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MRI Guided Focused Ultrasound Mumbai

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Latest MRgFUS treatment in Mumbai. Non Surgical treatment of Fibroids. Only center to offer both Uterine Fibroid Embolization and MRgFUS.

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MRI Guided Focused Ultrasound Mumbai

  1. 1. Mister g-Fus New Kid on the Fibroid Block
  2. 2. • InSightec ExAblate™ system. • “Most Advanced MRgFUS system in India” • One of the few centers in the world to offer both MRgFUS and Uterine Fibroid Embolization • Since 2004, over 9000 women have been treated with ExAblate for their uterine fibroids.
  3. 3. How does MRgFUS work ? • ExAblate uses a combination of high-intensity ultrasound waves and MRI to non-invasively image the fibroid and surrounding organs in 3D, treat the fibroid, obtain real-time feedback about the treated area, and observe what has been treated. • The high intensity focused ultrasound energy heats the fibroid only at the target area, producing safe and controlled coagulative necrosis without damaging the surrounding tissue. • The treatment procedure lasts about 3 hours, and patients return to regular activities within a few days.
  4. 4. Beam path visualization 2 for controlled treatment 4 3 1 Multi-planar imaging for precise tumor targeting CLOSED LOOP THERAPY 5 MR thermometry temperature feedback Thermal dose accumulation Post treatment contrast imaging for precise treatment validation Real Time MRI Guidance and Monitoring
  5. 5. Who can be treated by MRgFUS ? • Fibroids greater than 2cm and smaller than 20cm are particularly amenable to treatment with the most noticeable symptomatic relief from bleeding and pressure symptoms. • A screening MRI is done that gives us information about the size, location, number, T2 Hyperintensity and Post contrast enhancement characteristics. • These help us choose the best modality to treat your patient’s fibroid.
  6. 6. Contraindications for MRgFus : • MR incompatible implantable medical devices such as pacemakers and cochlear implants. • Severe claustrophobia. • Known intolerance to MR contrast agents. • Vertical abdominal or high horizontal scars through the mid-line which would prevent access to the fibroid (low horizontal scars such as normal Caesarean section scars or scars to either side of the mid-line such as appendectomy scars are not a contra-indication). • Such patients can be treated by Uterine Fibroid Embolization.
  7. 7. MRgFUS & Pregnancy ? Total number of pregnancies Mean age Average months to conception Total deliveries - Of them vaginal Elective pregnancy termination Spontaneous abortions Ongoing pregnancies Unknown Average baby weight at term delivery 117 36 9 64 (55%) 59% 10 (9%) 22 (19%) 9 (8%) 12 (10%) 3.27 kg
  8. 8. Pre Procedur e T2 Coronal Post Procedure 80 % NPV Patients treated at Nanavati Supersepciality Hospital Patient 1 : 34 yr old female Symptoms: Heavy menstrual bleeding, pelvic pain and urinary frequency T2 Hypointense heterogeneous fibroid. Treatment time: 3 hours, 30 mins Results: 90% NPV with no adverse events Non Perfused Volume denotes the volume of fibroid that is no longer viable.
  9. 9. Patients treated at Nanavati Supersepciality Hospital Patient 2 : 33 yr old female Symptoms: Heavy menstrual bleeding, pelvic pain and constipation T2 Hypointense heterogeneous fibroid. Treatment time: 3 hours, 40 mins Results: 90% NPV with no adverse events Non Perfused Volume denotes the volume of fibroid that is no longer viable. Pre Procedure T2 Sagittal Post Procedure 80 % NPV
  10. 10. More Information ? • www.veincenter.in • SMS : Vein Fibroid to 56677 ( India Only )

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