Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region
AbstractObjective To evaluate the feasibility of using an intrarectal Foley catheter during ultrasound-guided high-intensity focused ultrasound (US-HIFU) in patients with benign uterine diseases of the posterior wall beyond the HIFU therapeutic range.Methods Patients were treated with US-HIFU and le...
| 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/10.1080/02656736.2023.2219435 |
| _version_ | 1797374255590014976 |
|---|---|
| author | Wei Liu Tae-Hee Kim Lihui Huang Xing Chen Chunping Feng Ling Liu Li Zhang Wen Zhang Kun Zhou Xiuni Gan |
| author_facet | Wei Liu Tae-Hee Kim Lihui Huang Xing Chen Chunping Feng Ling Liu Li Zhang Wen Zhang Kun Zhou Xiuni Gan |
| author_sort | Wei Liu |
| collection | DOAJ |
| description | AbstractObjective To evaluate the feasibility of using an intrarectal Foley catheter during ultrasound-guided high-intensity focused ultrasound (US-HIFU) in patients with benign uterine diseases of the posterior wall beyond the HIFU therapeutic range.Methods Patients were treated with US-HIFU and lesion changes were monitored using contrast-enhanced MRI from June 2020 to September 2021. A Foley catheter was inserted into the rectum to facilitate a successful US-HIFU ablation. Complications and lesion responses were recorded during the treatment and follow-up.Results Thirteen patients with 14 lesions beyond the device’s treatable area were enrolled. The average placement time and insertion depth of the intrarectal Foley catheter was 7.6 ± 2.7 min and 23.2 ± 7.6 cm, respectively. A median of 50 mL degassed water was injected into the Foley catheter balloon. All 14 lesions were successfully pushed into a treatable area and subjected to HIFU. The average treatment time, irradiation time, and total therapeutic energy of HIFU were 44.2 ± 17.3 min, 394.4 ± 295.7 s, and 73.3 ± 46.6 kJ, respectively. The mean non-perfusion volume (NPV) in all treated lesions was 23.2 ± 19.2 cm3, and the mean NPV ratio was 57.8 ± 16.9%. Major complications were not observed.Conclusion Intrarectal Foley catheter-assisted US-HIFU is effective and safe. Its clinical application could benefit patients with benign uterine diseases outside the HIFU therapeutic range. |
| first_indexed | 2024-03-08T19:03:14Z |
| format | Article |
| id | doaj.art-db45bcb432194b008cfd44c988ef3b94 |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-03-08T19:03:14Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-db45bcb432194b008cfd44c988ef3b942023-12-28T04:15:43ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2219435Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment regionWei Liu0Tae-Hee Kim1Lihui Huang2Xing Chen3Chunping Feng4Ling Liu5Li Zhang6Wen Zhang7Kun Zhou8Xiuni Gan9Clinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaSeoul HIcare Clinic, Seoul, KoreaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaClinical Center for Tumor Therapy, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaNursing Department, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, ChinaAbstractObjective To evaluate the feasibility of using an intrarectal Foley catheter during ultrasound-guided high-intensity focused ultrasound (US-HIFU) in patients with benign uterine diseases of the posterior wall beyond the HIFU therapeutic range.Methods Patients were treated with US-HIFU and lesion changes were monitored using contrast-enhanced MRI from June 2020 to September 2021. A Foley catheter was inserted into the rectum to facilitate a successful US-HIFU ablation. Complications and lesion responses were recorded during the treatment and follow-up.Results Thirteen patients with 14 lesions beyond the device’s treatable area were enrolled. The average placement time and insertion depth of the intrarectal Foley catheter was 7.6 ± 2.7 min and 23.2 ± 7.6 cm, respectively. A median of 50 mL degassed water was injected into the Foley catheter balloon. All 14 lesions were successfully pushed into a treatable area and subjected to HIFU. The average treatment time, irradiation time, and total therapeutic energy of HIFU were 44.2 ± 17.3 min, 394.4 ± 295.7 s, and 73.3 ± 46.6 kJ, respectively. The mean non-perfusion volume (NPV) in all treated lesions was 23.2 ± 19.2 cm3, and the mean NPV ratio was 57.8 ± 16.9%. Major complications were not observed.Conclusion Intrarectal Foley catheter-assisted US-HIFU is effective and safe. Its clinical application could benefit patients with benign uterine diseases outside the HIFU therapeutic range.https://www.tandfonline.com/doi/10.1080/02656736.2023.2219435Benign uterine diseasehigh-intensity focused ultrasoundintrarectal Foley catheterfeasibility analysissafety |
| spellingShingle | Wei Liu Tae-Hee Kim Lihui Huang Xing Chen Chunping Feng Ling Liu Li Zhang Wen Zhang Kun Zhou Xiuni Gan Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region International Journal of Hyperthermia Benign uterine disease high-intensity focused ultrasound intrarectal Foley catheter feasibility analysis safety |
| title | Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| title_full | Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| title_fullStr | Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| title_full_unstemmed | Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| title_short | Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| title_sort | intrarectal foley catheter assisted high intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region |
| topic | Benign uterine disease high-intensity focused ultrasound intrarectal Foley catheter feasibility analysis safety |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2023.2219435 |
| work_keys_str_mv | AT weiliu intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT taeheekim intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT lihuihuang intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT xingchen intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT chunpingfeng intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT lingliu intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT lizhang intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT wenzhang intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT kunzhou intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion AT xiunigan intrarectalfoleycatheterassistedhighintensityfocusedultrasoundablationforbenignuterinediseasesbeyondthetreatmentregion |