The Study of Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MRgFUS) Treatment for Adenomyosis

In: ISMRM Annual Meeting · 2025 · doi:10.58530/2025/2194 · W4414238102
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Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MRgFUS) treatment was found to be safe and effective in reducing uterine volume and improving dysmenorrhea in 62 adenomyosis patients.

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This study evaluated the safety and efficacy of magnetic resonance-guided high-intensity focused ultrasound (MRgFUS) for uterine adenomyosis in 62 patients, monitoring adverse reactions during treatment and assessing changes in uterine size and dysmenorrhea scores pre- versus post-treatment. The authors report that all 62 patients completed MRgFUS successfully without severe adverse reactions, with an average ablation rate of 69.12% ± 17.64%. After treatment, uterine volume and dysmenorrhea scores improved significantly compared with baseline (p < 0.05). The paper is presented as an abstract and does not specify additional limitations such as study design details beyond the safety/efficacy observations. This paper is centrally about adenomyosis — it investigates MRgFUS as a non-invasive treatment for adenomyosis-related dysmenorrhea and uterine changes.

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Abstract

Motivation: The symptoms of dysmenorrhea, infertility and hypermenorrhea caused by adenomyosis seriously affect the daily life of patients. Therefore, there is an urgent need for an effective non-invasive treatment of uterine adenomyosis. Goal(s): To investigate the safety and efficacy of Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MRgFUS) treatment on adenomyosis. Approach: MRgFUS was performed on 62 adenomyosis patients to observe the adverse reactions during treatment, the changes of uterine size and improvement of dysmenorrhea. Results: All 62 patients successfully underwent MRgFUS treatment without severe adverse reactions(average ablation rate 69.12%±17.64%). Post-treatment uterine volume and dysmenorrhea scores showed statistically significant improvements compared to pre-treatment (p<0.05). Impact: MRgFUS is safe and effective in the treatment of uterine adenomyosis, and is a new non-invasive treatment approach.
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Abstract

#2194 DOI: https://doi.org/10.58530/2025/2194 Qi Zhang1, Yujia Shen1, Linghui Xu1, Junhai Zhang1, and Pu-Yeh Wu2 1Huashan Hospital, Fudan University, Shanghai, China, 2GE Healthcare, Beijing, China, Bei Jing, China

Keywords

MR-Guided Focused Ultrasound, MR-Guided Interventions Motivation: The symptoms of dysmenorrhea, infertility and hypermenorrhea caused by adenomyosis seriously affect the daily life of patients. Therefore, there is an urgent need for an effective non-invasive treatment of uterine adenomyosis. Goal(s): To investigate the safety and efficacy of Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MRgFUS) treatment on adenomyosis. Approach: MRgFUS was performed on 62 adenomyosis patients to observe the adverse reactions during treatment, the changes of uterine size and improvement of dysmenorrhea.

Results

All 62 patients successfully underwent MRgFUS treatment without severe adverse reactions(average ablation rate 69.12%±17.64%). Post-treatment uterine volume and dysmenorrhea scores showed statistically significant improvements compared to pre-treatment (p<0.05). Impact: MRgFUS is safe and effective in the treatment of uterine adenomyosis, and is a new non-invasive treatment approach. How to access this content: For one year after publication, abstracts and videos are only open to registrants of this annual meeting. Registrants should use their existing login information. Non-registrant access can be purchased via the ISMRM E-Library. After one year, current ISMRM & ISMRT members get free access to both the abstracts and videos. Non-members and non-registrants must purchase access via the ISMRM E-Library. After two years, the meeting proceedings (abstracts) are opened to the public and require no login information. Videos remain behind password for access by members, registrants and E-Library customers. Keywords

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adenomyosisdysmenorrheainfertility

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