Magnetic Resonance-Guided Focused Ultrasound Surgery for Gynecologic Indications

Elisabeth R Knorren; Ingrid M Nijholt; Joke M Schutte; Martijn F Boomsma

doi:10.1016/j.mric.2024.02.005

Magnetic Resonance-Guided Focused Ultrasound Surgery for Gynecologic Indications

Magn Reson Imaging Clin N Am. 2024 Nov;32(4):615-628. doi: 10.1016/j.mric.2024.02.005. Epub 2024 Mar 27.

Authors

Elisabeth R Knorren¹, Ingrid M Nijholt², Joke M Schutte³, Martijn F Boomsma⁴

Affiliations

¹ Department of Radiology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands; Department of Obstetrics and Gynecology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands. Electronic address: [email protected].
² Department of Radiology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
³ Department of Obstetrics and Gynecology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
⁴ Department of Radiology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands; Imaging & Oncology Division, Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands.

PMID: 39322351
DOI: 10.1016/j.mric.2024.02.005

Abstract

Magnetic resonance-guided focused ultrasound surgery (MRgFUS) appears to be an effective and safe treatment for uterine fibroids and adenomyosis, particularly in women who wish to preserve fertility. In abdominal wall endometriosis and painful recurrent gynecologic malignancies, MRgFUS can relieve pain, but more research is needed. There is no widespread reimbursement due to the lack of large prospective or randomized controlled trials comparing MRgFUS with standard therapy.

Keywords: Focused ultrasound surgery; Gynecologic indications; MRI; MRgFUS.

Publication types

Review

MeSH terms

Female
Genital Diseases, Female / diagnostic imaging
Genital Diseases, Female / surgery
High-Intensity Focused Ultrasound Ablation / methods
Humans
Leiomyoma / diagnostic imaging
Leiomyoma / surgery
Magnetic Resonance Imaging, Interventional* / methods
Surgery, Computer-Assisted / methods