Indian Journal of Radiology Indian Journal of Radiology  

   Login   | Users online: 3315

Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size     

 

RECENT ADVANCES Table of Contents   
Year : 2019  |  Volume : 29  |  Issue : 3  |  Page : 284-288
MR-guided focused ultrasound surgery: A novel non-invasive technique in the treatment of adenomyosis –18 month's follow-up of 12 cases


1 Department of Radiology, Sri Ramachandra Institute of Higher Education and Research, Porur; Department of Radiology, Concept Medicare Pvt Ltd Guindy, Chennai, Tamil Nadu, India
2 Department of Radiology, Concept Medicare Pvt Ltd Guindy, Chennai, Tamil Nadu, India
3 Department of Radiology, Sri Ramachandra Institute of Higher Education and Research, Porur, Tamil Nadu, India
4 Department of Community Medicine, Sri Ramachandra Institute of Higher Education & Research, Porur, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Bhawna Dev
Department of Radiology, Sri Ramachandra University, Chennai - 600 116, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_53_19

Rights and Permissions

Background: Adenomyosis is a gynecological condition of the uterus, characterized by the presence of ectopic endometrial tissue in the myometrium. Hysterectomy, uterine artery embolization, and endometrial ablation therapy are the various surgical treatment options available for adenomyosis. A novel and globally upcoming technique is MR-guided focused ultrasound surgery “MRgFUS,” which is a promising non-invasive surgical treatment option. This study was carried out to determine the effectiveness of MRgFUS in the symptomatic management of adenomyosis. Subjects and Methods: This study was carried out as a long-term follow-up study among 12 cases of adenomyosis, which were treated by MR-guided focused ultrasound. In all these participant's, three parameters – symptom severity score (SSS), menstrual pain score accessed using visual analogue score (VAS), and number of approximate pads used during menstruation were recorded prior to the treatment and on follow-up at 3, 9, and 18 months, respectively. The Friedman's test was used to test the difference in the values of scores before and after treatment. Results: There was a significant improvement in the SSS, VAS, and the numbers of sanitary napkins used after surgery and sustained during the long-term follow-up. These values were statistically significant (P < 0.05). Conclusion: MRgFUS can be used in successful treatment of adenomyosis/focal adenomyoma by careful selection of the participant, good planning, and proper monitoring of the technique during ablation.


[FULL TEXT] [PDF]*
Print this article     Email this article

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
  Citation Manager
 Access Statistics
  Reader Comments
  Email Alert *
  Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed71    
    Printed1    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal