HEALTH OF WOMAN. 2015.9(105):119–122; doi 10.15574/HW.2015.105.119
 

Optimization of sonographic criteria uterine fibroids to determine the possibility of ultrasound ablation

Kozarenko T. M., Karacharov I. Y.

SI «Institute of nuclear medicine and radiation diagnostics of NAMS of Ukraine», Kyiv

Kyiv city clinical cancer center, nuclear medicine Center
 

Uterine fibroid is the most widespread innocent tumour among the women genital zone tumours. Ultra-sound ablation by high-intensity focused ultra-sound (HIFU – High Intensity Focused Ultrasound) which is the unique noninvasive distant method of destruction neoplasms namely uterine fibroid takes an important place in the uterine fibroid treatment.

As HIFU ablation is carried out under an ultrasound control in the real time regime the success of ablation realization directly depends on accuracy of carrying out the echography investigation of women before the procedure. That is exactly why there is a necessity to improve the approach for sonographic diagnosis of uterine fibroid.
 

Research objective. To develop ultrasound criteria for uterine fibroid in order to carry out the ultrasound ablation.
 

The resources and methods. The research was carried out on the basis of the Kyiv City Oncology Centre. HIFU ablation of neoplasms uterine fibroid was made on JC Haifu device. We investigated 52 patient disease histories with uterine fibroid. The age of the women with symptomatic uterine fibroid diagnosis ranged from 26 to 44 years old, the average age was 36,4±2,8 years.
 

Results and discussion. Patients with fibroids uterine transabdominal sonography was performed to determine the location, structure and characteristics of uterine fibroid vascularization nodes. But the most important transabdominal sonography was in determining the acoustic path ultrasonic waves as medical simulation, evaluating anatomic-topographic relationship with the authorities and the bone structure of the pelvis, performed measuring the distance from uterine fibroid node to the sacrum, pubis, intestine and skin. During transvaginal examination we solved the structure of host features vascularization.
 

Conclusions. We determined that the use proposed in the sonographic criteria allowed to optimize and improve the selection of patients with uterine fibroids junction before the ultrasound ablation.
 

Keywords: uterine fibroids , ultrasound ablation , prevention, treatment.
 

REFERENCES

1. Буянова СН, Краснопольский ВИ, Сергеев ПВ и др. 2003. Беременность и прогестеронзависимая миома матки. Вестник Российской ассоциации акушеров-гинекологов 3;3:55–57.

2. Краснопольский ВИ, Логутова ЛС, Буянова СН. 2002. Сохранение детородной функции при сочетании беременности с доброкачественными опухолями матки. Пособие для врачей МЗ РФ:16.

3. Слабожанкина ЕА, Бруслик СВ, Политова АК, Демкина ИВ, Свиридова ТИ. 2012. Успешные роды после фокусированной ультразвуковой абляции миомы матки. Вестник Национального медико-хирургического центра им. НИ Пирогова. 7;2:140–141.

4. Слабожанкина ЕА, Шевченко ЮЛ, Карпов ОЭ, Ветшев ПС, Стойко ЮМ, Бруслик СВ, Левчук АЛ. 2011. Ультразвуковая абляция опухолей в многопрофильном стационаре. Тезисы XI съезда хирургов Российской Федерации. Волгоград:401.

5. Слабожанкина ЕА, Карпов ОЭ, Кира ЕФ, Бруслик СВ, Политова АК, Демкина ИВ, Свиридова ТИ. 2012. Опыт применения высокоинтенсивного фокусированного ультразвука (HIFU-технологии) в лечении миомы матки. Сборник тезисов XII Всероссийского научного форума «Мать и дитя». Ростов-на-Дону:166.

6. Kennedy JE, ter Haar GR, Cranston D. 2003. High Intensity Focused Ultrasound: surgery of the future? Brit J Radiol. 76:590–599.

7. Maris H, Balibar S. 2010. Negative pressures and cavitation in liquid helium. Physics Today 53:29–32. http://dx.doi.org/10.1063/1.882962

8. Stewart EA, Gedroyc WM, Tempany CM et al. 2008. Focused ultrasound treatment of uterine fibroid tumors: safety and feasibility of a noninvasive thermoablative technique. Am J Obstet Gynecol. 189:48–54. http://dx.doi.org/10.1067/mob.2003.345

9. Vogl TJ, Helmberger TK, Mack MG, Reiser MF (eds). 2008. Percutaneous Tumor Ablation in Medical Radiology. Springer-Verlag, Berlin,Heidelberg. New York:258.