What factors currently limit magnetic resonance-guided focused ultrasound of leiomyomas? A survey conducted at the first international symposium devoted to clinical magnetic resonance-guided focused ultrasound.

Abstract:

OBJECTIVE:To see if clinicians' impressions were influenced by expert opinion on patient selection criteria that influence magnetic resonance-guided focused ultrasound (MRgFUS) leiomyoma treatment. DESIGN:Survey-based study. SETTING:First international symposium devoted to MRgFUS, "MRgFUS 2008," October 6-7, 2008, Washington, DC. INTERVENTION(S):Questionnaires on fibroid treatment were distributed to attending practitioners before and after the symposium. MAIN OUTCOME MEASURE(S):Selection criteria, which could be considered to be limitations to focused ultrasound therapy, were assessed on a 10-point Likert scale ranging from 1, which indicated no impediment to therapy, to 10, which represented an absolute contraindication to therapy. RESULT(S):A total of 12 paired pre- and post-symposium questionnaires were analyzed. Mild adenomyosis, heavy bleeding, and bulk complaint were viewed as least likely to be an impediment to therapy both before and after the symposium. The presence of severe adenomyosis and five or more fibroids showed significant increases in mean rankings as contraindications to therapy following the symposium. Significant adverse events not previously reported were elicited by the survey. CONCLUSION(S):Expert opinion on patient selection criteria for MRgFUS is a useful resource for practitioner education.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Taran FA,Hesley GK,Gorny KR,Stewart EA

doi

10.1016/j.fertnstert.2009.02.083

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

331-4

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)00510-X

journal_volume

94

pub_type

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    abstract:OBJECTIVE:To evaluate serial hormone concentrations in subjects treated with vaginally administered misoprostol for early pregnancy failure. DESIGN:As part of a randomized clinical trial, serum was collected on treatment days 1, 3, 8, and 15. SETTING:Multicenter clinical trial. PATIENT(S):Women with a nonviable firs...

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    authors: Barnhart KT,Bader T,Huang X,Frederick MM,Timbers KA,Zhang JJ

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    authors: Wang Z,Yoshida S,Negoro K,Kennedy S,Barlow D,Maruo T

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    authors: Craft L,Richfield L

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  • A prospective evaluation of uterine abnormalities by saline infusion sonohysterography in 1,009 women with infertility or abnormal uterine bleeding.

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    authors: Tur-Kaspa I,Gal M,Hartman M,Hartman J,Hartman A

    更新日期:2006-12-01 00:00:00

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    更新日期:2005-12-01 00:00:00

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    journal_title:Fertility and sterility

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    authors: Gordon JW,Grunfeld L,Garrisi GJ,Talansky BE,Richards C,Laufer N

    更新日期:1988-07-01 00:00:00

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    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

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    authors: Roman H,Pura I,Tarta O,Mokdad C,Auber M,Bourdel N,Marpeau L,Sabourin JC

    更新日期:2011-04-01 00:00:00

  • The effect of insulin and insulin-like growth factors on the expression of steroidogenic enzymes in a human ovarian thecal-like tumor cell model.

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    更新日期:1996-01-01 00:00:00

  • Blepharophimosis-ptosis-epicanthus inversus syndrome and hypergonadotropic hypogonadism.

    abstract:OBJECTIVE:To describe a woman with blepharophimosis-ptosis-epicanthus inversus syndrome and hypergonadotropic hypogonadism. DESIGN:Case report. SETTING:University medical center. PATIENT(S):One 25-year-old woman. INTERVENTION(S):Pedigree, hormone assays, and donor embryo transfer. MAIN OUTCOME MEASURE(S):Pregnancy...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.07.1763

    authors: Siewert AL,Stein Q,Flanagan J,Hansen KA

    更新日期:2008-11-01 00:00:00

  • Catheter type does not affect the outcome of intrauterine insemination treatment: a prospective randomized study.

    abstract:OBJECTIVE:To compare the main outcome of IUI with the Gynetics catheter (Gynetics Medical Products, Hamont-Achel, Belgium) or the Makler cannula (Sefi-Medical Instruments, Haifa, Israel). DESIGN:Prospective, randomized study. SETTING:Infertility and endocrinology unit in a university hospital. PATIENT(S):Two hundred...

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    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:2005-03-01 00:00:00

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    doi:

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    更新日期:2013-04-01 00:00:00

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    更新日期:1982-11-01 00:00:00

  • Different types of small nerve fibers in eutopic endometrium and myometrium in women with endometriosis.

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    更新日期:2007-10-01 00:00:00

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    doi:10.1016/s0015-0282(99)00317-9

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  • Impairment of the developmental potential of frozen-thawed human zygotes obtained after intracytoplasmic sperm injection.

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    authors: Macas E,Imthurn B,Borsos M,Rosselli M,Maurer-Major E,Keller PJ

    更新日期:1998-04-01 00:00:00

  • Rigorous thermal control during intracytoplasmic sperm injection stabilizes the meiotic spindle and improves fertilization and pregnancy rates.

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    doi:10.1016/s0015-0282(02)03117-5

    authors: Wang WH,Meng L,Hackett RJ,Oldenbourg R,Keefe DL

    更新日期:2002-06-01 00:00:00

  • Incomplete regression of müllerian ducts in the androgen insensitivity syndrome.

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    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Ulloa-Aguirre A,Carranza-Lira S,Mendez JP,Angeles A,Chavez B,Perez-Palacios G

    更新日期:1990-06-01 00:00:00

  • Elective single blastocyst transfer.

    abstract::This report describes our initial experience with elective single blastocyst transfer in 19 patients who had a mean age of 36.3 +/- 2.4 years. The ongoing pregnancy rate, 53% after the fresh embryo transfer and 68% when thaw cycles are included, suggests that single blastocyst transfer has a place in this relatively o...

    journal_title:Fertility and sterility

    pub_type: 信件

    doi:10.1016/j.fertnstert.2003.10.050

    authors: Milki AA,Hinckley MD,Westphal LM,Behr B

    更新日期:2004-06-01 00:00:00

  • Assessing access to assisted reproductive services for serodiscordant couples with human immunodeficiency virus infection.

    abstract:OBJECTIVE:To understand the barriers that serodiscordant couples with human immunodeficiency virus (HIV) face in accessing services for risk reduction and infertility using assisted reproductive technology (ART). DESIGN:Two-arm cross-sectional telephone "secret shopper" study. SETTING:Infertility clinics designated b...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.11.039

    authors: Leech AA,Bortoletto P,Christiansen C,Drainoni ML,Linas BP,Roeca C,Curtis M,Sullivan M

    更新日期:2018-03-01 00:00:00