Document Detail


What factors currently limit magnetic resonance-guided focused ultrasound of leiomyomas? A survey conducted at the first international symposium devoted to clinical magnetic resonance-guided focused ultrasound.
MedLine Citation:
PMID:  19386300     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To see if clinicians' impressions were influenced by expert opinion on patient selection criteria that influence magnetic resonance-guided focused ultrasound (MRgFUS) leiomyoma treatment. DESIGN: Survey-based study. SETTING: First international symposium devoted to MRgFUS, "MRgFUS 2008," October 6-7, 2008, Washington, DC. INTERVENTION(S): Questionnaires on fibroid treatment were distributed to attending practitioners before and after the symposium. MAIN OUTCOME MEASURE(S): Selection criteria, which could be considered to be limitations to focused ultrasound therapy, were assessed on a 10-point Likert scale ranging from 1, which indicated no impediment to therapy, to 10, which represented an absolute contraindication to therapy. RESULT(S): A total of 12 paired pre- and post-symposium questionnaires were analyzed. Mild adenomyosis, heavy bleeding, and bulk complaint were viewed as least likely to be an impediment to therapy both before and after the symposium. The presence of severe adenomyosis and five or more fibroids showed significant increases in mean rankings as contraindications to therapy following the symposium. Significant adverse events not previously reported were elicited by the survey. CONCLUSION(S): Expert opinion on patient selection criteria for MRgFUS is a useful resource for practitioner education.
Authors:
F Andrei Taran; Gina K Hesley; Krzysztof R Gorny; Elizabeth A Stewart
Publication Detail:
Type:  Congresses     Date:  2009-04-21
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  331-4     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Data Collection / methods*
District of Columbia
Female
Humans
Internationality*
Leiomyoma / therapy,  ultrasonography*
Magnetic Resonance Imaging, Interventional / methods*
Pregnancy
Uterine Neoplasms / therapy,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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