MRI在高强度聚焦超声消融子宫肌瘤中的应用进展
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摘要
高强度聚焦超声(HIFU)已广泛应用于子宫肌瘤治疗,疗效确切。MRI软组织分辨率高,在妇科实体肿瘤检测中优势明显。MR多参数成像技术在术前拟定治疗计划、术中实时监测、术后疗效评估中具有不可替代的作用。本文对MRI各参数在HIFU消融子宫肌瘤术前、术中及术后的应用进行综述。
High intensity focused ultrasound(HIFU) has been widely used in the treatment of uterine fibroids, and the efficacy is exact. MRI has high soft tissue resolution and obvious advantages in gynecological solid tumor detection. Multi-parameter MR imaging technology has an irreplaceable position in preoperative planning, intraoperative real-time monitoring and postoperative efficacy evaluation. The progresses of MRI parameters before, during and after HIFU ablation of uterine fibroids were reviewed in this article.
High intensity focused ultrasound(HIFU) has been widely used in the treatment of uterine fibroids, and the efficacy is exact. MRI has high soft tissue resolution and obvious advantages in gynecological solid tumor detection. Multi-parameter MR imaging technology has an irreplaceable position in preoperative planning, intraoperative real-time monitoring and postoperative efficacy evaluation. The progresses of MRI parameters before, during and after HIFU ablation of uterine fibroids were reviewed in this article.
引文
[1] Ni B,He F,Yuan Z,et al.Segmentation of uterine fibroid ultrasound images using a dynamic statistical shape model in HIFU therapy.Comput Med Imaging Graph,2015,46(3):302-314.
[2] 孔繁强,杨明军.HIFU治疗前列腺增生症40例疗效观察.山东医药,2014,54(46):108.
[3] de Senneville BD,Moonen C,Ries M.MRI-guided HIFU methods for the ablation of liver and renal cancers.Adv Exp Med Biol,2016,880:43-63.
[4] Antila K,Nieminen HJ,Sequeiros RB,et al.Automatic segmentation for detecting uterine fibroid regions treated with MR-guided high intensity focused ultrasound (MR-HIFU).Med Phys,2014,41(7):73502.
[5] Zhao WP,Zhang J,Han ZY,et al.A clinical investigation treating different types of fibroids identified by MRI-T2WI imaging with ultrasound guided high intensity focused ultrasound.Sci Rep,2017,7(1):10812.
[6] 姜曼,赵卫,易根发,等.子宫肌瘤MRI特征与高强度聚焦超声消融疗效.介入放射学杂志,2014,24(4):314-319.
[7] 范宏杰,寸江平,姚瑞红,等.高强度聚焦超声治疗子宫肌瘤的消融率的多因素分析.实用放射学杂志,2018,34(9):1427-1429,1474.
[8] Peng S,Zhang L,Hu L,et al.Factors influencing the dosimetry for high-intensity focused ultrasound ablation of uterine fibroids:A retrospective study.Medicine (Baltimore),2015,94(13):e650.
[9] Zhao WP,Chen JY,Chen WZ.Effect of biological characteristics of different types of uterine fibroids,as assessed with T2-weighted magnetic resonance imaging,on ultrasound-guided high-intensity focused ultrasound ablation.Ultrasound Med Biol,2015,41(2):423-431.
[10] 陈丽娟.造影剂增效提高T2WI高信号肌瘤HIFU消融率的安全性和有效性.重庆:重庆医科大学,2016:17.
[11] Pont JN,McArdle CA,Lopez Bernal A.Oxytocin-stimulated NFAT transcriptional activation in human myometrial cells.Mol Endocrinol,2012,10(26):1743-1756.
[12] 刘欣杰,曾燕,赵建农,等.MRI对子宫肌瘤高强度聚焦超声治疗前后的诊断价值.实用放射学杂志,2008,24(5):654-657.
[13] Zhao WP,Chen JY,Chen WZ.Dynamic contrast-enhanced MRI serves as a predictor of HIFU treatment outcome for uterine fibroids with hyperintensity in T2-weighted images.Exp Ther Med,2016,11(1):328-334.
[14] Jeong JH,Hong GP,Kim YR,et al.Clinical consideration of treatment to ablate uterine fibroids with magnetic resonance imaging-guided high intensity focused ultrasound (MRgFUS):Sonalleve.J Menopausal Med,2016,22(2):94-107.
[15] ?oziński T,Filipowska J,Gurynowicz G,et al.Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids.Ginekol Pol,2017,88(9):497-503.
[16] 张俊成,杨振华,赵相胜,等.MR扩散成像在子宫肌瘤HIFU术后早期疗效评价中的价值.放射学实践,2012,27(12):1356-1360.
[17] 刘映江,刘仙明,彭松,等.常规MRI在子宫肌瘤超声消融疗效评价及随访中的价值.中国医学影像技术,2011,27(10):2098-2101.
[18] 罗银灯,赵建农,钟维佳,等.磁共振常规序列在原发性肝癌高强度聚集超声疗效评估中的价值.临床放射学杂志,2011,30(5):658-663.
[19] Fite BZ,Wong A,Liu Y,et al.Magnetic resonance imaging assessment of effective ablated volume following high intensity focused ultrasound.PLoS One,2015,10(3):e120037.
[20] 张学花,翟昭华,董国礼,等.MRI评价子宫肌瘤高强度聚焦超声消融术后盆底筋膜改变.中国医学影像技术,2017,33(10):1540-1544.
[21] Ikink ME,Voogt MJ,van den Bosch MA,et al.Diffusion-weighted magnetic resonance imaging using different b-value combinations for the evaluation of treatment results after volumetric MR-guided high-intensity focused ultrasound ablation of uterine fibroids.Eur Radiol,2014,24(9):2118-2127.
[22] Zhang Y,Zhao J,Guo D,et al.Evaluation of short-term response of high intensity focused ultrasound ablation for primary hepatic carcinoma:Utility of contrast-enhanced MRI and diffusion-weighted imaging.Eur J Radiol,2011,79(3):347-352.
[23] Hectors SJ,Jacobs I,Heijman E,et al.Multiparametric MRI analysis for the evaluation of MR-guided high intensity focused ultrasound tumor treatment.NMR Biomed,2015,28(9):1125-1140.
[24] Muto S,Kaminaga T,Horiuchi A,et al.Usefulness of proton magnetic resonance spectroscopy in predicting positive biopsy after high-intensity focused ultrasound for treatment of localized prostate cancer.Int J Urol,2014,21(8):776-780.
[25] Hectors SJ,Jacobs I,Strijkers GJ,et al.Amide proton transfer imaging of high intensity focused ultrasound-treated tumor tissue.Magn Reson Med,2014,72(4):1113-1122.
[26] Lim H,Thind K,Martinez-Santiesteban FM,et al.Construction and evaluation of a switch-tuned (13) C-(1) H birdcage radiofrequency coil for imaging the metabolism of hyperpolarized (13) C-enriched compounds.J Magn Reson Imaging,2014,40(5):1082-1090.
[27] 王铭洁,李彩英,陈妹红,等.3.0T MRI联合弥散加权成像在子宫肌瘤高聚焦超声术后早期对邻近周围组织影响的评价.河北医科大学学报,2018,39(1):86-90,96.
[2] 孔繁强,杨明军.HIFU治疗前列腺增生症40例疗效观察.山东医药,2014,54(46):108.
[3] de Senneville BD,Moonen C,Ries M.MRI-guided HIFU methods for the ablation of liver and renal cancers.Adv Exp Med Biol,2016,880:43-63.
[4] Antila K,Nieminen HJ,Sequeiros RB,et al.Automatic segmentation for detecting uterine fibroid regions treated with MR-guided high intensity focused ultrasound (MR-HIFU).Med Phys,2014,41(7):73502.
[5] Zhao WP,Zhang J,Han ZY,et al.A clinical investigation treating different types of fibroids identified by MRI-T2WI imaging with ultrasound guided high intensity focused ultrasound.Sci Rep,2017,7(1):10812.
[6] 姜曼,赵卫,易根发,等.子宫肌瘤MRI特征与高强度聚焦超声消融疗效.介入放射学杂志,2014,24(4):314-319.
[7] 范宏杰,寸江平,姚瑞红,等.高强度聚焦超声治疗子宫肌瘤的消融率的多因素分析.实用放射学杂志,2018,34(9):1427-1429,1474.
[8] Peng S,Zhang L,Hu L,et al.Factors influencing the dosimetry for high-intensity focused ultrasound ablation of uterine fibroids:A retrospective study.Medicine (Baltimore),2015,94(13):e650.
[9] Zhao WP,Chen JY,Chen WZ.Effect of biological characteristics of different types of uterine fibroids,as assessed with T2-weighted magnetic resonance imaging,on ultrasound-guided high-intensity focused ultrasound ablation.Ultrasound Med Biol,2015,41(2):423-431.
[10] 陈丽娟.造影剂增效提高T2WI高信号肌瘤HIFU消融率的安全性和有效性.重庆:重庆医科大学,2016:17.
[11] Pont JN,McArdle CA,Lopez Bernal A.Oxytocin-stimulated NFAT transcriptional activation in human myometrial cells.Mol Endocrinol,2012,10(26):1743-1756.
[12] 刘欣杰,曾燕,赵建农,等.MRI对子宫肌瘤高强度聚焦超声治疗前后的诊断价值.实用放射学杂志,2008,24(5):654-657.
[13] Zhao WP,Chen JY,Chen WZ.Dynamic contrast-enhanced MRI serves as a predictor of HIFU treatment outcome for uterine fibroids with hyperintensity in T2-weighted images.Exp Ther Med,2016,11(1):328-334.
[14] Jeong JH,Hong GP,Kim YR,et al.Clinical consideration of treatment to ablate uterine fibroids with magnetic resonance imaging-guided high intensity focused ultrasound (MRgFUS):Sonalleve.J Menopausal Med,2016,22(2):94-107.
[15] ?oziński T,Filipowska J,Gurynowicz G,et al.Non-invasive therapeutic use of High-Intensity Focused Ultrasound (HIFU) with 3 Tesla Magnetic Resonance Imaging in women with symptomatic uterine fibroids.Ginekol Pol,2017,88(9):497-503.
[16] 张俊成,杨振华,赵相胜,等.MR扩散成像在子宫肌瘤HIFU术后早期疗效评价中的价值.放射学实践,2012,27(12):1356-1360.
[17] 刘映江,刘仙明,彭松,等.常规MRI在子宫肌瘤超声消融疗效评价及随访中的价值.中国医学影像技术,2011,27(10):2098-2101.
[18] 罗银灯,赵建农,钟维佳,等.磁共振常规序列在原发性肝癌高强度聚集超声疗效评估中的价值.临床放射学杂志,2011,30(5):658-663.
[19] Fite BZ,Wong A,Liu Y,et al.Magnetic resonance imaging assessment of effective ablated volume following high intensity focused ultrasound.PLoS One,2015,10(3):e120037.
[20] 张学花,翟昭华,董国礼,等.MRI评价子宫肌瘤高强度聚焦超声消融术后盆底筋膜改变.中国医学影像技术,2017,33(10):1540-1544.
[21] Ikink ME,Voogt MJ,van den Bosch MA,et al.Diffusion-weighted magnetic resonance imaging using different b-value combinations for the evaluation of treatment results after volumetric MR-guided high-intensity focused ultrasound ablation of uterine fibroids.Eur Radiol,2014,24(9):2118-2127.
[22] Zhang Y,Zhao J,Guo D,et al.Evaluation of short-term response of high intensity focused ultrasound ablation for primary hepatic carcinoma:Utility of contrast-enhanced MRI and diffusion-weighted imaging.Eur J Radiol,2011,79(3):347-352.
[23] Hectors SJ,Jacobs I,Heijman E,et al.Multiparametric MRI analysis for the evaluation of MR-guided high intensity focused ultrasound tumor treatment.NMR Biomed,2015,28(9):1125-1140.
[24] Muto S,Kaminaga T,Horiuchi A,et al.Usefulness of proton magnetic resonance spectroscopy in predicting positive biopsy after high-intensity focused ultrasound for treatment of localized prostate cancer.Int J Urol,2014,21(8):776-780.
[25] Hectors SJ,Jacobs I,Strijkers GJ,et al.Amide proton transfer imaging of high intensity focused ultrasound-treated tumor tissue.Magn Reson Med,2014,72(4):1113-1122.
[26] Lim H,Thind K,Martinez-Santiesteban FM,et al.Construction and evaluation of a switch-tuned (13) C-(1) H birdcage radiofrequency coil for imaging the metabolism of hyperpolarized (13) C-enriched compounds.J Magn Reson Imaging,2014,40(5):1082-1090.
[27] 王铭洁,李彩英,陈妹红,等.3.0T MRI联合弥散加权成像在子宫肌瘤高聚焦超声术后早期对邻近周围组织影响的评价.河北医科大学学报,2018,39(1):86-90,96.