Min Jung Park1, Young-Sun Kim, Hyunchul Rhim, Hyo Keun Lim. 1. 1 All authors: Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Irwon-dong, Gangnam-gu, Seoul 138-225, Korea.
Abstract
OBJECTIVE: In MRI-guided high-intensity focused ultrasound ablation of uterine fibroids, bowel interposition in the sonication path is often problematic. The purpose of this article is to discuss a bowel-manipulation technique to displace the bowel loop, which consisted of sequential applications of urinary bladder filling, rectal filling, and urinary bladder emptying. CONCLUSION: This technique contributed to a decreased screening failure rate and succeeded in consistently displacing the bowel loop, thus allowing safe treatment of fibroids in the anteverted or anteflexed uterus.
OBJECTIVE: In MRI-guided high-intensity focused ultrasound ablation of uterine fibroids, bowel interposition in the sonication path is often problematic. The purpose of this article is to discuss a bowel-manipulation technique to displace the bowel loop, which consisted of sequential applications of urinary bladder filling, rectal filling, and urinary bladder emptying. CONCLUSION: This technique contributed to a decreased screening failure rate and succeeded in consistently displacing the bowel loop, thus allowing safe treatment of fibroids in the anteverted or anteflexed uterus.