR images immediately after MRgFUS into 3 types: lesions with round margins (type R), serrated margins (type S), and honeycomb architecture (type H). Type R was the most common (16/20 patients). Most adenomyosis lesions could be sufficiently ablated close to the serosal surface or to the endometrium by MRgFUS. The mean uterine volume 6 months after therapy was decreased by 12.7%. Symptom severity score improved significantly during 6 months of follow-up. No serious complications were observed. CONCLUSION:These early results indicate the safe and effective ablation of adenomyosis tissue by MRgFUS. The procedure also resulted in the improvement in clinical symptoms during the 6 months of follow-up.
journal_name
J Minim Invasive Gynecoljournal_title
Journal of minimally invasive gynecologyauthors
Fukunishi H,Funaki K,Sawada K,Yamaguchi K,Maeda T,Kaji Ydoi
10.1016/j.jmig.2008.06.010subject
Has Abstractpub_date
2008-09-01 00:00:00pages
571-9issue
5eissn
1553-4650issn
1553-4669pii
S1553-4650(08)00290-2journal_volume
15pub_type
杂志文章abstract:STUDY OBJECTIVE:To describe the feasibility of office hysteroscopy in patients with pregnancy-related problems such as retained trophoblastic tissue, persistent molar tissue, pregnancy with in situ intrauterine device (IUD), isthmocele, embryoscopy, and osseous metaplasia. DESIGN:Retrospective cohort chart review of u...
journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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abstract:STUDY OBJECTIVE:To evaluate the effect of endometrial ablation on 6 premenstrual symptoms for up to 1 year after treatment. DESIGN:Prospective cohort of 59 women awaiting endometrial ablation (Canadian Task Force classification II-2). SETTING:University tertiary care hospital. PATIENTS:Adult women of childbearing ag...
journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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abstract::Radical trachelectomy is considered in patients with early-stage cervical cancer who desire future fertility. This article is accompanied by a video that provides step-by-step demonstration of a uterine artery-sparing robotic-assisted radical trachelectomy in a patient with stage IB1 squamous cell carcinoma of the cer...
journal_title:Journal of minimally invasive gynecology
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更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Video seems advantageous over traditional text as an educational tool in conceptually-based procedures such as laparoscopy. However, this has never been tested directly. OBJECTIVE:The purpose of this study was to compare the use of text versus video as an educational tool for laparoscopic training, through ...
journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,随机对照试验
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更新日期:2009-07-01 00:00:00
abstract:STUDY OBJECTIVE:To assess whether it is possible for an experienced laparoscopic surgeon to perform efficient laparoscopic myomectomy regardless of the size, number, and location of the myomas. DESIGN:Prospective observational study (Canadian Task Force classification II-1). SETTING:Tertiary endoscopy center. PATIEN...
journal_title:Journal of minimally invasive gynecology
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更新日期:2008-05-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2006.07.019
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2008.09.581
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,多中心研究
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更新日期:2016-05-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2011.01.006
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2016.07.008
更新日期:2017-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,评审
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2017.06.017
更新日期:2017-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
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journal_title:Journal of minimally invasive gynecology
pub_type: 临床试验,杂志文章
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更新日期:2014-07-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2017.12.022
更新日期:2018-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2018.01.007
更新日期:2018-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2013.02.024
更新日期:2013-09-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章,随机对照试验
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更新日期:2016-01-01 00:00:00
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journal_title:Journal of minimally invasive gynecology
pub_type: 杂志文章
doi:10.1016/j.jmig.2005.05.016
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