Comparison of magnetic resonance-guided high-intensity focused ultrasound with uterine artery embolization for the treatment of uterine myoma: A systematic literature review and meta-analysis
This study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma. A systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane...
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| Vydáno v: | Taiwanese journal of obstetrics & gynecology Ročník 59; číslo 5; s. 691 - 697 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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China (Republic : 1949- )
Elsevier B.V
01.09.2020
Elsevier |
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| ISSN: | 1028-4559, 1875-6263, 1875-6263 |
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| Abstract | This study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma.
A systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma.
Four studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another.
Published evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma. |
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| AbstractList | This study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma.
A systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma.
Four studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another.
Published evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma. AbstractObjectiveThis study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma. Materials and methodsA systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma. ResultsFour studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another. ConclusionPublished evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma. Objective: This study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma. Materials and methods: A systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma. Results: Four studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another. Conclusion: Published evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma. This study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma.OBJECTIVEThis study aimed to compare the outcomes of magnetic resonance-guided (MR-g) high-intensity focused ultrasound (HIFU) with uterine artery embolization (UAE) for the treatment of uterine myoma.A systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma.MATERIALS AND METHODSA systematic literature review and meta-analysis was conducted using database searches of Medline, Cochrane, EMBASE, and Google Scholar. Articles were searched through March 25, 2020. Outcomes of interest were Symptom Severity Score (SSS), Health-related Quality of Life (HRQoL), re-intervention rate, and rate of adverse reactions in patients with uterine myoma.Four studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another.RESULTSFour studies were included with a total of 207 patients with uterine myomas who received MR-g HIFU and 201 who received UAE. UAE was associated with a greater reduction in SSS, improved HRQoL, and a significantly lower re-intervention rate compared with MR-g HIFU in 3 of 4 included studies. No significant differences were found in the incidence and severity of adverse events between treatment arms in one study, but differences were observed in the percentage of adverse reactions in another.Published evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma.CONCLUSIONPublished evidence suggests that the efficacy of MR-g HIFU may not be superior to that of UAE in the treatment of uterine myoma. |
| Author | Chuang, Linus T. Jeng, Cherng-Jye Long, Cheng-Yu |
| Author_xml | – sequence: 1 givenname: Cherng-Jye surname: Jeng fullname: Jeng, Cherng-Jye organization: Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Taiwan – sequence: 2 givenname: Cheng-Yu surname: Long fullname: Long, Cheng-Yu organization: Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Taiwan – sequence: 3 givenname: Linus T. surname: Chuang fullname: Chuang, Linus T. email: ltchuang@foxmailvip.com organization: Department of Obstetrics and Gynecology, School of Medicine, Kaohsiung Medical University, Taiwan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32917320$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_tjog_2020_11_031 crossref_primary_10_1016_j_tvir_2021_100725 crossref_primary_10_3390_medicina60060868 crossref_primary_10_1007_s43032_024_01745_y crossref_primary_10_1080_02656736_2024_2440545 crossref_primary_10_1016_j_tjog_2021_01_026 crossref_primary_10_1016_j_mric_2024_02_005 crossref_primary_10_12688_f1000research_124879_1 crossref_primary_10_4103_gmit_gmit_102_22 crossref_primary_10_12688_f1000research_124879_2 crossref_primary_10_3390_jcm11030839 |
| Cites_doi | 10.1177/1933719113497289 10.1007/s00330-014-3295-6 10.1067/mob.2003.99 10.7326/0003-4819-158-4-201302190-00009 10.1016/j.ultsonch.2015.05.031 10.12659/PJR.890606 10.1038/nrdp.2016.43 10.1002/uog.7455 10.1016/j.ogc.2016.04.001 10.1016/j.ejrad.2013.08.045 10.7326/0003-4819-151-4-200908180-00136 10.1007/s00270-013-0582-6 10.2147/IJWH.S15710 10.1186/1471-2288-14-135 10.1016/j.jmig.2017.01.009 10.1016/j.ajog.2016.12.177 10.1093/humupd/dmw023 10.6061/clinics/2017(10)08 |
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| Keywords | Uterine myoma Fibroid Ablation High-intensity focused ultrasound Quality of life |
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| SubjectTerms | Ablation Fibroid High-intensity focused ultrasound Internal Medicine Obstetrics and Gynecology Quality of life Uterine myoma |
| Title | Comparison of magnetic resonance-guided high-intensity focused ultrasound with uterine artery embolization for the treatment of uterine myoma: A systematic literature review and meta-analysis |
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