Book contents
- Modern Management of Uterine Fibroids
- Modern Management of Uterine Fibroids
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Pathophysiology of Uterine Fibroids
- Chapter 2 Evaluation of Uterine Fibroids Using Two-Dimensional and Three-Dimensional Ultrasonography
- Chapter 3 Ulipristal and Other Medical Interventions for Treatment of Uterine Fibroids
- Chapter 4 The Role of Magnetic Resonance Imaging in the Management of Fibroids
- Chapter 5 Fibroids and Fertility
- Chapter 6 Fibroids and Reproduction
- Chapter 7 Open Myomectomy
- Chapter 8 Laparoscopic and Robotic Myomectomy
- Chapter 9 Principles and Technique of Laparoscopic Myomectomy
- Chapter 10 Uterine Fibroids
- Chapter 11 Total Laparoscopic Hysterectomy for the Fibroid Uterus
- Chapter 12 Hysteroscopic Resection of Submucosal Fibroids
- Chapter 13 Modern Management of Intramural Myomas
- Chapter 14 Outpatient Myomectomy
- Chapter 15 Vaginal Hysterectomy with Fibroids
- Chapter 16 Leiomyosarcoma
- Chapter 17 MRI-Guided Ultrasound Lysis of Fibroids
- Chapter 18 Embolization for the Management of Uterine Fibroids
- Chapter 19 Uterine Fibroids in Postmenopausal Women
- Appendix: Video Captions
- Index
- References
Chapter 17 - MRI-Guided Ultrasound Lysis of Fibroids
Published online by Cambridge University Press: 10 October 2020
- Modern Management of Uterine Fibroids
- Modern Management of Uterine Fibroids
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Pathophysiology of Uterine Fibroids
- Chapter 2 Evaluation of Uterine Fibroids Using Two-Dimensional and Three-Dimensional Ultrasonography
- Chapter 3 Ulipristal and Other Medical Interventions for Treatment of Uterine Fibroids
- Chapter 4 The Role of Magnetic Resonance Imaging in the Management of Fibroids
- Chapter 5 Fibroids and Fertility
- Chapter 6 Fibroids and Reproduction
- Chapter 7 Open Myomectomy
- Chapter 8 Laparoscopic and Robotic Myomectomy
- Chapter 9 Principles and Technique of Laparoscopic Myomectomy
- Chapter 10 Uterine Fibroids
- Chapter 11 Total Laparoscopic Hysterectomy for the Fibroid Uterus
- Chapter 12 Hysteroscopic Resection of Submucosal Fibroids
- Chapter 13 Modern Management of Intramural Myomas
- Chapter 14 Outpatient Myomectomy
- Chapter 15 Vaginal Hysterectomy with Fibroids
- Chapter 16 Leiomyosarcoma
- Chapter 17 MRI-Guided Ultrasound Lysis of Fibroids
- Chapter 18 Embolization for the Management of Uterine Fibroids
- Chapter 19 Uterine Fibroids in Postmenopausal Women
- Appendix: Video Captions
- Index
- References
Summary
Magnetic-resonance-guided focused ultrasound surgery (MRgFUS) is the only truly non-invasive procedure for the treatment of uterine fibroids. In MRgFUS, high-frequency ultrasound beams target specific tissue, in this case fibroids, causing increased temperatures leading to destruction of the tissue by coagulative necrosis. The resultant fibroid shrinkage occurs under the guidance of real-time magnetic resonance imaging (MRI) for accuracy and preservation of healthy surrounding myometrium [1]. This chapter will begin with an overview of the history of MRgFUS, then examine the technical parameters of the procedure and measurement of success, discuss patient eligibility and selection, preparation for the procedure, recovery, potential complications, and finally, outlooks for fertility and other outcomes.
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- Modern Management of Uterine Fibroids , pp. 165 - 172Publisher: Cambridge University PressPrint publication year: 2020