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ORIGINAL ARTICLE
Year : 2020  |  Volume : 16  |  Issue : 2  |  Page : 365-371

Use of contrast-enhanced ultrasound in evaluating the efficacy and application value of microwave ablation for adenomyosis


1 Department of Oncology, The Tumor Hospital of Liaocheng, Liaocheng, China
2 Department of Radiology, The Tumor Hospital of Liaocheng, Liaocheng, China
3 Department of Ultrasound, The Tumor Hospital of Liaocheng, Liaocheng, China

Correspondence Address:
Yingying Zhao
Department of Ultrasound, The Tumor Hospital of Liaocheng, Liaocheng 252000, Shandong
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrt.JCRT_769_18

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Aim: This study aims to assess the use of contrast-enhanced ultrasonography (CEUS) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the evaluation of percutaneous microwave ablation (PMWA) of localized adenomyosis. Materials and Methods: Sixty-six patients with single-onset adenomyosis who underwent PMWA at the Liaocheng Tumor Hospital of Shandong Province from January 2013 to February 2019 were enrolled. Venous CEUS and DCE-MRI examinations were performed before and 1-2 days after the surgery. The ablation rates calculated by CEUS and DCE-MRI were compared and analyzed for accuracy. Results: After microwave ablation (MWA), CEUS showed that the volume and ablation rate of the ablated zone were 52.03 28.39 cm3 and 90.90% 6.61%, respectively. By DCE-MRI, the ablation volume and ablation rate of adenomyosis were 52.20 28.65 cm3 and 90.88% 6.32%, respectively. Dysmenorrhea was significantly relieved within 3 months of the operation, and nonmenstrual hemoglobin levels were significantly improved at 3 and 6 months after the operation (P < 0.05). All 66 cases of adenomyosis were treated using PMWA. Postoperatively, 17 patients reported a change in vaginal fluid; however, no special treatment was required as this disappeared 2-11 days after surgery. Conclusions: CEUS can accurately evaluate the ablation rate of localized adenomyosis treated with MWA, which is consistent with DCE-MRI. It is convenient and easy to perform ablation of adenomyomas, with incomplete ablation and angiography, and is a method worthy of clinical promotion.


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