Patient suitability for magnetic resonance guided focused ultrasound surgery of uterine fibroids.
OBJECTIVE
To assess selection criteria used to determine eligibility for magnetic resonance-guided focused ultrasound surgery (MRgFUS) for the treatment of symptomatic uterine fibroids; to assess the percentage of patients suitable for MRgFUS.


METHODS
A retrospective analysis of 144 patients seeking minimally invasive treatment options for symptomatic uterine fibroids at a single treatment center. Clinical eligibility for MRgFUS was assessed at a gynecology clinic by a Gynecology research fellow trained in the procedure and suitability was assessed by magnetic resonance imaging. Several techniques were used to mitigate against factors that are contra-indications for MRgFUS.


RESULTS
100% of patients interested in MRgFUS were deemed clinically eligible for the procedure and 74% were deemed technically suitable to proceed with treatment.


CONCLUSIONS
Mitigation techniques allow for less restrictive MRgFUS selection criteria for treatment for symptomatic uterine fibroids. These less restrictive criteria are expected to expand the pool of patients for whom MRgFUS is a viable treatment option for uterine fibroid symptoms.
Zaher
Summia
S
Academic Department of Obstetrics and Gynaecology, Department of Radiology, Imperial College London at St. Mary's Hospital, Praed Street, London, W2 1NY, UK. s.zaher@imperial.ac.uk
Gedroyc
Wladyslaw M
WM
Regan
Lesley
L
D000328:Adult; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D018579:Patient Selection; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*