HIFU Ablation
This chapter illustrates the use of an ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation system for treating adenomyosis, detailing preoperative preparation and the therapeutic process.
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The paper describes ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation for adenomyosis, contrasting it with magnetic resonance–guided HIFU (MRgHIFU) and emphasizing that ultrasound monitoring is less expensive and can provide real-time observation of uterine position and bowel movement during treatment. It reports that therapeutic effects at target lesions can be assessed via gray-scale changes on ultrasound, along with absence of Doppler blood flow and lack of perfusion of ultrasound contrast agent at adenomyosis lesions, which the chapter presents as reliable monitoring indicators. A major caveat stated is that the chapter provides an illustrative description of the therapeutic process and monitoring approach rather than presenting comparative efficacy data or detailed study limitations. This paper is centrally about endometriosis and adenomyosis — it specifically focuses on adenomyosis using ultrasound-guided HIFU ablation and the ultrasound monitoring indicators for lesion effect.
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- openalex
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