Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt

Abstract Background Uterine fibroids are common gynecological conditions that affect a significant number of women of reproductive age and may necessitate surgical intervention for their removal. However, there is a rising trend toward minimally invasive procedures, such as magnetic resonance-guided...

Full description

Bibliographic Details
Main Authors: Mohamed Fawzi, Safaa ElMandouh, Alaa Eid Elbanna, Micheal Ezzat Narouz, Menna Habib, Shrouk Shady Mahmoud, Ahmed Said Badr
Format: Article
Language:English
Published: SpringerOpen 2024-02-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-024-01219-w
_version_ 1827328125515595776
author Mohamed Fawzi
Safaa ElMandouh
Alaa Eid Elbanna
Micheal Ezzat Narouz
Menna Habib
Shrouk Shady Mahmoud
Ahmed Said Badr
author_facet Mohamed Fawzi
Safaa ElMandouh
Alaa Eid Elbanna
Micheal Ezzat Narouz
Menna Habib
Shrouk Shady Mahmoud
Ahmed Said Badr
author_sort Mohamed Fawzi
collection DOAJ
description Abstract Background Uterine fibroids are common gynecological conditions that affect a significant number of women of reproductive age and may necessitate surgical intervention for their removal. However, there is a rising trend toward minimally invasive procedures, such as magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU) ablation. This report provides the first experience in Egypt and North Africa on the use of MRgHIFU ablation as a therapeutic option for uterine fibroids. Results This study demonstrates a correlation between post-operative NPV% and symptom improvement. Following a three-month follow-up period, a significant reduction in pain scores and excessive bleeding was observed. Importantly, there was no significant elevation in hemoglobin levels (11.23 ± 2.23 to 11.25 ± 1.71 g/dL) after treatment. Furthermore, the mean non-perfused volume ratio in the treated fibroids was 46 ± 27.3% (SD) among the 20 participants. These findings suggest a favorable therapeutic outcome of MRgHIFU, with no serious adverse effects reported. Conclusion MRgHIFU is a noninvasive therapeutic approach for the treatment of uterine myomas, offering significant benefits in terms of pain reduction and improved quality of life. This particular study represents the pioneering clinical experience of this innovative therapy in Egypt.
first_indexed 2024-03-07T15:13:24Z
format Article
id doaj.art-c5697caed45042dc94ee1ea2c8465a17
institution Directory Open Access Journal
issn 2090-4762
language English
last_indexed 2024-03-07T15:13:24Z
publishDate 2024-02-01
publisher SpringerOpen
record_format Article
series The Egyptian Journal of Radiology and Nuclear Medicine
spelling doaj.art-c5697caed45042dc94ee1ea2c8465a172024-03-05T18:03:55ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622024-02-015511810.1186/s43055-024-01219-wPreliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in EgyptMohamed Fawzi0Safaa ElMandouh1Alaa Eid Elbanna2Micheal Ezzat Narouz3Menna Habib4Shrouk Shady Mahmoud5Ahmed Said Badr6Radiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteRadiology Department, National Hepatology and Tropical Medicine Research InstituteAbstract Background Uterine fibroids are common gynecological conditions that affect a significant number of women of reproductive age and may necessitate surgical intervention for their removal. However, there is a rising trend toward minimally invasive procedures, such as magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU) ablation. This report provides the first experience in Egypt and North Africa on the use of MRgHIFU ablation as a therapeutic option for uterine fibroids. Results This study demonstrates a correlation between post-operative NPV% and symptom improvement. Following a three-month follow-up period, a significant reduction in pain scores and excessive bleeding was observed. Importantly, there was no significant elevation in hemoglobin levels (11.23 ± 2.23 to 11.25 ± 1.71 g/dL) after treatment. Furthermore, the mean non-perfused volume ratio in the treated fibroids was 46 ± 27.3% (SD) among the 20 participants. These findings suggest a favorable therapeutic outcome of MRgHIFU, with no serious adverse effects reported. Conclusion MRgHIFU is a noninvasive therapeutic approach for the treatment of uterine myomas, offering significant benefits in terms of pain reduction and improved quality of life. This particular study represents the pioneering clinical experience of this innovative therapy in Egypt.https://doi.org/10.1186/s43055-024-01219-wUterine fibroidHigh-intensity focused ultrasound (HIFU)Efficacy
spellingShingle Mohamed Fawzi
Safaa ElMandouh
Alaa Eid Elbanna
Micheal Ezzat Narouz
Menna Habib
Shrouk Shady Mahmoud
Ahmed Said Badr
Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
The Egyptian Journal of Radiology and Nuclear Medicine
Uterine fibroid
High-intensity focused ultrasound (HIFU)
Efficacy
title Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
title_full Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
title_fullStr Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
title_full_unstemmed Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
title_short Preliminary insights into high-intensity focused ultrasound ablation for symptomatic uterine fibroids: a first look in Egypt
title_sort preliminary insights into high intensity focused ultrasound ablation for symptomatic uterine fibroids a first look in egypt
topic Uterine fibroid
High-intensity focused ultrasound (HIFU)
Efficacy
url https://doi.org/10.1186/s43055-024-01219-w
work_keys_str_mv AT mohamedfawzi preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT safaaelmandouh preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT alaaeidelbanna preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT michealezzatnarouz preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT mennahabib preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT shroukshadymahmoud preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt
AT ahmedsaidbadr preliminaryinsightsintohighintensityfocusedultrasoundablationforsymptomaticuterinefibroidsafirstlookinegypt