Magnetic Resonance-Guided Focused Ultrasound Surgery for Gynecologic Indications
Elisabeth R Knorren1, Ingrid M Nijholt2, Joke M Schutte3
1Department of Radiology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands; Department of Obstetrics and Gynecology, Isala Hospital, Dokter van Heesweg 2, 8025 AB, Zwolle, the Netherlands.
Abstract:
Magnetic resonance-guided focused ultrasound surgery (MRgFUS) appears to be an effective and safe treatment for uterine fibroids and adenomyosis, particularly in women who wish to preserve fertility. In abdominal wall endometriosis and painful recurrent gynecologic malignancies, MRgFUS can relieve pain, but more research is needed. There is no widespread reimbursement due to the lack of large prospective or randomized controlled trials comparing MRgFUS with standard therapy.


