This book aims to provide readers advanced information on the clinical application of MRI and ultrasound-guided focused ultrasound ablation for benign uterine diseases. Followed by a brief introduction of the principle and method of focused ultrasound ablation, and imaging diagnosis of uterine fibroids and adenomyosis, typical cases of focused ultrasound ablation treatment for uterine fibroids, adenomyosis and other benign uterine diseases are presented, accompanying with high-resolution illustrations. Key points in imaging diagnosis, efficacy prediction, ablation procedure, and posttreatment evaluation are included. The possible complications and treatment strategies are also discussed. It will be a useful reference for gynaecologists and practitioners to perform focused ultrasound ablation for the treatment of benign uterine diseases.
Author(s): Yonghua Xu, Lixia Yang, Felix Wong
Publisher: Springer
Year: 2023
Language: English
Pages: 272
City: Singapore
Preface
Contents
About the Editors
1: Principles and Procedure of Focused Ultrasound Ablation Surgery
1.1 Ultrasound Guided Focused Ultrasound Therapy
1.1.1 Principles of Treatment
1.1.2 Treatment Procedure
1.1.2.1 Treatment Equipment
1.1.2.2 Treatment Process
1.2 Magnetic Resonance Guided Focused Ultrasound Therapy
1.2.1 Principles of Treatment
1.2.2 Treatment Procedure
1.2.2.1 Treatment Equipment
1.2.2.2 MRgHIFU Procedure
1.3 Comparison of Two Guidance Modalities for Focused Ultrasound Therapy
1.3.1 Advantages and Disadvantages of Ultrasound-Guided Focused Ultrasound Ablation
1.3.2 Advantages and Disadvantages of Magnetic Resonance-Guided Focused Ultrasound Therapy
1.4 5G-Backed Remote Focused Ultrasound Therapy and Future “Digital Medicine”
References
2: Imaging Diagnosis of Uterine Fibroids
2.1 MRI Diagnosis of Uterine Fibroids
2.1.1 MRI Findings of a Normal Uterus
2.1.1.1 Uterine Body
2.1.1.2 Uterine Isthmus
2.1.1.3 Uterine Cervix
2.1.1.4 Uterine Ligament
2.1.1.5 Uterus and Ovaries
2.1.1.6 Uterine Functional Imaging
2.1.1.7 Uterine T1WI Dynamic Enhanced Imaging
2.1.2 Classifications and Types of Uterine Fibroids
2.1.2.1 Submucosal Uterine Fibroids (Type 0 to II)
MRI Findings
Differential Diagnosis
2.1.2.2 Intramural Uterine Fibroids (Type III, IV)
MRI Findings
Differential Diagnosis
2.1.2.3 The Intramural Uterine Fibroid (Type V)
MRI Findings
2.1.2.4 Subserosal Hysteromyoma (Type VI, VII)
MRI Findings
Differential Diagnosis
2.1.2.5 Special Types: Cervical Fibroid (Type VIII)
MRI Findings
Differential Diagnosis
2.1.2.6 Special Type: Broad Ligament Fibroids
MRI Findings
2.1.2.7 Special Type: Multiple Uterine Fibroids
MRI Findings
Differential Diagnosis
2.1.2.8 Special Type: Uterine Leiomyomatosis
MRI Findings
Differential Diagnosis
2.1.3 Signal Characteristics and Classification of Uterine Fibroids
2.1.4 Special Signal Fibroids: Red Degeneration of Uterine Fibroid
2.1.4.1 MRI Findings
2.1.4.2 Differential Diagnosis
2.2 CT Diagnosis of Uterine Fibroids
2.2.1 CT Findings of a Normal Uterus
2.2.1.1 Body of Uterus
2.2.1.2 Uterine Cervix
2.2.1.3 Ovary
2.2.1.4 Uterine Ligaments
2.2.1.5 Contrast-Enhanced CT Scan of the Uterus
2.2.2 Uterine Fibroids
2.2.2.1 Submucosal Uterine Fibroids
CT Findings
Differential Diagnosis
2.2.2.2 Intramural Uterine Fibroids
CT Findings
Differential Diagnosis
2.2.2.3 Subserosal Uterine Fibroids
CT Findings
[Differential Diagnosis]
2.2.3 Special Types of Uterine Fibroids
2.2.3.1 Uterine Cervical Fibroids
CT Findings
Differential Diagnosis
2.2.3.2 Multiple Uterine Fibroids
CT Findings
Differential Diagnosis
2.3 Ultrasound Diagnosis of Uterine Fibroids
2.3.1 Submucosal Uterine Fibroids
2.3.1.1 US Manifestation
2.3.1.2 Differential Diagnosis
2.3.2 Submucosal Uterine Fibroids
2.3.2.1 US Manifestation
2.3.2.2 Differential Diagnosis
2.3.3 Pedunculated Subserosal Fibroid
2.3.3.1 US Manifestation
2.3.3.2 Differential Diagnosis
2.3.4 Cervical Fibroids
2.3.4.1 US Manifestation
2.3.4.2 Differential Diagnosis
2.3.5 Broad Ligament Fibroids
2.3.5.1 US Manifestation
2.3.5.2 Differential Diagnosis
2.3.6 Rare Uterine Fibroid
2.3.6.1 Diffuse Uterine Leiomyomatosis (DUL)
US Manifestation
Differential Diagnosis
2.3.7 Uterine Angioleiomyomatosis
2.3.7.1 US Manifestation
2.3.7.2 Differential Diagnosis
References
3: Imaging Diagnosis of Adenomyosis (Adenomyoma)
3.1 MRI Diagnosis of Adenomyosis (Adenomyoma)
3.1.1 Adenomyosis
3.1.1.1 MRI Findings
3.1.2 Adenomyoma
3.1.2.1 MRI Findings
3.1.2.2 Differential Diagnosis
3.1.3 Adenomyosis (Adenomyoma) Combined with Uterine Fibroids
3.1.3.1 MRI Findings
3.2 CT Diagnosis of Adenomyosis (Adenomyoma)
3.2.1 CT Findings
3.2.2 Differential Diagnosis
3.3 Ultrasound Diagnosis of Adenomyosis
3.3.1 Diffuse Adenomyosis
3.3.1.1 US Manifestation
3.3.1.2 Differential Diagnosis
3.3.2 Adenomyoma of Uterus
3.3.2.1 US Manifestation
3.3.2.2 Differential Diagnosis
3.3.3 Adenomyosis Cyst
3.3.3.1 US Manifestation
3.3.3.2 Differential Diagnosis
References
4: Focused Ultrasound Ablation for Uterine Fibroids
4.1 Focused Ultrasound Ablation for Submucosal Uterine Fibroids
4.1.1 Case 1 Type 0 Submucosal Fibroid (1)
4.1.1.1 Case Description
4.1.1.2 Pre-Treatment Assessment
4.1.1.3 Treatment Techniques
4.1.1.4 Post-Treatment Assessment
4.1.1.5 Discussion
4.1.2 Case 2 Type 0 Submucosal Fibroid (2)
4.1.2.1 Case Description
4.1.2.2 Pre-Treatment Assessment
4.1.2.3 Treatment Techniques
4.1.2.4 Post-Treatment Assessment
4.1.2.5 Discussion
4.1.3 Case 3 Type I Submucosal Fibroid (1)
4.1.3.1 Case Description
4.1.3.2 Pre-Treatment Assessment
4.1.3.3 Treatment Techniques
4.1.3.4 Post-Treatment Assessment
4.1.3.5 Discussion
4.1.4 Case 4 Type I Submucosal Fibroid (2)
4.1.4.1 Case Description
4.1.4.2 Pre-Treatment Assessment
4.1.4.3 Treatment Techniques
4.1.4.4 Post-Treatment Assessment
4.1.4.5 Discussion
4.1.5 Case 5 Type I Submucosal Fibroid (3)
4.1.5.1 Case Description
4.1.5.2 Pre-Treatment Assessment
4.1.5.3 Treatment Techniques
4.1.5.4 Post-Treatment Assessment
4.1.5.5 Discussion
4.1.6 Case 6 Type I Submucosal Fibroid (4)
4.1.6.1 Case Description
4.1.6.2 Pre-Treatment Assessment
4.1.6.3 Treatment Techniques
4.1.6.4 Post-Treatment Assessment
4.1.6.5 Discussion
4.1.7 Case 7 Type I Submucosal Fibroid (5)
4.1.7.1 Case Description
4.1.7.2 Pre-Treatment Assessment
4.1.7.3 Treatment Techniques
4.1.7.4 Post-Treatment Assessment
4.1.7.5 Discussion
4.1.8 Case 8 Type II Submucosal Fibroid (1)
4.1.8.1 Case Description
4.1.8.2 Pre-Treatment Assessment
4.1.8.3 Treatment Techniques
4.1.8.4 Post-Treatment Assessment
4.1.8.5 Discussion
4.1.9 Case 9 Type II Submucosal Fibroid (2)
4.1.9.1 Case Description
4.1.9.2 Pre-Treatment Assessment
4.1.9.3 Treatment Techniques
4.1.9.4 Post-Treatment Assessment
4.1.9.5 Discussion
4.1.10 Case 10 Type II Submucosal Fibroid (3)
4.1.10.1 Case Description
4.1.10.2 Pre-Treatment Assessment
4.1.10.3 Treatment Techniques
4.1.10.4 Post-Treatment Assessment
4.1.10.5 Discussion
4.1.11 Case 11 Type II Submucosal Fibroid (4)
4.1.11.1 Case Description
4.1.11.2 Pre-Treatment Assessment
4.1.11.3 Treatment Techniques
4.1.11.4 Post-Treatment Assessment
4.1.11.5 Discussion
4.1.12 Case 12 Type II Submucosal Fibroid (5)
4.1.12.1 Case Description
4.1.12.2 Pre-Treatment Assessment
4.1.12.3 Treatment Techniques
4.1.12.4 Post-Treatment Assessment
4.1.12.5 Discussion
4.1.13 Case 13 Type II Submucosal Fibroid (6)
4.1.13.1 Case Description
4.1.13.2 Pre-Treatment Assessment
4.1.13.3 Treatment Techniques
4.1.13.4 Post-Treatment Assessment
4.1.13.5 Discussion
4.2 Focused Ultrasound Ablation for Intramural Uterine Fibroids
4.2.1 Case 1 Type III Intramural Fibroid (1)
4.2.1.1 Case Description
4.2.1.2 Pre-Treatment Assessment
4.2.1.3 Treatment Techniques
4.2.1.4 Post-Treatment Assessment
4.2.1.5 Discussion
4.2.2 Case 2 Type III Intramural Fibroid (2)
4.2.2.1 Case Description
4.2.2.2 Pre-Treatment Assessment
4.2.2.3 Treatment Techniques
4.2.2.4 Post-Treatment Assessment
4.2.2.5 Discussion
4.2.3 Case 3 Type III Intramural Fibroid (3)
4.2.3.1 Case Description
4.2.3.2 Pre-Treatment Assessment
4.2.3.3 Treatment Techniques
4.2.3.4 Post-Treatment Assessment
4.2.3.5 Discussion
4.2.4 Case 4 Type III Intramural Fibroids (4)
4.2.4.1 Case Description
4.2.4.2 Pre-Treatment Assessment
4.2.4.3 Treatment Techniques
4.2.4.4 Post-Treatment Assessment
4.2.4.5 Discussion
4.2.5 Case 5 Type III Intramural Fibroid (5)
4.2.5.1 Case Description
4.2.5.2 Pre-Treatment Assessment
4.2.5.3 Treatment Techniques
4.2.5.4 Post-Treatment Assessment
4.2.5.5 Discussion
4.2.6 Case 6 Type III Intramural Fibroid (6)
4.2.6.1 Case Description
4.2.6.2 Pre-Treatment Assessment
4.2.6.3 Treatment Techniques
4.2.6.4 Post-treatment Assessment
4.2.6.5 Discussion
4.2.7 Case 7 Type III Intramural Fibroid (7)
4.2.7.1 Case Description
4.2.7.2 Pre-Treatment Assessment
4.2.7.3 Treatment Techniques
4.2.7.4 Post-Treatment Assessment
4.2.7.5 Discussion
4.2.8 Case 8 Type III Intramural Fibroid (8)
4.2.8.1 Case Description
4.2.8.2 Pre-Treatment Assessment
4.2.8.3 Treatment Techniques
4.2.8.4 Post-Treatment Assessment
4.2.8.5 Discussion
4.2.9 Case 9 Type III Intramural Fibroid (9)
4.2.9.1 Case Description
4.2.9.2 Pre-Treatment Assessment
4.2.9.3 Treatment Techniques
4.2.9.4 Post-Treatment Assessment
4.2.9.5 Discussion
4.2.10 Case 10 Type IV Intramural Fibroids (1)
4.2.10.1 Case Description
4.2.10.2 Pre-Treatment Assessment
4.2.10.3 Treatment Techniques
4.2.10.4 Post-Treatment Assessment
4.2.10.5 Discussion
4.2.11 Case 11 Type IV Intramural Fibroids (2)
4.2.11.1 Case Description
4.2.11.2 Pre-Treatment Assessment
4.2.11.3 Treatment Techniques
4.2.11.4 Post-Treatment Assessment
4.2.11.5 Discussion
4.2.12 Case 12 Type IV Intramural Fibroids (3)
4.2.12.1 Case Description
4.2.12.2 Pre-Treatment Assessment
4.2.12.3 Treatment Techniques
4.2.12.4 Post-Treatment Assessment
4.2.12.5 Discussion
4.2.13 Case 13 Type IV Intramural Fibroid (4)
4.2.13.1 Case Description
4.2.13.2 Pre-Treatment Assessment
4.2.13.3 Treatment Techniques
4.2.13.4 Post-Treatment Assessment
4.2.13.5 Discussion
4.2.14 Case 14 Type IV Intramural Fibroid (5)
4.2.14.1 Case Description
4.2.14.2 Pre-Treatment Assessment
4.2.14.3 Treatment Techniques
4.2.14.4 Post-Treatment Assessment
4.2.14.5 Discussion
4.2.15 Case 15 Type IV Intramural Fibroid (6)
4.2.15.1 Case Description
4.2.15.2 Pre-Treatment Assessment
4.2.15.3 Treatment Techniques
4.2.15.4 Post-Treatment Assessment
4.2.15.5 Discussion
4.2.16 Case 16 Type IV Intramural Fibroid (7)
4.2.16.1 Case Description
4.2.16.2 Pre-Treatment Assessment
4.2.16.3 Treatment Techniques
4.2.16.4 Post-Treatment Assessment
4.2.16.5 Discussion
4.2.17 Case 17 Type IV Intramural Fibroid (8)
4.2.17.1 Case Description
4.2.17.2 Pre-Treatment Assessment
4.2.17.3 Treatment Techniques
4.2.17.4 Post-Treatment Assessment
4.2.17.5 Discussion
4.2.18 Case 18 Type IV Intramural Fibroid (9)
4.2.18.1 Case Description
4.2.18.2 Pre-Treatment Assessment
4.2.18.3 Treatment Techniques
4.2.18.4 Post-Treatment Assessment
4.2.18.5 Discussion
4.2.19 Case 19 Type V Intramural Fibroid (1)
4.2.19.1 Case Description
4.2.19.2 Pre-Treatment Assessment
4.2.19.3 Treatment Techniques
4.2.19.4 Post-Treatment Assessment
4.2.19.5 Discussion
4.2.20 Case 20 Type V Intramural Fibroid (2)
4.2.20.1 Case Description
4.2.20.2 Pre-Treatment Assessment
4.2.20.3 Treatment Techniques
4.2.20.4 Post-Treatment Assessment
4.2.20.5 Discussion
4.2.21 Case 21 Type V Intramural Fibroid (3)
4.2.21.1 Case Description
4.2.21.2 Pre-Treatment Assessment
4.2.21.3 Treatment Techniques
4.2.21.4 Post-Treatment Assessment
4.2.21.5 Discussion
4.2.22 Case 22 Type V Intramural Fibroid (4)
4.2.22.1 Case Description
4.2.22.2 Pre-Treatment Assessment
4.2.22.3 Treatment Techniques
4.2.22.4 Post-Treatment Assessment
4.2.22.5 Discussion
4.2.23 Case 23 Type V Intramural Fibroid (5)
4.2.23.1 Case Description
4.2.23.2 Pre-treatment Assessment
4.2.23.3 Treatment Techniques
4.2.23.4 Post-Treatment Assessment
4.2.23.5 Discussion
4.2.24 Case 24 Type V Intramural Fibroid (6)
4.2.24.1 Case Description
4.2.24.2 Pre-Treatment Assessment
4.2.24.3 Treatment Techniques
4.2.24.4 Post-Treatment Assessment
4.2.24.5 Discussion
4.2.25 Case 25 Type V Intramural Fibroid (7)
4.2.25.1 Case Description
4.2.25.2 Pre-Treatment Assessment
4.2.25.3 Treatment Techniques
4.2.25.4 Post-Treatment Assessment
4.2.25.5 Pre-Retreatment Assessment
4.2.25.6 Retreatment Technique
4.2.25.7 Post-Retreatment Assessment
4.2.25.8 Discussion
4.2.26 Case 26 Type V Intramural Fibroid (8)
4.2.26.1 Case Description
4.2.26.2 Pre-Treatment Assessment
4.2.26.3 Treatment Techniques
4.2.26.4 Post-Treatment Assessment
4.2.26.5 Discussion
4.3 Focused Ultrasound Ablation for Subserosal Uterine Fibroids
4.3.1 Case 1 Type VI Subserosal Fibroid (1)
4.3.1.1 Case Description
4.3.1.2 Pre-Treatment Assessment
4.3.1.3 Treatment Techniques
4.3.1.4 Post-Treatment Assessment
4.3.1.5 Discussion
4.3.2 Case 2 Type VI Subserosal Fibroids (2)
4.3.2.1 Case Description
4.3.2.2 Pre-Treatment Assessment
4.3.2.3 Treatment Techniques
4.3.2.4 Post-Treatment Assessment
4.3.2.5 Discussion
4.3.3 Case 3 Type VI Subserosal Fibroid (3)
4.3.3.1 Case Description
4.3.3.2 Pre-Treatment Assessment
4.3.3.3 Treatment Techniques
4.3.3.4 Post-Treatment Assessment
4.3.3.5 Discussion
4.3.4 Case 4 Type VI Subserosal Fibroid (4)
4.3.4.1 Case Description
4.3.4.2 Pre-Treatment Assessment
4.3.4.3 Treatment Techniques
4.3.4.4 Post-Treatment Assessment
4.3.4.5 Discussion
4.3.5 Case 5 Type VI Subserosal Fibroid (5)
4.3.5.1 Case Description
4.3.5.2 Pre-Treatment Assessment
4.3.5.3 Treatment Techniques
4.3.5.4 Post-Treatment Assessment
4.3.5.5 Discussion
4.3.6 Case 6 Type VI Subserosal Fibroid (6)
4.3.6.1 Case Description
4.3.6.2 Pre-Treatment Assessment
4.3.6.3 Treatment Techniques
4.3.6.4 Post-Treatment Assessment
4.3.6.5 Discussion
4.3.7 Case 7 Type VI Subserosal Fibroid (7)
4.3.7.1 Case Description
4.3.7.2 Pre-Treatment Assessment
4.3.7.3 Treatment Techniques
4.3.7.4 Post-Treatment Assessment
4.3.7.5 Discussion
4.3.8 Case 8 Type VI Subserosal Fibroid (8)
4.3.8.1 Case Description
4.3.8.2 Pre-Treatment Assessment
4.3.8.3 Treatment Techniques
4.3.8.4 Post-Treatment Assessment
4.3.8.5 Discussion
4.3.9 Case 9 Type VI Subserosal Fibroids (9)
4.3.9.1 Case Description
4.3.9.2 Pre-Treatment Assessment
4.3.9.3 Treatment Techniques
4.3.9.4 Post-Treatment Assessment
4.3.9.5 Discussion
4.3.10 Case 10 Type VI Subserosal Fibroid (10)
4.3.10.1 Case Description
4.3.10.2 Pre-Treatment Assessment
4.3.10.3 Treatment Techniques
4.3.10.4 Post-Treatment Assessment
4.3.10.5 Discussion
4.3.11 Case 11 Type VI Subserosal Fibroid (11)
4.3.11.1 Case Description
4.3.11.2 Pre-Treatment Assessment
4.3.11.3 Treatment Techniques
4.3.11.4 Post-Treatment Assessment
4.3.11.5 Discussion
4.3.12 Case 12 Type VI Subserosal Fibroids (12)
4.3.12.1 Case Description
4.3.12.2 Pre-Treatment Assessment
4.3.12.3 Treatment Techniques
4.3.12.4 Post-Treatment Assessment
4.3.12.5 Discussion
4.3.13 Case 13 Type VI Subserosal Fibroid (13)
4.3.13.1 Case Description
4.3.13.2 Pre-Treatment Assessment
4.3.13.3 Treatment Techniques
4.3.13.4 Post-Treatment Assessment
4.3.13.5 Discussion
4.3.14 Case 14 Type VI Subserosal Fibroid (14)
4.3.14.1 Case Description
4.3.14.2 Pre-Treatment Assessment
4.3.14.3 Treatment Techniques
4.3.14.4 Post-Treatment Assessment
4.3.14.5 Discussion
4.3.15 Case 15 Type VI Subserosal Fibroid (15)
4.3.15.1 Case Description
4.3.15.2 Pre-Treatment Assessment
4.3.15.3 Treatment Techniques
4.3.15.4 Post-Treatment Assessment
4.3.15.5 Discussion
4.3.16 Case 16 Type VII Subserosal Fibroid (1)
4.3.16.1 Case Description
4.3.16.2 Pre-Treatment Assessment
4.3.16.3 Treatment Techniques
4.3.16.4 Post-Treatment Assessment
4.3.16.5 Discussion
4.3.17 Case 17 Type VII Subserosal Fibroids (2)
4.3.17.1 Case Description
4.3.17.2 Pre-Treatment Assessment
4.3.17.3 Treatment Techniques
4.3.17.4 Post-Treatment Assessment
4.3.17.5 Discussion
4.4 Focused Ultrasound Ablation for Special Types of Uterine Fibroids (Type VIII Uterine Fibroid)
4.4.1 Focused Ultrasound Ablation Treatment of Cervical Uterine Fibroids
4.4.1.1 Case 1
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.1.2 Case 2
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.1.3 Case 3
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.1.4 Case 4
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.2 Focused Ultrasound Ablation for the Treatment of Broad Ligament Uterine Fibroids
4.4.2.1 Case 1
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.2.2 Case 2
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.2.3 Case 3
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.2.4 Case 4
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3 Focused Ultrasound Ablation for Multiple Uterine Fibroids
4.4.3.1 Case 1
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.2 Case 2
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.3 Case 3
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.4 Case 4
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.5 Case 5
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.6 Case 6
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.7 Case 7
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.8 Case 8
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.9 Case 9
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.10 Case 10
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.11 Case 11
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.12 Case 12
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.3.13 Case 13
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.4 Focused Ultrasound Ablation for Treatment of Diffuse Uterine Leiomyomatosis (DUL)
4.4.4.1 Case 1
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.4.2 Case 2
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.4.3 Case 3
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.5 Focused Ultrasound Ablation for Treatment of Uterine Giant Fibroids
4.4.5.1 Case 1
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.5.2 Case 2
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
4.4.5.3 Case 3
Case Description
Pre-Treatment Assessment
Treatment Techniques
Post-Treatment Assessment
Discussion
5: Focused Ultrasound Ablation for Adenomyosis
5.1 Focused Ultrasound Ablation for Focal Adenomyosis (Adenomyoma)
5.1.1 Case 1
5.1.1.1 Case Description
5.1.1.2 Pre-Treatment Assessment
5.1.1.3 Treatment Techniques
5.1.1.4 Post-Treatment Assessment
5.1.1.5 Discussion
5.1.2 Case 2
5.1.2.1 Case Description
5.1.2.2 Pre-Treatment Assessment
5.1.2.3 Treatment Techniques
5.1.2.4 Post-treatment Assessment
5.1.2.5 Discussion
5.1.3 Case 3
5.1.3.1 Case Description
5.1.3.2 Pre-Treatment Assessment
5.1.3.3 Treatment Techniques
5.1.3.4 Post-Treatment Assessment
5.1.3.5 Discussion
5.1.4 Case 4
5.1.4.1 Case Description
5.1.4.2 Pre-Treatment Assessment
5.1.4.3 Treatment Techniques
5.1.4.4 First Post-Treatment Assessment
5.1.4.5 Second Post-Treatment Assessment
5.1.4.6 Discussion
5.1.5 Case 5
5.1.5.1 Case Description
5.1.5.2 Pre-Treatment Assessment
5.1.5.3 Treatment Techniques
5.1.5.4 Post-Treatment Assessment
5.1.5.5 Discussion
5.2 Focused Ultrasound Ablation for Diffuse Adenomyosis
5.2.1 Case 1
5.2.1.1 Case Description
5.2.1.2 Pre-Treatment Assessment
5.2.1.3 Treatment Techniques
5.2.1.4 Post-Treatment Assessment
5.2.1.5 Discussion
5.2.2 Case 2
5.2.2.1 Case Description
5.2.2.2 Pre-Treatment Assessment
5.2.2.3 Treatment Techniques
5.2.2.4 Post-Treatment Assessment
5.2.2.5 Discussion
5.2.3 Case 3
5.2.3.1 Case Description
5.2.3.2 Pre-Treatment Assessment
5.2.3.3 Treatment Techniques
5.2.3.4 Post-Treatment Assessment
5.2.3.5 Discussion
5.2.4 Case 4
5.2.4.1 Case Description
5.2.4.2 Pre-Treatment Assessment
5.2.4.3 Treatment Techniques
5.2.4.4 Post-Treatment Assessment
5.2.4.5 Discussion
5.2.5 Case 5
5.2.5.1 Case Description
5.2.5.2 Pre-Treatment Assessment
5.2.5.3 Treatment Techniques
5.2.5.4 Post-Treatment Assessment
5.2.5.5 Discussion
5.2.6 Case 6
5.2.6.1 Case Description
5.2.6.2 Pre-Treatment Assessment
5.2.6.3 Treatment Techniques
5.2.6.4 Post-Treatment Assessment
5.2.6.5 Discussion
5.2.7 Case 7
5.2.7.1 Case Description
5.2.7.2 Pre-Treatment Assessment
5.2.7.3 Treatment Techniques
5.2.7.4 Post-Treatment Assessment
5.2.7.5 Discussion
5.2.8 Case 8
5.2.8.1 Case Description
5.2.8.2 Pre-Treatment Assessment
5.2.8.3 Treatment Techniques
5.2.8.4 Post-Treatment Assessment
5.2.8.5 Discussion
5.2.9 Case 9
5.2.9.1 Case Description
5.2.9.2 Pre-Treatment Assessment
5.2.9.3 Treatment Techniques
5.2.9.4 Post-Treatment Assessment
5.2.9.5 Discussion
5.2.10 Case 10
5.2.10.1 Case Description
5.2.10.2 Pre-Treatment Assessment
5.2.10.3 Treatment Techniques
5.2.10.4 Post-Treatment Assessment
5.2.10.5 Discussion
5.2.11 Case 11
5.2.11.1 Case Description
5.2.11.2 Pre-Treatment Assessment
5.2.11.3 Treatment Techniques
5.2.11.4 Post-Treatment Assessment
5.2.11.5 Discussion
6: Focused Ultrasound Ablation for Other Gynecological Related Diseases
6.1 Focused Ultrasound Ablation for Abdominal Wall Endometriosis
6.1.1 Case 1
6.1.1.1 Case Description
6.1.1.2 Pre-Treatment Assessment
6.1.1.3 Treatment Techniques
6.1.1.4 Post-Treatment Assessment
6.1.1.5 Discussion
6.1.2 Case 2
6.1.2.1 Case Description
6.1.2.2 Pre-Treatment Assessment
6.1.2.3 Treatment Techniques
6.1.2.4 Post-Treatment Assessment
6.1.2.5 Discussion
6.1.3 Case 3
6.1.3.1 Case Description
6.1.3.2 Pre-Treatment Assessment
6.1.3.3 Treatment Techniques
6.1.3.4 Post-Treatment Assessment
6.1.3.5 Discussion
6.1.4 Case 4
6.1.4.1 Case Description
6.1.4.2 Pre-Treatment Assessment
6.1.4.3 Treatment Techniques
6.1.4.4 Post-Treatment Assessment
6.1.4.5 Discussion
6.1.5 Case 5
6.1.5.1 Case Description
6.1.5.2 Pre-Treatment Assessment
6.1.5.3 Treatment Techniques
6.1.5.4 Post-Treatment Assessment
6.1.5.5 Discussion
6.2 Focused Ultrasound Ablation for Cesarean Scar Pregnancy
6.2.1 Case 1
6.2.1.1 Case Description
6.2.1.2 Pre-Treatment Assessment
6.2.1.3 Treatment Techniques
6.2.1.4 Post-Treatment Assessment
6.2.1.5 Discussion
6.2.2 Case 2
6.2.2.1 Case Description
6.2.2.2 Pre-Treatment Assessment
6.2.2.3 Treatment Techniques
6.2.2.4 Post-Treatment Assessment
6.2.2.5 Discussion
6.2.3 Case 3
6.2.3.1 Case Description
6.2.3.2 Pre-Treatment Assessment
6.2.3.3 Treatment Techniques
6.2.3.4 Post-Treatment Assessment
6.2.3.5 Discussion
7: Complications and Management of Patients After Focused Ultrasound Ablation
7.1 Classification and Grading of Complications After Focused Ultrasound Ablation Treatment
7.2 Post-Treatment Complications and Preventive Management
7.2.1 Case 1 Persistent Low-Grade Fever Caused by Necrotic Fibroid Infection
7.2.1.1 Case Description
7.2.1.2 Diagnosis and Treatment
7.2.1.3 Post-Treatment Assessment
7.2.1.4 Discussion
7.2.2 Case 2 Abdominal Wall Edema After Focused Ultrasound Ablation Treatment
7.2.2.1 Case Description
7.2.2.2 Diagnosis and Treatment
7.2.2.3 Post-Treatment Assessment
7.2.2.4 Discussion
7.2.3 Case 3 Abdominal Pain Caused by Peritoneal Injury During Treatment
7.2.3.1 Case Description
7.2.3.2 Diagnosis and Treatment
7.2.3.3 Discussion
7.2.4 Case 4 Persistent Abdominal Pain Caused by Uterine Serosa Injury
7.2.4.1 Case Description
7.2.4.2 Diagnosis and Treatment
7.2.4.3 Discussion
7.2.5 Case 5 Hematuria After Focused Ultrasound Ablation
7.2.5.1 Case Description
7.2.5.2 Diagnosis and Treatment
7.2.5.3 Discussion
7.2.6 Case 6 Acute Urinary Retention After Focused Ultrasound Ablation
7.2.6.1 Case Description
7.2.6.2 Diagnosis and Treatment
7.2.6.3 Discussion
7.2.7 Case 7 Crush Injury of the Abdominal Wall
7.2.7.1 Case Description
7.2.7.2 Diagnosis and Treatment
7.2.7.3 Discussion
7.2.8 Case 8. One-Stage Debridement and Suture for Skin Burn
7.2.8.1 Case Description
7.2.8.2 Diagnosis and Treatment
7.2.8.3 Discussion
7.2.9 Case 9 Continuous Vaginal Discharge After Treatment
7.2.9.1 Case Description
7.2.9.2 Diagnosis and Treatment
7.2.9.3 Discussion
7.2.10 Case 10 The Discharged Necrotic Fibroids Incarcerated at the Cervix
7.2.10.1 Case Description
7.2.10.2 Diagnosis and Treatment
7.2.10.3 Discussion
7.2.11 Case 11 Continuous Discharge of Necrotic Tissue After Focused Ultrasound Ablation
7.2.11.1 Case Description
7.2.11.2 Diagnosis and Treatment
7.2.11.3 Discussion
7.2.12 Case 12 Intrauterine Adhesions After Focused Ultrasound Ablation
7.2.12.1 Case Description
7.2.12.2 Diagnosis and Treatment
7.2.12.3 Discussion
7.2.13 Case 13 Intestinal Perforation After Focused Ultrasound Ablation
7.2.13.1 Case Description
7.2.13.2 Diagnosis and Treatment
7.2.13.3 Discussion
7.2.14 Case 14 Sacrococcygeal Injury Caused by Focused Ultrasound Ablation
7.2.14.1 Case Description
7.2.14.2 Diagnosis and Treatment
7.2.14.3 Discussion
7.2.15 Case 15 Nerve Damage Caused by Focused Ultrasound Ablation
7.2.15.1 Case Description
7.2.15.2 Diagnosis and Treatment
7.2.15.3 Discussion
7.2.16 Case 16 Necrotic Fibroid with Aseptic Inflammation Causing Nerve Irritation
7.2.16.1 Case Description
7.2.16.2 Diagnosis and Treatment
7.2.16.3 Discussion
References
