NICE Announces Support for Treating Uterine Fibroids With MR Guided Focused Ultrasound

NICE, the National Institute for Health and Clinical Excellence of the NHS in the UK, announced new favorable guidelines for the treatment of uterine fibroids using MR guided Focused Ultrasound.

The new guidelines state that the current evidence on the efficacy of magnetic resonance image (MRI)-guided transcutaneous focused ultrasound treatment for uterine fibroids and evidence on safety are adequate to support the use of this procedure under normal arrangements.

As part of the interventional procedures evaluation process the committee reviewed dozens of peer reviewed papers describing over one thousand patients treated with ExAblate system.

The Specialist Advisers listed key efficacy outcomes as quality of life, symptom improvement, avoidance of further surgery, and subsequent fertility. NICE made a point of stating that the Committee was informed that many women wish to avoid more invasive interventions for symptomatic fibroids, even if this choice carries an increased chance of requiring further treatments. Some women choose this procedure because they wish to preserve their fertility.

“We are delighted with this news which recognizes the importance of MR guided focused ultrasound as a non-invasive uterine-sparing treatment option for women.” stated Dr. Kobi Vortman, President and CEO of InSightec Ltd. “NICE is world renowned and these new guidelines should help build awareness of this breakthrough, non-invasive outpatient technology to women and their physicians around the world.”

The new guidelines (IPG413) replace previous guidelines (IPG231) issued in 2007.

For more information about treating uterine fibroids with MRgFUS, click here.

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MR Guided Focused Ultrasound Makes TIME Magazine’s Top 50 Inventions of the Year

On page 74 of the November 28 issue it states:

“Magnetic-resonance-imaging (MRI) and ultrasound technologies are each remarkable in their own right, but combine them and you get something life-changing…”.

MRgFUS is a combination of two well known technologies: High intensity focused ultrasound that heats and destroys targeted tissue, and Magnetic resonance imaging (MRI) for precise visualization, guidance and real time treatment control. MRgFUS generates heat by focusing ultrasound waves, ablating tissue only at the focal point, an effect similar to a magnifying glass used to focus the sun’s energy on a single point.

MRgFUS is used to treat uterine fibroids in a non-invasive manner, in many cases avoiding the need for a hysterectomy. A hysterectomy is a non-reversible, invasive procedure. The lack of invasiveness is what makes MRgFUS so innovative and such a promising treatment option for uterine fibroids.

InSightec Ltd. is the pioneer and global leader in MR guided Focused Ultrasound Surgery and the developer of ExAblate, a product which pioneers the use of MRgFUS.

MRgFUS is quite likely to be a life-changing technology or innovation. The “Star Trek” vision of the operating room of the future is available today for the benefit of thousands of patients throughout the world.

For more information about the MRgFUS technology click here.

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Advantages of MR-Guided Focused Ultrasound

If you are diagnosed with uterine fibroids, you have a number of treatment options, including surgery to remove the fibroids, or a hysterectomy. These options are among the most common treatments recommended today.

Both are surgical procedures and as such have long recovery periods. In addition, undergoing any surgery increases your risk of complications.

Unlike many of the other invasive treatment options for uterine fibroids, MR-Guided Focused Ultrasound has a very short recovery time. In fact, many women feel as if nothing has happened at all, and they are able to go about their normal activities the very same day.

That’s because MR-Guided focused ultrasound is a non-invasive procedure, with no incisions or stitches needed.

This is a huge advantage and should be taken into consideration when choosing a treatment option for uterine fibroids.

Read more about the benefits of MR-Guided Focused Ultrasound.

Watch this video of Dr. LeBlang explaining how long the recovery from MR-guided focused ultrasound takes:

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Uterine Fibroids and Caffeine

caffeine and uterine fibroids

It has been suggested that women who consume high quantities of caffeine increase their chances of developing uterine fibroids.

However, a study released in 2004 in the Oxford Journal “Human Reproduction” proved that heavy coffee and caffeine consumption do not in fact increase the chances of uterine fibroids.

People may have associated fibroids with caffeine because our blood vessels contract when we consume caffeine. This may restrict blood flow and fibroids are dependent on blood flow, so when it is restricted it could lead to cramping and pain.

Read some of the frequently asked questions we get about uterine fibroids.

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Uterine Fibroids and Fertility

Do Uterine Fibroids Cause Infertility?

The most common way uterine fibroids affect fertility is their location.
Uterine fibroids can grow in a way that:

  • Distorts the uterus
    • Fibroids that develop outside the uterus can alter the shape of the uterine cavity, or compress the fallopian tubes preventing conception.
  • Block a fallopian tube
    • Fibroids that develop in the lining of the uterus can block 1 or both of the fallopian tubes which reduce the chances of conception.
  • Block the cervix
    • Fibroids that develop in the lining of the uterus can block 1 or both of the fallopian tubes which reduce the chances of conception.
  • Stretching of the uterus
    • Fibroids can stretch out the uterus making it more difficult for the sperm to reach – they have to travel farther.
  • Obstruct implantation
    • Fibroids located in the lining of the uterus can prevent or affect implantation or gestation.

Read more about uterine fibroids and fertility.

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MR-guided Focused Ultrasound Spotlighted on CBS

The CBS evening news put the spotlight on Focused Ultrasound Surgery yesterday (June 12, 2011) stating “It may be one of the biggest medical advances since the scalpel”

Currently, focused ultrasound is commercially used to treat uterine fibroids, with over 7500 women successfully treated.

Research facilities worldwide are studying focused ultrasound to treat a variety of cancer including prostate and bone cancer, as well as, other conditions such as epilepsy and Parkinson’s disease

Watch the news report

Learn more about MR-guided focused ultrasound.

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Hysterectomy vs. MR guided Focused Ultrasound

There are several available treatments for uterine fibroids. However, the most common surgery performed for the treatment of fibroids is a hysterectomy.

However, today there are a number of less invasive treatment options including the MRI guided Focused ultrasound surgery.

With this medical device your doctor can see inside your body, to locate your symptomatic fibroids and accurately treat them without making a single incision.

Let’s compare the facts…

Hysterectomy

This procedure results in the permanent removal of the uterus.

Recovery Time

  • Women can stay 1 to 3 days in the hospital for post-surgery care
  • For abdominal surgery, recovery at home can take between 4 – 6 weeks
  • For vaginal or laparoscopic surgery, recovery at home can take between 3 – 4 weeks
  • Return to daily activities is gradual

MR guided Focused Ultrasound

This treatment leaves the uterus intact.

Recovery Time

  • No hospital stay (in most cases)
  • No cutting
  • No general anesthesia
  • Most women can return to normal activities the next day

What are the risks of a Hysterectomy vs. MR guided Focused Ultrasound

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