Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification
AbstractObjective To compare the safety and efficacy of high-intensity focused ultrasound (HIFU) treatment for patients with internal or external adenomyosis based on magnetic resonance imaging (MRI) classification.Materials and methods A total of 238 patients with internal adenomyosis and 167 patie...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
|
| Series: | International Journal of Hyperthermia |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2023.2211268 |
| _version_ | 1827397127547912192 |
|---|---|
| author | Feng Xu Zhenjiang Lin Yangyang Wang Chunmei Gong Min He Qing Guo Zhibiao Wang Zhang Lian |
| author_facet | Feng Xu Zhenjiang Lin Yangyang Wang Chunmei Gong Min He Qing Guo Zhibiao Wang Zhang Lian |
| author_sort | Feng Xu |
| collection | DOAJ |
| description | AbstractObjective To compare the safety and efficacy of high-intensity focused ultrasound (HIFU) treatment for patients with internal or external adenomyosis based on magnetic resonance imaging (MRI) classification.Materials and methods A total of 238 patients with internal adenomyosis and 167 patients with external adenomyosis who received HIFU treatment were enrolled. HIFU treatment results and adverse effects between patients with internal and external adenomyosis were compared.Results The treatment time and sonication time for patients with external adenomyosis were significantly longer than that for patients with internal adenomyosis. The total energy used and EEF for patients with external adenomyosis were higher than that for patients with internal adenomyosis (p < 0.05). The pre-HIFU median dysmenorrhea score in patients with internal or external adenomyosis was 5 or 8 points, the median score decreased to 1 or 3 points in these two groups at 18-month post-HIFU (p < 0.05). The relief rate of dysmenorrhea was 79.5% in patients with internal adenomyosis, and it was 80.8% in patients with external adenomyosis. The pre-HIFU median menorrhagia score in patients with internal or external adenomyosis was 4 or 3 points, the median score decreased to 1 point in both groups at 18-month post-HIFU with a relief rate of 86.2% and 77.1%, respectively (p = 0.030). No serious complication occurred in any of these patients.Conclusions HIFU is a safe and effective treatment either for patients with internal adenomyosis or external adenomyosis. It seemed that internal adenomyosis is easier to be treated with HIFU and with a higher relief rate of menorrhagia than external adenomyosis. |
| first_indexed | 2024-03-08T19:02:45Z |
| format | Article |
| id | doaj.art-5a9ff5b39e094419a3795e106abb9329 |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-03-08T19:02:45Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-5a9ff5b39e094419a3795e106abb93292023-12-28T04:15:43ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2211268Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classificationFeng Xu0Zhenjiang Lin1Yangyang Wang2Chunmei Gong3Min He4Qing Guo5Zhibiao Wang6Zhang Lian7State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaAbstractObjective To compare the safety and efficacy of high-intensity focused ultrasound (HIFU) treatment for patients with internal or external adenomyosis based on magnetic resonance imaging (MRI) classification.Materials and methods A total of 238 patients with internal adenomyosis and 167 patients with external adenomyosis who received HIFU treatment were enrolled. HIFU treatment results and adverse effects between patients with internal and external adenomyosis were compared.Results The treatment time and sonication time for patients with external adenomyosis were significantly longer than that for patients with internal adenomyosis. The total energy used and EEF for patients with external adenomyosis were higher than that for patients with internal adenomyosis (p < 0.05). The pre-HIFU median dysmenorrhea score in patients with internal or external adenomyosis was 5 or 8 points, the median score decreased to 1 or 3 points in these two groups at 18-month post-HIFU (p < 0.05). The relief rate of dysmenorrhea was 79.5% in patients with internal adenomyosis, and it was 80.8% in patients with external adenomyosis. The pre-HIFU median menorrhagia score in patients with internal or external adenomyosis was 4 or 3 points, the median score decreased to 1 point in both groups at 18-month post-HIFU with a relief rate of 86.2% and 77.1%, respectively (p = 0.030). No serious complication occurred in any of these patients.Conclusions HIFU is a safe and effective treatment either for patients with internal adenomyosis or external adenomyosis. It seemed that internal adenomyosis is easier to be treated with HIFU and with a higher relief rate of menorrhagia than external adenomyosis.https://www.tandfonline.com/doi/10.1080/02656736.2023.2211268Internal adenomyosisexternal adenomyosisdysmenorrheamenorrhagiahigh-intensity focused ultrasound |
| spellingShingle | Feng Xu Zhenjiang Lin Yangyang Wang Chunmei Gong Min He Qing Guo Zhibiao Wang Zhang Lian Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification International Journal of Hyperthermia Internal adenomyosis external adenomyosis dysmenorrhea menorrhagia high-intensity focused ultrasound |
| title | Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| title_full | Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| title_fullStr | Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| title_full_unstemmed | Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| title_short | Comparison of high-intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| title_sort | comparison of high intensity focused ultrasound for the treatment of internal and external adenomyosis based on magnetic resonance imaging classification |
| topic | Internal adenomyosis external adenomyosis dysmenorrhea menorrhagia high-intensity focused ultrasound |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2023.2211268 |
| work_keys_str_mv | AT fengxu comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT zhenjianglin comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT yangyangwang comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT chunmeigong comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT minhe comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT qingguo comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT zhibiaowang comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification AT zhanglian comparisonofhighintensityfocusedultrasoundforthetreatmentofinternalandexternaladenomyosisbasedonmagneticresonanceimagingclassification |