High-intensity focused ultrasound treatment for large and small solitary uterine fibroids
This retrospective study used data from patients treated for uterine fibroids with ultrasound-guided high-intensity focused ultrasound (USgHIFU) from April 2015 to April 2019. One hundred and seven patients with solitary fibroids were divided into two groups: (1) the L group with larger fibroids (≥1...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2022.2039788 |
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| author | Chih-Ting Chang Cherng-Jye Jeng Cheng-Yu Long Linus T. Chuang Jenta Shen |
| author_facet | Chih-Ting Chang Cherng-Jye Jeng Cheng-Yu Long Linus T. Chuang Jenta Shen |
| author_sort | Chih-Ting Chang |
| collection | DOAJ |
| description | This retrospective study used data from patients treated for uterine fibroids with ultrasound-guided high-intensity focused ultrasound (USgHIFU) from April 2015 to April 2019. One hundred and seven patients with solitary fibroids were divided into two groups: (1) the L group with larger fibroids (≥10 cm) and (2) the S group with smaller fibroids (<10 cm). Using magnetic resonance imaging (MRI), we examined the efficacy of high-intensity focused ultrasound (HIFU) ablation by comparing uterine and fibroid volumes before and three months after the procedure. The three-month follow-up clinical visit used a visual analog scale and a uterine fibroid symptom health-related quality of life questionnaire to evaluate clinical symptoms. Both the L and S groups had significant reduction in uterine and fibroid volumes, but the rate was significantly higher in the S group (p < 0.05). Both groups also had improvements in clinical symptoms, but there was no statistical difference. USgHIFU reduced the size of both large and small fibroids but was most effective on fibroids smaller than 10 cm. Both the L and S groups had improved dysmenorrhea symptoms and quality of life. |
| format | Article |
| id | doaj-art-068f579cd4794551bbea9c9634e4e170 |
| institution | DOAJ |
| issn | 0265-6736 1464-5157 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj-art-068f579cd4794551bbea9c9634e4e1702025-08-20T02:40:42ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572022-12-0139148548910.1080/02656736.2022.2039788High-intensity focused ultrasound treatment for large and small solitary uterine fibroidsChih-Ting Chang0Cherng-Jye Jeng1Cheng-Yu Long2Linus T. Chuang3Jenta Shen4Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Show Chwan Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Western Connecticut Health Network, Larner College of Medicine at The University of Vermont, Danbury, CT, USADepartment of Obstetrics and Gynecology, California Pacific Medical Center, San Francisco, CA, USAThis retrospective study used data from patients treated for uterine fibroids with ultrasound-guided high-intensity focused ultrasound (USgHIFU) from April 2015 to April 2019. One hundred and seven patients with solitary fibroids were divided into two groups: (1) the L group with larger fibroids (≥10 cm) and (2) the S group with smaller fibroids (<10 cm). Using magnetic resonance imaging (MRI), we examined the efficacy of high-intensity focused ultrasound (HIFU) ablation by comparing uterine and fibroid volumes before and three months after the procedure. The three-month follow-up clinical visit used a visual analog scale and a uterine fibroid symptom health-related quality of life questionnaire to evaluate clinical symptoms. Both the L and S groups had significant reduction in uterine and fibroid volumes, but the rate was significantly higher in the S group (p < 0.05). Both groups also had improvements in clinical symptoms, but there was no statistical difference. USgHIFU reduced the size of both large and small fibroids but was most effective on fibroids smaller than 10 cm. Both the L and S groups had improved dysmenorrhea symptoms and quality of life.https://www.tandfonline.com/doi/10.1080/02656736.2022.2039788High-intensity focused ultrasounduterine fibroidleiomyoma |
| spellingShingle | Chih-Ting Chang Cherng-Jye Jeng Cheng-Yu Long Linus T. Chuang Jenta Shen High-intensity focused ultrasound treatment for large and small solitary uterine fibroids International Journal of Hyperthermia High-intensity focused ultrasound uterine fibroid leiomyoma |
| title | High-intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| title_full | High-intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| title_fullStr | High-intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| title_full_unstemmed | High-intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| title_short | High-intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| title_sort | high intensity focused ultrasound treatment for large and small solitary uterine fibroids |
| topic | High-intensity focused ultrasound uterine fibroid leiomyoma |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2022.2039788 |
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