Browse > Article
http://dx.doi.org/10.5762/KAIS.2021.22.5.221

Gynecologists' perception of High-Intensity Focused Ultrasound as a treatment for uterine leiomyomas  

Kim, Nam Kyeong (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital)
Choi, Yae Ji (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital)
Lee, Yeji (Department of Obstetrics and Gynecology, Gandong Miz Women's Hospital)
Hwang, Sung Il (Department of Radiology, Seoul National University Bundang Hospital)
Kim, Kidong (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.22, no.5, 2021 , pp. 221-228 More about this Journal
Abstract
Recently, there has been an increased awareness on the use of High-Intensity Focused Ultrasound (HIFU) as a non-surgical treatment option for leiomyomas. This study aimed to assess gynecologists' perception of HIFU therapy for uterine leiomyomas in Korea. We analyzed questionnaires from 162 Korean gynecologists who provided data on 1) demographics, 2) pattern of practice with respect to leiomyomas, and 3) opinion regarding HIFU therapy for leiomyomas. Of the 162 gynecologists, 2.8 % regarded HIFU as a first-line treatment for leiomyomas. HIFU was only available at the workplace of 19 % of respondents; of these, 58 % had requested the use of HIFU. When asked about their perception of HIFU for treating leiomyomas, only 19 % of the respondents thought that it was effective. The commonest perceived complication was a delay in the adequate treatment of sarcoma (59 %), followed by bowel injury (52 %). The respondents considered HIFU to be suitable in the following circumstances: age between 40 and 49 years, those patients who no longer desired pregnancy, medium-sized (5-6 cm) leiomyomas, and up to 2 leiomyomas. The Korean gynecologists' perception of HIFU as a treatment for leiomyomas is still not favorable. Gynecologists working at hospitals where HIFU is available tended to have a higher positive perception of this treatment. In addition to research involving a large number of gynecologists from multiple countries, a study on the long-term outcomes of HIFU is needed.
Keywords
Gynecology; High-Intensity Focused Ultrasound Ablation; Leiomyoma; Physicians; Surveys and Questionnaires;
Citations & Related Records
연도 인용수 순위
  • Reference
1 JS. Lee, GY. Hong, BJ Park, TE. Kim, "Ultrasound-guided high-intensity focused ultrasound treatment for uterine fibroid & adenomyosis: A single center experience from the Republic of Korea", Ultrason Sonochem, Vol.27, pp.682-687, Nov. 2015. DOI: http://dx.doi.org/10.1016/j.ultsonch.2015.05.033   DOI
2 J. Chen, W. Chen, L. Zhang, K. Li, S. Peng, M. He, et al. "Safety of ultrasound-guided ultrasound ablation for uterine fibroids and adenomyosis: A review of 9988 cases", Ultrason Sonochem, Vol.27, pp.671-676, Nov. 2015. DOI: http://dx.doi.org/10.1016/j.ultsonch.2015.05.031   DOI
3 Korean Society of Obstetrics and Gynecology, Korean Society of Obstetrics and Gynecology practice guidelines for High-Intensity Focused Ultrasound (HIFU), Korean Society of Obstetrics and Gynecology, 2016, Available From: http://www.ksog.org/bbs/skin/notice_popup/download.php?code=notice&number=4273(accessed Jan. 7, 2020)
4 S. Gizzo, C. Saccardi, TS. Patrelli, E. Ancona, M. Noventa, S. Fagherazzi S, et al. "Magnetic resonance-guided focused ultrasound myomectomy: safety, efficacy, subsequent fertility and quality-of-life improvements, a systematic review", Reprod Sci, Vol.21, No.4, pp.465-476, Apr. 2014. DOI: http://dx.doi.org/10.1177/1933719113497289   DOI
5 PC. Lyon, V. Rai, N. Price, A. Shah, F. Wu, D. Cranston, "Ultrasound-Guided High Intensity Focused Ultrasound Ablation for Symptomatic Uterine Fibroids: Preliminary Clinical Experience", Ultraschall Med, Vol.41, No.5, pp.550-556, Oct. 2019. DOI: http://dx.doi.org/10.1055/a-0891-0729   DOI
6 M. Zou, L. Chen, C. Wu, C. Hu, Y. Xiong, "Pregnancy outcomes in patients with uterine fibroids treated with ultrasound-guided high-intensity focused ultrasound", BJOG, Vol.124, No.S3, pp.30-35, Aug. 2017 DOI: http://dx.doi.org/10.1111/1471-0528.14742   DOI
7 J. Chen, Y. Li, Z. Wang, P. McCulloch, L. Hu, W. Chen, et al. "Evaluation of high-intensity focused ultrasound ablation for uterine fibroids: an IDEAL prospective exploration study", BJOG, Vol.125, No.3, pp.354-364, Feb.2018. DOI: http://dx.doi.org/10.1111/1471-0528.14689   DOI
8 SK. Laughlin-Tommaso, "Non-surgical Management of Myomas", J Minim Invasive Gynecol, Vol.25, No.2, pp.229-236, Feb. 2018. DOI: http://dx.doi.org/10.1016/j.jmig.2017.08.642   DOI
9 G. L. Ryan, C. H. Syrop, B. J. Van Voorhis. "Role, epidemiology, and natural history of benign uterine mass lesions", Clin Obstet Gynecol Vol.48, No.2, pp.312-324, Jun. 2005. DOI: http://dx.doi.org/10.1097/01.grf.0000159538.27221.8c   DOI
10 A. Zimmermann, D. Bernuit, C. Gerlinger, M. Schaefers, K. Geppert, "Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 women", BMC Womens Health, Vol.12, No.6, Mar. 2012 DOI: https://doi.org/10.1186/1472-6874-12-6   DOI
11 SK. Laughlin, EA. Stewart,. "Uterine leiomyomas: individualizing the approach to a heterogeneous condition", Obstet Gynecol, Vol.117, No.2 Pt 1, pp.396-403, Feb. 2011. DOI: http://dx.doi.org/10.1097/AOG.0b013e31820780e3   DOI
12 J. Park, JS. Lee, JK. Cho, S. Kim, "Effects of High-Intensity-Focused Ultrasound Treatment on Benign Uterine Tumor", J Korean Med Sci, Vol.31, No.8, pp.1279-1283, Aug. 2016. DOI: http://dx.doi.org/10.3346/jkms.2016.31.8.1279   DOI