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Objective If bowels and other structures are in the pathway of high-intensity focused ultrasound (HIFU) beam during magnetic resonance image-guided HIFU (MRgFUS) therapy, filling to the bladder and the rectum and then emptying the bladder (i.e., the BRB technique) is used to avoid them. A modified BRB technique might be useful method to using a uterine elevator method or by inducing uterus downward traction to lower the position of the uterus.

Methods A total of 156 patients who had undergone MRgFUS surgery treatment for uterine fibroids from March 2015 to February 2016 were included in this retrospective study. Of the 156 patients, 40 were treated using a uterine elevator while 29 were treated using downward traction of uterus. HIFU was performed using Philips Achieva 1.5 Tesla MR and Sonalleve HIFU system.

Results MRgFUS surgery was feasible with modified BRB technique in 69 cases. Using uterine elevator method, the intensity of HIFU for group with antefletxio uteri was significantly lower than that for the group without antefletxio uteri (105.37±17.62 vs. 118.71±26.88 W). The group with downward traction of uterus induced was found to have significantly lower intensity of HIFU compared to the group without downward traction of uterus induced (110.26±22.60 vs. 130.51±27.81 W).

Conclusion Modified BRB technique was useful in avoiding bowels and other structures located in HIFU beam pathway during MRgFUS treatment to ablate uterine fibroids.

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기사명 저자명 페이지 원문 목차
Elastographic measurement of the cervix during pregnancy : Current status and future challenges Hyunjung Kim, Han Sung Hwang pp.1-7

Clinical outcomes and neurodevelopmental outcome of prenatally diagnosed agenesis of corpus callosum in single center of Korea Sung Eun Kim, Hye-In Jang, Kylie Hae-jin Chang, Ji-Hee Sung, Jiwon Lee, Jeehun Lee, Suk-Joo Choi, Soo-young Oh, Cheong-Rae Roh, Jong-Hwa Kim pp.8-17

The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion Yoon Jin Cho, Yong Taek Oh, Suk Young Kim, Ju Young Kim, Sun Young Jung, Seung Joo Chon, Jeong Ho Kim, Sung Su Byun pp.18-25

Endometrial polyp surveillance in premenopausal breast cancer patients using tamoxifen Se Jeong Jeon, Jae Il Lee, Maria Lee, Hee Seung Kim, Jae Weon Kim, Noh Hyun Park, Yong Sang Song pp.26-31

Single port access laparoscopic surgery for large adnexal tumors : Initial 51 cases of a single institute Bo Ra Cho, Jae Won Han, Tae Hyun Kim, Ae Ra Han, Sung Eun Hur, Sung Ki Lee, Chul Jung Kim pp.32-38

A novel clinicopathological analysis of early stage ovarian Sertoli-Leydig cell tumors at a single institution Seon Mi Nam, Jee Whan Kim, Kyung Jin Eoh, Hye Min Kim, Jung Yun Lee, Eun Ji Nam, Sunghoon Kim, Sang Wun Kim, Young Tae Kim pp.39-45

In vitro fertilization outcome in women with diminished ovarian reserve Bo Hyon Yun, Gieun Kim, Seon Hee Park, Eun Bee Noe, Seok Kyo Seo, SiHyun Cho, Young Sik Choi, Byung Seok Lee pp.46-52

Effects of vitamin D deficiency and daily calcium intake on bone mineral density and osteoporosis in Korean postmenopausal woman Seung Joo Chon, Yae Kyu Koh, Jin Young Heo, Jinae Lee, Min Kyoung Kim, Bo Hyon Yun, Byung Seok Lee, Seok Kyo Seo pp.53-62

In vitro fertilization outcomes in women with surgery induced diminished ovarian reserve after endometrioma operation : Comparison with diminished ovarian reserve without ovarian surgery Su Been Hong, Na Ra Lee, Seul Ki Kim, Hoon Kim, Byung Chul Jee, Chang Suk Suh, Seok Hyun Kim, Young Min Choi pp.63-68

Uterine fibroid shrinkage after short-term use of selective progesterone receptor modulator or gonadotropin-releasing hormone agonist Min Jin Lee, Bo Seong Yun, Seok Ju Seong, Mi-La Kim, Yong Wook Jung, Mi Kyoung Kim, Hyo Sook Bae, Da Hee Kim, Ji Young Hwang pp.69-73

Clinicopathologic evaluation of myofibroblastoma : A study in two hospitals Seul Ki Kim, Ji Sun Lee, Su Been Hong, Jung Ryeol Lee, Byung Chul Jee, Chang Suk Suh, Seok Hyun Kim pp.74-78

Pretreatment serum human chorionic gonadotropin cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy Junhwan Kim, Young Mi Jung, Da Yong Lee, Byung Chul Jee pp.79-86

Delayed hemorrhage effect of local anesthesia with epinephrine in the loop electrosurgical excisional procedure Yong Jae Lee, Yunjin Park, In Ok Lee, Jung Won Yoon, Jung Yoon Lee, Sang Wun Kim, Sunghoon Kim, Young Tae Kim, Eun Ji Nam pp.87-91

Usefulness of modified BRB technique in treatment to ablate uterine fibroids with magnetic resonance image-guided high-intensity focused ultrasound Jae-Heok Jeong, Kil-Pyo Hong, Yu-Ri Kim, Jae-Eun Ha, Kyu-Sup Lee pp.92-99

Effect of calcium on premenstrual syndrome : A double-blind randomized clinical trial Fatemeh Shobeiri, Fahimeh Ezzati Araste, Reihaneh Ebrahimi, Ensiyeh Jenabi, Mansour Nazari pp.100-105

First reported case of fetal aortic valvuloplasty in Asia Sun-Young Yoon, Hye-Sung Won, Mi-Young Lee, Min Kyong Cho, Euiseok Jung, Ki-Soo Kim, Young-Hwue Kim pp.106-109

Laparoendoscopic single-site radical hysterectomy for early stage cervical cancer Ju Young Park, Yoo Min Kim, Yoo-Young Lee, Tae-Joong Kim, Jeong-Won Lee, Byoung-Gie Kim, Duk-Soo Bae, Chel Hun Choi pp.110-114

Syndrome of inappropriate antidiuretic hormone secretion following irinotecan-cisplatin administration as a treatment for recurrent ovarian clear cell carcinoma Do Youn Kwon, Gwan Hee Han, Roshani Ulak, Kyung Do Ki, Jong Min Lee, Seon Kyung Lee pp.115-117

Lymphoepithelioma-like carcinoma of the uterine cervix Hyun Sil Yun, Sun Kyung Lee, Gun Yoon, Hwi Gon Kim, Dong Hyung Lee, Yong Jin Na, Ook Hwan Choi, Dong Hoon Shin, Yong Jung Song pp.118-123

Extrauterine epithelioid trophoblastic tumor in hysterectomized woman Ji-Hye Kim, Sun Kyung Lee, Soo Hyun Hwang, Jung-Sun Kim, Gun Yoon, Yoo-Young Lee, Tae-Joong Kim, Chel Hun Choi, Byoung-Gie Kim, Duk-Soo Bae, Jeong-Won Lee pp.124-128

Right ventricular metastatic tumor from a primary carcinoma of uterine cervix : A cause of pulmonary embolism Gwan Hee Han, Do Youn Kwon, Roshani Ulak, Kyung Do Ki, Jong-Min Lee, Seon-Kyung Lee pp.129-132

Pregnancy-related osteoporosis and spinal fractures Ka Yeong Yun, Si Eun Han, Seung Chul Kim, Jong Kil Joo, Kyu Sup Lee pp.133-137

참고문헌 (10건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Feasibility of magnetic resonance imaging-guided high intensity focused ultrasound therapy for ablating uterine fibroids in patients with bowel lies anterior to uterus. 네이버 미소장
2 Magnetic resonance-guided focused ultrasound surgery for uterine fibroids: relationship between the therapeutic effects and signal intensity of preexisting T2-weighted magnetic resonance images 네이버 미소장
3 The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata 네이버 미소장
4 Lesion development in focused ultrasound surgery: A general model 네이버 미소장
5 Volumetric MR-guided high-intensity focused ultrasound ablation of uterine fibroids: treatment speed and factors influencing speed. 네이버 미소장
6 A systematic review protocol: social network analysis of tobacco use 네이버 미소장
7 Yoon SW, Kim KA, Hwang YY, Lee C, Cha SH, Lee SY, et al. Magnetic resonance imaging-guided focused ultrasound surgery for uterine fibroids: initial experience in Korea. Korean J Obstet Gynecol 2008;51:982-7. 미소장
8 Non-invasive magnetic resonance imaging-guided focused ultrasound treatment for uterine fibroids - early experience. 네이버 미소장
9 Clinical outcomes of magnetic resonance-guided focused ultrasound surgery for uterine myomas: 24-month follow-up. 네이버 미소장
10 Patient selection guidelines in MR-guided focused ultrasound surgery of uterine fibroids: a pictorial guide to relevant findings in screening pelvic MRI 네이버 미소장

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