Noninvasive Treatment of Uterine Fibroids: Early Mayo Clinic Experience With Magnetic Resonance Imaging-Guided Focused Ultrasound Gina K. Hesley, MD,

Slides:

Advertisements

Similar presentations

Noninvasive Treatment of Uterine Fibroids: Early Mayo Clinic Experience With Magnetic Resonance Imaging-Guided Focused Ultrasound Gina K. Hesley, MD, Joel.

Advertisements

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:

Magnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar.

Deep Brain Stimulation: Current and Future Clinical Applications

Use of Low-Molecular-Weight Heparin in the Treatment of Venous Thromboembolic Disease: Answers to Frequently Asked Questions Scott C. Litin, M.D., John.

Managing Cancer Pain: Basic Principles and Invasive Treatments

Diffuse Venous Thrombosis

Cidofovir Treatment of Progressive Multifocal Leukoencephalopathy in a Patient Receiving Highly Active Antiretroviral Therapy Raymund R. Razonable, MD,

J. Eric Ahlskog, PhD, MD Mayo Clinic Proceedings

Diagnostic Approach to the Complexity of IgG4-Related Disease

Evaluation of Proteinuria

Crohn Disease: Epidemiology, Diagnosis, and Management

Early Computerization of Patient Care at Mayo Clinic

William L. Lanier, MD Mayo Clinic Proceedings

A Comparison of Long- and Short-Acting Opioids for the Treatment of Chronic Noncancer Pain: Tailoring Therapy to Meet Patient Needs Charles E. Argoff,

Review of Childhood Obesity

H. Gordon Deen, MD, Thomas D. Rizzo, MD, Douglas S. Fenton, MD

Obsessive Compulsive Disorder: A Clinical Update

Successful use of magnetic resonance–guided focused ultrasound surgery to relieve symptoms in a patient with symptomatic focal adenomyosis Sang-Wook.

Michele A. Hanson, M.D., Daniel A. Dumesic, M.D.

62-Year-Old Woman With Rapidly Evolving Dementia

Peripheral Arterial Disease: Diagnosis and Management

Corticosteroids in the Treatment of Alcohol-Induced Rhabdomyolysis

Glaucoma: Changing Concepts and Future Directions

Muhammad R. Sohail, MD Mayo Clinic Proceedings

Ultrasound-guided high-intensity focused ultrasound ablation for adenomyosis: the clinical experience of a single center Min Zhou, M.D., Ph.D., Jin-Yun.

Palliative Care and Hospice Programs

RICHARD K. WINKELMANN, M.D., Ph.D., J. CLARKE STEVENS, M.D.

Diffuse Venous Thrombosis

Deep Brain Stimulation: Current and Future Clinical Applications

Dying in the Intensive Care Unit: A Candle Vigil Using Illustrations

Photodynamic Therapy for Early Stage Central Type of Lung Cancer

Ayalew Tefferi, MD Mayo Clinic Proceedings

Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatment, and Satisfaction Velma L. Payne, PhD, Hardeep.

MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R

Treating Tobacco Dependence in Light of the 2008 US Department of Health and Human Services Clinical Practice Guideline J. Taylor Hays, MD, Jon O. Ebbert,

Joanna Zurko, MD, Amitkumar Mehta, MD

Refurbishing Mayo Clinic Proceedings:

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

25-Year-Old Man With Recurring Headache and Confusion

Para doxical Embolization in an Adult Patient With Cystic Fibrosis

Antidepressants and Brain Neurochemistry

Caroline H. Siegel, MD, Richard S. Finn, MD, Michael G. Ho, MD

Evaluation and Management of Abnormal Uterine Bleeding

Central pontine myelinolysis

Evaluation and Management of Penicillin Allergy

Osteoporosis Associated With Megestrol Acetate

W. Michael Hooten, MD, Michelle O. Kinney, MD, Marc A. Huntoon, MD

Diabetic Mastopathy Mayo Clinic Proceedings

Esther V. A. Bouwsma, M. D. , Krzysztof R. Gorny, Ph. D. , Gina K

Spinal Cord Infarction Mimicking Angina Pectoris

Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD

Use of Low-Molecular-Weight Heparin in the Treatment of Venous Thromboembolic Disease: Answers to Frequently Asked Questions Scott C. Litin, M.D., John.

Hepatocellular Carcinoma

Methylphenidate: Its Pharmacology and Uses

Postoperative Trouble

Medical Treatment of Overactive Bladder: In Response

Mark A. Marinella, MD, Kenneth Greene, MD Mayo Clinic Proceedings

Thanh G. Phan, MD, FRACP, William E. Krauss, MD, Robert D. Fealey, MD

Acute Flaccid Myelitis: A Clinical Overview for 2019

Bahram Mokri, MD Mayo Clinic Proceedings

Squamous Cell Carcinoma of the Tongue

Preoperative Smoking Cessation: The Role of the Primary Care Provider

Medical Student Distress: Causes, Consequences, and Proposed Solutions

37-Year-Old Man With Painful Foot

Idiopathic Intracranial Hypertension

Pulmonary Artery Sarcoma: Diagnosis and Postoperative Follow-Up With Gadolinium- Diethylenetriamine Pentaacetic Acid-Enhanced Magnetic Resonance Imaging

Managing Cancer Pain: Basic Principles and Invasive Treatments

Acute and Chronic Seizures in Patients Older Than 60 Years

Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”

Presentation transcript:

Noninvasive Treatment of Uterine Fibroids: Early Mayo Clinic Experience With Magnetic Resonance Imaging-Guided Focused Ultrasound Gina K. Hesley, MD, Joel P. Felmlee, PhD, John B. Gebhart, MD, Kelly T. Dunagan, Krzysztof R. Gorny, PhD, Jessica B. Kesler, RN, Kathleen R. Brandt, MD, Janel N. Glantz, MD, Bobbie S. Gostout, MD Mayo Clinic Proceedings Volume 81, Issue 7, Pages 936-942 (July 2006) DOI: 10.4065/81.7.936 Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Left, Diagram of patient positioned to undergo magnetic resonance imaging-guided focused ultrasound treatment showing pelvic imaging coils and location of the ultrasound (US) transducer, degassed water, Mylar membrane, plastic drape (dashed arrow), and gel pad. Right, Magnetic resonance image showing uterine fibroid and the location of the gel pad and transducer in relationship to the fibroid. Mayo Clinic Proceedings 2006 81, 936-942DOI: (10.4065/81.7.936) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Magnetic resonance image of the pelvis in the coronal plane with the area to be treated outlined in white over the fibroid. Mayo Clinic Proceedings 2006 81, 936-942DOI: (10.4065/81.7.936) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Left, Magnetic resonance image (MRI) in the sagittal plane showing patient lying on a standard flat gel pad. Bowel (white arrow) lies anterior to the uterus, preventing treatment of fibroid. Right, Sagittal MRI of the same patient now lying on a convex gel pad. Bowel (white arrow) is displaced superior to the uterus, allowing for treatment of the fibroid. Mayo Clinic Proceedings 2006 81, 936-942DOI: (10.4065/81.7.936) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 Left, Magnetic resonance image (MRI) in the sagittal plane showing patient with a retroverted uterus and bowel (white arrow) anterior to the uterus preventing treatment of fibroid. Right, Sagittal MRI showing the rectum (white arrow) filled with water to displace the uterus forward. Bowel is now superior to the uterus, allowing for treatment of the fibroid. Mayo Clinic Proceedings 2006 81, 936-942DOI: (10.4065/81.7.936) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions