Contrast-Enhanced Ultrasound for Monitoring Non-surgical Treatments of Uterine Fibroids: A Systematic Review.

Contrast Media Female Humans Leiomyoma / diagnostic imaging Ultrasonography / methods Uterine Neoplasms / diagnostic imaging
Contrast-enhanced ultrasound High-intensity focused ultrasound ablation Percutaneous microwave ablation Uterine artery embolization Uterine fibroid

Journal

Ultrasound in medicine & biology
ISSN: 1879-291X
Titre abrégé: Ultrasound Med Biol
Pays: England
ID NLM: 0410553

Informations de publication

Date de publication:
01 2021
Historique:
received: 24 03 2020
revised: 21 07 2020
accepted: 18 09 2020
entrez: 26 11 2020
pubmed: 27 11 2020
medline: 18 9 2021
Statut: ppublish

Résumé

Non-surgical treatment options for uterine fibroids are uterine artery embolization (UAE), high-intensity focused ultrasound ablation (HIFUA), and percutaneous microwave ablation (PMWA). Magnetic resonance imaging (MRI) is the reference standard imaging method before and after these procedures. Contrast-enhanced ultrasound (CEUS) has been studied as an alternative to MRI for evaluating the fibroids' characteristics and responses to non-surgical treatments. PubMed, Ovid MEDLINE and Scopus databases were searched for literature published from January 2000 through June 7, 2020, that investigated the application of CEUS as an adjunct to monitor UAE, HIFUA or PMWA in human uterine fibroid treatments. Two independent reviewers analyzed 128 publications, out of which 17 were included. Based on this systematic review, CEUS provides detailed data about fibroid volume and vascularization prior, during and post UAE, and it helps determine the endpoint of the procedure. HIFUA with intra-procedural CEUS has faster volume shrinkage over a shorter time period with less needed energy and provides early detection of residual tissue after HIFUA. CEUS and contrast-enhanced MRI have sufficient agreement to be used interchangeably in the clinic to evaluate the therapeutic effect of PMWA and HIFUA on fibroids.

Identifiants

DOI: 10.1016/j.ultrasmedbio.2020.09.016 PMID: 33239156 PMC: PMC7703678
pubmed: 33239156
pii: S0301-5629(20)30435-X
doi: 10.1016/j.ultrasmedbio.2020.09.016
pmc: PMC7703678
mid: NIHMS1632715
pii:
doi:

Substances chimiques

Contrast Media 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-18

Subventions

Organisme : NIBIB NIH HHS
ID : R03 EB028464
Pays : United States

Informations de copyright

Copyright © 2020 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest disclosure The authors report no conflict of interest.

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Auteurs

Mehnoosh Torkzaban (M)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Priscilla Machado (P)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Ipshita Gupta (I)

School of Chemical and Biomedical Engineering, Nanyang Technological University, Singapore.

Yang Hai (Y)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Flemming Forsberg (F)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address: flemming.forsberg@jefferson.edu.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Utilisations spécialisées de produits chimiques › Produits de contraste › Contrast-Enhanced Ultrasound for Monitoring...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Contrast-Enhanced Ultrasound for Monitoring...
questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs du tissu conjonctif et des tissus mous › Tumeurs du tissu musculaire › Léiomyome › Contrast-Enhanced Ultrasound for Monitoring...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Échographie › Contrast-Enhanced Ultrasound for Monitoring...
questionsmedicales.fr › Maladies urogénitales › Tumeurs de l'appareil urogénital › Tumeurs de l'appareil génital féminin › Tumeurs de l'utérus › Contrast-Enhanced Ultrasound for Monitoring...