Evaluation of high intensity focused ultrasound treatment for different types of adenomyosis based on magnetic resonance imaging classification

作者全名："Gong, Chunmei; Wang, Yangyang; Lv, Fajin; Zhang, Lian; Wang, Zhibiao"

作者地址："[Gong, Chunmei; Wang, Yangyang; Zhang, Lian; Wang, Zhibiao] Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China; [Gong, Chunmei; Wang, Yangyang; Zhang, Lian; Wang, Zhibiao] Chongqing Med Univ, Chongqing Key Lab Biomed Engn, Chongqing, Peoples R China; [Lv, Fajin] Chongqing Med Univ, Dept Radiol, Affiliated Hosp 1, Chongqing, Peoples R China"

通信作者："Zhang, L; Wang, ZB (通讯作者)，Chongqing Med Univ, Coll Biomed Engn, Chongqing & Minist Sci & Technol, State Key Lab Ultrasound Engn Med, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF HYPERTHERMIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000770168300001

JCR分区：Q2

影响因子：3.1

年份：2022

卷号：39

期号：1

开始页：530

结束页：538

文献类型：Article

关键词：Adenomyosis; magnetic resonance imaging; classification of adenomyosis; ultrasound guided high-intensity focused ultrasound; medium-term follow-up

摘要："Objective To evaluate the mid-term symptom improvement of patients with different types of adenomyosis based on magnetic resonance imaging (MRI) classification after ultrasound-guided high intensity focused ultrasound (USgHIFU) treatment. Materials and methods A total of 321 patients with adenomyosis who underwent HIFU and completed 18-month follow-up were retrospectively reviewed. Based on the relationship between the adenomyotic lesion and the uterine structural components on T2-weighted imaging (T2WI), adenomyotic lesions were classified as internal, external, full thickness and intramural adenomyosis. Based on the extent of the myometrial involvement, these lesions were further subclassified as asymmetric and symmetric adenomyosis. Results All patients completed HIFU ablation in one session. The range of median menstrual pain score in patients with asymmetric internal, symmetric internal, asymmetric external, asymmetric full thickness, symmetric full thickness, and intramural adenomyosis was between 6 and 8 points before HIFU, the median menstrual pain score decreased to 2-4 points 18-month post-HIFU (p < .005). The menstrual pain relief rate was 68.3%, 62.1%, 54.7%, 64.1%, 60%, and 100%, respectively. The median menstrual blood volume score range was between 2 and 4 points in the different groups of patients before HIFU, it decreased to 1-3 points 18-month after HIFU with a relief rate of 68.3%, 51.6%, 51.0%, 55.5%, 57.2%, and 100%, respectively. No serious complication occurred in any of these patients. Conclusions Based on our results, USgHIFU is safe and effective in the treatment of patients with different subtypes of adenomyosis with mid-term sustained improvement in symptoms of menstrual pain and menstrual blood volume."

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