J Ther Ultrasound. 2013 Oct 01;1:20. doi: 10.1186/2050-5736-1-20. eCollection 2013.
Safety and treatment volumes achieved following new developments of the magnetic resonance-guided focused ultrasound system in the treatment of uterine fibroids: a cohort study.
Journal of therapeutic ultrasound
Stephen Derek Quinn, John Vedelago, Lesley Regan, Wladyslaw M Gedroyc
Affiliations
Affiliations
- Department of Obstetrics and Gynecology, St. Mary's Hospital, Imperial College London, South Wharf Road, London, UK.
- Deparment of Radiology, St. Mary's Hospital, Imperial College London, Praed Street, London, UK.
PMID: 25512863
PMCID: PMC4265952 DOI: 10.1186/2050-5736-1-20
Abstract
BACKGROUND: This research investigates whether modifications to the magnetic resonance-guided focused ultrasound ablation of uterine fibroid (MRgFUS) system used resulted in improved treatment volumes of uterine fibroids, while maintaining safety.
METHODS: This study is a prospective cohort analysis of 34 women undergoing the ExAblate 2100 MRgFUS treatment for their uterine fibroids.
RESULTS: The percentage of non-perfused volume (NPV) achieved with the ExAblate 2100 system was 54.92% compared with 50.49 % with the ExAblate 2000 system over the preceding year (p = 0.543). The ExAblate 2100 system resulted in a greater NPV in hyper-intense fibroids compared with the ExAblate 200 system (43.20% versus 36.33%, p = 0.005). There have been no recorded hospital admissions, no skins burns, and no reported major adverse events since the introduction of this new system.
CONCLUSION: Overall, the new system has thus far shown an encouraging safety record and an improvement in non-perfused volumes achieved, especially in hyper-intense fibroids.
Keywords: Leiomyoma; Magnetic resonance-guided focused ultrasound; Uterine fibroids
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