1,483
Views
41
CrossRef citations to date
0
Altmetric
Research Article

Ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroid treatment – A clinical study

, , , , , & show all
Pages 510-516 | Received 06 Sep 2010, Accepted 09 Feb 2011, Published online: 14 Jul 2011

Figures & data

Figure 1. PMTA of uterine myoma was performed in a patient and the microwave antenna (A) and thermocouple needle (T) were inserted percutaneously into the target.

Figure 1. PMTA of uterine myoma was performed in a patient and the microwave antenna (A) and thermocouple needle (T) were inserted percutaneously into the target.

Figure 2. (A) The ultrasound image of 2D grey-scale of uterus myoma at 10 s after MW therapy. Echo enhancement began around the antennas. (B) Ultrasound image of 2D grey-scale of uterus myoma at 70 s after MW therapy. The area of echogenicity is noted to be enlarged. (C) Ultrasound image of 2D grey-scale of uterus myoma at the end of ablation. The whole myoma is obscured due to echoes.

Figure 2. (A) The ultrasound image of 2D grey-scale of uterus myoma at 10 s after MW therapy. Echo enhancement began around the antennas. (B) Ultrasound image of 2D grey-scale of uterus myoma at 70 s after MW therapy. The area of echogenicity is noted to be enlarged. (C) Ultrasound image of 2D grey-scale of uterus myoma at the end of ablation. The whole myoma is obscured due to echoes.

Figure 3. (A) CDFI of myoma before ablation shows the myoma with hyperperfusion. (B) CDFI of ablated myoma at the end of ablation. No residual colour Doppler is demonstrated.

Figure 3. (A) CDFI of myoma before ablation shows the myoma with hyperperfusion. (B) CDFI of ablated myoma at the end of ablation. No residual colour Doppler is demonstrated.

Figure 4. (A) Contrast enhanced ultrasound (ceUS) image of myoma before ablation. The fibroid was obviously enhanced. (B) CeUS of myoma 1 day following ablation showing no ultrasound contrast enhancement in the myoma.

Figure 4. (A) Contrast enhanced ultrasound (ceUS) image of myoma before ablation. The fibroid was obviously enhanced. (B) CeUS of myoma 1 day following ablation showing no ultrasound contrast enhancement in the myoma.

Figure 5. (A) CeMRI picture of myoma before ablation shows the fibroid was obviously enhanced. (B) Sagittal ceMRI of the pelvis following PMTA of a fibroid in the posterior wall of uterus. No enhancement is seen in the fibroid.

Figure 5. (A) CeMRI picture of myoma before ablation shows the fibroid was obviously enhanced. (B) Sagittal ceMRI of the pelvis following PMTA of a fibroid in the posterior wall of uterus. No enhancement is seen in the fibroid.

Table I.  Fibroid volume and volume reduction at baseline, 3, 6, 9 and 12 months follow up.

Table II.  Patient symptoms after ablation.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.