Uterus myomatosus Urological and Genital Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For MRI screening inclusion, the following criteria are applied based on anamnesis, physical examination and vaginal ultrasonography: 1. 18–59 years old 2. Uterine fibroid related symptoms 3. Pre- or perimenopausal To determine whether the patient is eligible for the MR-HIFU treatment after the screening MRI, the following inclusion criteria are used: 1. Type 1 & 2 uterine fibroids (based on Funaki classification) 2. Diameter of 1-10 cm of dominant fibroid
Exclusion criteria
Exclusion criteria: Exclusion criteria for the MRI screening, based on anamnesis, physical examination and vaginal ultrasonography, are defined as follows: 1. Post-menopausal 2. Wish for future fertility 3. Pregnancy 4. Severe abdominal obesity or BMI >40 5. Uterine artery embolization in medical history 6. MRI contra-indications 7. Calcifications in uterine fibroid To determine whether the patient is eligible for the MR-HIFU treatment after screening MRI, the following exclusion criteria are used. 1. Type 3 uterine fibroids (based on Funaki classification) 2. Calcified or pedunculated uterine fibroids 3. Close to sciatic nerve or sacrum 4. Interposition of bowel or ovary 5. Diameter of 10 cm 6. Distance skin – uterine fibroid >12 cm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| An MRI scan including possible predictive values for a successful MR-HIFU treatment on symptomatic uterine fibroids will be performed before MR-HIFU treatment, directly after MR-HIFU treatment and at 6 months follow-up. The MRI protocol includes the following parameters: 1. ADC value, acquired with MR-DWI 2. Quantitative T2 value, acquired with T2 mapping 3. Ktrans, acquired with DCE imaging 4. Successful treatment defined as a symptom reduction of minimal 10 points on the UFS-QoL questionnaire before MR-HIFU treatment and at 3, 6 and 12 months follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| The feasibility of measuring thermal ablation effects from MR-HIFU in the treatment of uterine fibroids, using ADC mapping and T2 mapping MRI sequences at baseline, on treatment day and at 6 months follow-up | — |
Countries
Netherlands