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Magnetic Resonance-Guided Focused Ultrasound: A Brief Review With Emphasis on the Treatment of Extra-abdominal Desmoid Tumors. Ultrasound Q 2019 Dec;35(4):346-354

Date

02/27/2019

Pubmed ID

30807547

DOI

10.1097/RUQ.0000000000000431

Scopus ID

2-s2.0-85075990269   2 Citations

Abstract

Magnetic resonance-guided focused ultrasound (MRgFUS) utilizes high-intensity focused ultrasound to noninvasively, thermally ablate lesions within the body while sparing the intervening tissues. Magnetic resonance imaging provides treatment planning and guidance, and real-time magnetic resonance thermometry provides continuous monitoring during therapy. Magnetic resonance-guided focused ultrasound is ideally suited for the treatment of extra-abdominal desmoid fibromatosis due to its noninvasiveness, lack of ionizing radiation, low morbidity, and good safety profile. Conventional treatments for these benign tumors, including surgery, radiation, and chemotherapy, can carry significant morbidity. Magnetic resonance-guided focused ultrasound provides a safe and effective alternative treatment in this often-young and otherwise healthy patient population. While there is considerable experience with MRgFUS for treatment of uterine fibroids, painful bone lesions, and essential tremor, there are few reports in the literature of its use for treatment of benign or malignant soft tissue tumors. This article reviews the principles and biologic effects of high-intensity focused ultrasound, provides an overview of the MRgFUS treatment system and use of magnetic resonance thermometry, discusses the use of MRgFUS for the treatment of extra-abdominal desmoid tumors, and provides several case examples.

Author List

Griffin MO, Kulkarni NM, O╩╝Connor SD, Sudakoff GS, Lea WB, Tutton SM

Authors

Michael O. Griffin MD, PhD Assistant Professor in the Radiology department at Medical College of Wisconsin
Naveen Kulkarni MD Assistant Professor in the Radiology department at Medical College of Wisconsin
Stacy O'Connor MD Associate Professor in the Radiology department at Medical College of Wisconsin
Gary S. Sudakoff MD Professor in the Radiology department at Medical College of Wisconsin
Sean Tutton MD Vice Chair, Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Fibromatosis, Aggressive
High-Intensity Focused Ultrasound Ablation
Humans
Magnetic Resonance Imaging
Therapy, Computer-Assisted
jenkins-FCD Prod-480 9a4deaf152b0b06dd18151814fff2e18f6c05280