{"paper_id":"f7ca9573-d411-4c0a-8b44-276e7a5b3e49","body_text":"Abstract\nUltrasound monitoring is the method to apply diagnostic imaging technology to guide the treatment of high-intensity focused ultrasound (HIFU). The treatment is called ultrasound-guided HIFU (USgHIFU) ablation surgery. Compared with focused ultrasound ablation surgery guided by magnetic resonance (MRgHIFU), HIFU under ultrasound monitoring is less expensive. Besides, ultrasound monitoring can also provide real-time image monitoring of changes in uterine position and bowel movement during the ablation procedure. The therapeutic effect can be shown by the gray-scale changes at the target lesions during HIFU ablation. Under ultrasound monitoring, all these gray-scale changes, absence of Doppler blood flow, and non-perfusion of ultrasound contrast agent at the adenomyosis lesion will indicate the effects of HIFU; thus, it is a reliable monitoring indicator [1]. In addition, ultrasound monitoring is quieter, and patients do not need to be in a relatively enclosed treatment environment, like in an MRI room. Therefore we are illustrating the use of a USgHIFU ablation system, which is more popular in China. In this chapter, we will introduce the preoperative preparation and the therapeutic process of focused ultrasound ablation surgery for adenomyosis.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nOrsi F, et al. High-intensity focused ultrasound ablation: effective and safe therapy for solid tumors in difficult locations. Am J Roentgenol. 2010;195(3):W245–52.\nZhang L, et al. Ultrasound-guided high intensity focused ultrasound for the treatment of gynaecological diseases: a review of safety and efficacy. Int J Hyperth. 2015;31(3):280–4.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.\nAbout this chapter\nCite this chapter\nZhu, X., Wong, F., Xue, M. (2021). HIFU Ablation. In: Xue, M., Leng, J., Wong, F. (eds) Adenomyosis. Springer, Singapore. https://doi.org/10.1007/978-981-33-4095-4_14\nDownload citation\nDOI: https://doi.org/10.1007/978-981-33-4095-4_14\nPublished:\nPublisher Name: Springer, Singapore\nPrint ISBN: 978-981-33-4094-7\nOnline ISBN: 978-981-33-4095-4\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}