Magnetic resonance imaging-guided volumetric high-intensity focused ultrasound surgery for pedunculated subserosal uterine leiomyoma

Abstract

Magnetic resonance imaging-guided volumetric high-intensity focused ultrasound surgery is an innovative nonvascular ablation treatment for uterine leiomyoma. In this clinical image, we aimed to depict one patient with pedunculated subserosal uterine leiomyoma adopting treatment successfully without any complications immediately after treatment and at 6-month follow-up. Nguyen Minh 1 Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City Funaki K, Fukunishi H, Funaki T, Sawada K, Kaji Y, Maruo T, et al. Magnetic resonance-guided focused ultrasound surgery for uterine fibroids: Relationship between the therapeutic effects and signal intensity of preexisting T2-weighted magnetic resonance images. Am J Obstet Gynecol 2007;196:184.e1-6. Duc NM, Huy HQ. Effect of magnetic resonance imaging characteristics on uterine fibroid treatment. Rep Med Imaging 2018;11:1-8. Lee JS, Hong GY, Lee KH, Kim TE. Changes in anti-müllerian hormone levels as a biomarker for ovarian reserve after ultrasound-guided high-intensity focused ultrasound treatment of adenomyosis and uterine fibroid. BJOG 2017;124 Suppl 3:18-22. Braude P, Reidy J, Nott V, Taylor A, Forman R. Embolization of uterine leiomyomata: Current concepts in management. Hum Reprod Update 2000;6:603-8. Park H, Yoon SW, Kim KA, Jung Kim D, Jung SG. Magnetic resonance imaging-guided focused ultrasound treatment of pedunculated subserosal uterine fibroids: A preliminary report. J Vasc Interv Radiol 2012;23:1589-93. Brown DL, Hesley GK, Gorny KR, Stewart EA. Safety of MR-guided focused ultrasound treatment of pedunculated subserosal uterine leiomyomas. J Ther Ultrasound 2013;1:19.