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   제목   Factors influencing the ablative efficiency of high intensity focused ultrasound (HIFU) treatment for adenomyosis: A retrospective study.
   작성자   관리자     작성일   2016-07-29
   이메일       조회수   537
   첨부파일 없음 없음 없음
 
Factors influencing the ablative efficiency of high intensity focused ultrasound (HIFU) treatment for ad
adenomyosis: A retrospective study.

자궁선근증 하이푸치료의 절제 효율에 영향을 미치는 요인들: 회고적 연구

Gong C, Yang B, Shi Y, Liu Z, Wan L, Zhang H, Jiang D, Zhang L.

Objectives: The aim of this study was to investigate factors affecting ablative efficiency of high intensity f
focused ultrasound (HIFU) for adenomyosis.
Materials and methods: In all, 245 patients with adenomyosis who underwent ultrasound guided HIFU (USgHIFU) 
were retrospectively reviewed. All patients underwent dynamic contrast-enhanced magnetic resonance imaging 
(MRI) before and after HIFU treatment. The non-perfused volume (NPV) ratio, energy efficiency factor (EEF) and 
and greyscale change were set as dependent variables, while the factors possibly affecting ablation effi
efficiency were set as independent variables. These variables were used to build multiple regression models.
Results: A total of 245 patients with adenomyosis successfully completed HIFU treatment. Enhancement type on T1 
T1 weighted image (WI), abdominal wall thickness, volume of adenomyotic lesion, the number of hyperintense poi
points, location of the uterus, and location of adenomyosis all had a linear relationship with the NPV ratio. Dis
Distance from skin to the adenomyotic lesion's ventral side, enhancement type on T1WI, volume of adenomyotic les
lesion, abdominal wall thickness, and signal intensity on T2WI all had a linear relationship with EEF. Loc
Location of the uterus and abdominal wall thickness also both had a linear relationship with greyscale cha
change. 
Conclusion: The enhancement type on T1WI, signal intensity on T2WI, volume of adenomyosis, location of the ut
uterus and adenomyosis, number of hyperintense points, abdominal wall thickness, and distance from the skin to
to the adenomyotic lesion's ventral side can all be used as predictors of HIFU for adenomyosis. 

결론: T1강조 MR영상 신호세기, 자궁선근증 병변 부피, 자궁과 자궁선근증의 위치, Number of hyperintense points, 복벽의 두
께, 복부 피부와 병변의 거리는 모두 자궁선근증 하이푸치료의 예측 변수로 사용될 수 있다.
     
 
         

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