The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data
Introduction: Uterine fibroids (UFs) are benign tumors of female genital tract. Clinically symptomatic UFs may be a cause of serious health problems for many women worldwide. The optimal choice of a treatment method should fit a patient’s specific life situation or expectancies (especially fertility...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-01-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | http://dx.doi.org/10.1080/02656736.2019.1616117 |
| _version_ | 1828390146661154816 |
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| author | Tomasz Łoziński Justyna Filipowska Grzegorz Gurynowicz Magdalena Zgliczyńska Tomasz Kluz Robert Jędra Artur Skowyra Michał Ciebiera |
| author_facet | Tomasz Łoziński Justyna Filipowska Grzegorz Gurynowicz Magdalena Zgliczyńska Tomasz Kluz Robert Jędra Artur Skowyra Michał Ciebiera |
| author_sort | Tomasz Łoziński |
| collection | DOAJ |
| description | Introduction: Uterine fibroids (UFs) are benign tumors of female genital tract. Clinically symptomatic UFs may be a cause of serious health problems for many women worldwide. The optimal choice of a treatment method should fit a patient’s specific life situation or expectancies (especially fertility) as much as possible. In line with the general current trend in medicine and surgery, great importance is attached to the development of minimally invasive radiological procedures e.g., magnetic resonance guided focused ultrasound (MRgFUS). Materials and methods: Single-center retrospective cohort study conducted at the Department of Obstetrics and Gynecology of Pro-Familia Hospital in Rzeszów, Poland. The study group consisted of 276 patients suffering from UFs and treated with MR-HIFU over the period from April 2015 to May 2018. Results: In our group 20 out of 276 patients conceived after the MR-HIFU therapy (7.25%). A general improvement and alleviation of symptoms of the disease after MRgFUS/MR-HIFU procedure were observed in 80% (n = 16) of study participants that conceived. 15% (n = 3) did not report any changes in disease severity. Out of 11 patients who already gave birth – 63.64% (n = 7) underwent cesarean section. Conclusions: MRgFUS/MR-HIFU seems to be an interesting minimally invasive alternative for women with UFs who wish to conceive and deliver after the procedure. This method does not increase the rate of spontaneous abortions or pregnancy complications. In our opinion, it is important to take off an unjustified badge stating that MRgFUS/MR-HIFU method is contraindicated in women with UFs who wish to conceive. |
| first_indexed | 2024-12-10T06:40:48Z |
| format | Article |
| id | doaj.art-ef53f48b8acf4c3e9c57473a861b0854 |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-12-10T06:40:48Z |
| publishDate | 2019-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-ef53f48b8acf4c3e9c57473a861b08542022-12-22T01:58:48ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572019-01-0136158158910.1080/02656736.2019.16161171616117The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current dataTomasz Łoziński0Justyna Filipowska1Grzegorz Gurynowicz2Magdalena Zgliczyńska3Tomasz Kluz4Robert Jędra5Artur Skowyra6Michał Ciebiera7Department of Obstetrics and Gynecology, Pro-Familia HospitalDepartment of Obstetrics and Gynecology, Pro-Familia HospitalPoznań University of Medical SciencesMedical University of WarsawUniversity of RzeszówSecond Department of Obstetrics and Gynecology, The Center of Postgraduate Medical EducationSecond Department of Obstetrics and Gynecology, The Center of Postgraduate Medical EducationSecond Department of Obstetrics and Gynecology, The Center of Postgraduate Medical EducationIntroduction: Uterine fibroids (UFs) are benign tumors of female genital tract. Clinically symptomatic UFs may be a cause of serious health problems for many women worldwide. The optimal choice of a treatment method should fit a patient’s specific life situation or expectancies (especially fertility) as much as possible. In line with the general current trend in medicine and surgery, great importance is attached to the development of minimally invasive radiological procedures e.g., magnetic resonance guided focused ultrasound (MRgFUS). Materials and methods: Single-center retrospective cohort study conducted at the Department of Obstetrics and Gynecology of Pro-Familia Hospital in Rzeszów, Poland. The study group consisted of 276 patients suffering from UFs and treated with MR-HIFU over the period from April 2015 to May 2018. Results: In our group 20 out of 276 patients conceived after the MR-HIFU therapy (7.25%). A general improvement and alleviation of symptoms of the disease after MRgFUS/MR-HIFU procedure were observed in 80% (n = 16) of study participants that conceived. 15% (n = 3) did not report any changes in disease severity. Out of 11 patients who already gave birth – 63.64% (n = 7) underwent cesarean section. Conclusions: MRgFUS/MR-HIFU seems to be an interesting minimally invasive alternative for women with UFs who wish to conceive and deliver after the procedure. This method does not increase the rate of spontaneous abortions or pregnancy complications. In our opinion, it is important to take off an unjustified badge stating that MRgFUS/MR-HIFU method is contraindicated in women with UFs who wish to conceive.http://dx.doi.org/10.1080/02656736.2019.1616117uterine fibroidleiomyomapregnancy outcomecomplicationmagnetic resonance guided focused ultrasound (mrgfus)magnetic resonance guided high-intensity focused ultrasound (mr-hifu) |
| spellingShingle | Tomasz Łoziński Justyna Filipowska Grzegorz Gurynowicz Magdalena Zgliczyńska Tomasz Kluz Robert Jędra Artur Skowyra Michał Ciebiera The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data International Journal of Hyperthermia uterine fibroid leiomyoma pregnancy outcome complication magnetic resonance guided focused ultrasound (mrgfus) magnetic resonance guided high-intensity focused ultrasound (mr-hifu) |
| title | The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data |
| title_full | The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data |
| title_fullStr | The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data |
| title_full_unstemmed | The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data |
| title_short | The effect of high-intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids – experiences from the main Polish center and a review of current data |
| title_sort | effect of high intensity focused ultrasound guided by magnetic resonance therapy on obstetrical outcomes in patients with uterine fibroids experiences from the main polish center and a review of current data |
| topic | uterine fibroid leiomyoma pregnancy outcome complication magnetic resonance guided focused ultrasound (mrgfus) magnetic resonance guided high-intensity focused ultrasound (mr-hifu) |
| url | http://dx.doi.org/10.1080/02656736.2019.1616117 |
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