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논문 기본 정보

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저자정보
Xiao-Long Li (Department of Ultrasound, Zhongshan Hospital) Jia-Xin Li (Department of Medical Ultrasound, Center of Minimally Invasive Treatment for Tumor) Song-Yuan Yu (Department of Medical Ultrasound, Center of Minimally Invasive Treatment for Tumor) Pei-Li Fan (Department of Ultrasound, Zhongshan Hospital) Yun-Jie Jin (Department of Ultrasound, Zhongshan Hospital) Er-Jiao Xu (Department of Ultrasound, Eighth Affiliated Hospital of Sun Yat-Sen University) Sai-Nan Guan (Department of Ultrasound, Eighth Affiliated Hospital of Sun Yat-Sen University) Er-Ya Deng (Department of Medical Ultrasound, Center of Minimally Invasive Treatment for Tumor) Qiu-Yan Li (Department of Medical Ultrasound, Center of Minimally Invasive Treatment for Tumor) Zheng-Biao Ji (Department of Ultrasound, Zhongshan Hospital) Jiu-Ling Qi (Department of Ultrasound, Zhongshan Hospital) Hui-Xiong Xu (Department of Ultrasound, Zhongshan Hospital) China Alliance of Multi-Center Clinical Study for Ultrasound (Ultra-Chance) (China Alliance of Multi-Center Clinical Study for Ultrasound (Ultra-Chance))
저널정보
대한초음파의학회 ULTRASONOGRAPHY ULTRASONOGRAPHY Vol.43 No.1
발행연도
2024.1
수록면
68 - 77 (10page)
DOI
10.14366/usg.23145

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Purpose: This study evaluated the value of contrast-enhanced ultrasonography (CEUS) in the ultrasound-guided microwave ablation (MWA) treatment of symptomatic focal uterine adenomyosis.Methods: This retrospective study was conducted between March 2020 and January 2023, enrolling 52 patients with symptomatic focal uterine adenomyosis who had undergone MWA. All patients were examined with CEUS before and after MWA. The non-perfused volume (NPV) was compared between CEUS and dynamic contrast-enhanced magnetic resonance imaging (DCEMRI) following ablation. Therapeutic efficacy and safety were evaluated at 3-, 6-, and 12-month follow-ups. Additionally, this study explored the correlations between pre-treatment CEUS features and a volume reduction ratio indicating sufficient ablation, defined as 50% or more at the 3-month follow-up.Results: No significant differences in NPV were noted between CEUS and DCE-MRI immediately after MWA and during follow-up (all P>0.05). At the 3-month follow-up, the median VRRs for the uterus and adenomyosis were 33.2% and 63.9%, respectively. Sufficient ablation was achieved in 69.2% (36/52) of adenomyosis cases, while partial ablation was observed in the remaining 30.8% (16/52). The identification of non-enhancing areas on pre-treatment CEUS was associated with sufficient ablation (P=0.016). At the 12-month follow-up, significant decreases were observed in both the uterine and adenomyosis volumes (all P<0.001). Dysmenorrhea and menorrhagia were significantly alleviated at 12 months, and no major complications were encountered.Conclusion: CEUS can be used to evaluate the ablation zone of focal adenomyosis that has been treated with MWA, similarly to DCE-MRI. The identification of non-enhancing areas on pretreatment CEUS indicates satisfactory treatment outcomes.
#Contrast-enhanced ultrasound #Microwave ablation #Adenomyosis #Dysmenorrhea #Menorrhagia

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