New Options for the Management of Fibroids
Program Description from http://obgyn.net/
New Options for the Management of Fibroids in the Ob/Gyn Practice is an
archived webcast that focuses on the treatment of uterine fibroid tumors in the
modern ob/gyn practice. A panel of experts discusses the role of traditional as
well as more recent therapies, and introduces a novel device called ExAblate
2000, developed by InSightec Ltd. This system, which incorporates GE
Healthcare’s magnetic resonance imaging technology, allows the clinician to treat
fibroids noninvasively with magnetic resonance-guided focused ultrasound surgery
(MRgFUS). The system and the MRgFUS procedure received FDA approval in October
2004, which expedited review because it offers significant advantages over
existing treatments for uterine fibroids.
A discussion of this type is important because between 20% and 40% of all
women over 35 years of age have uterine fibroids. Fewer than 0.1% of fibroids
become cancerous, but treatment is required when symptoms interfere with
patients’ health or quality of life. Hysterectomy, the most frequently used
treatment for fibroids, is associated with the usual surgical risks and complications,
requires a hospital stay, and results in patient downtime of up to 6 weeks or
more. Many of the newer therapies offer fewer risks, only a brief hospital
stay, and a shorter recuperation period. The most recently introduced alternative
to hysterectomy, MRgFUS, is associated with minimal risks and complications,
requires no overnight hospital stay, and allows most patients to return to
their normal activities in a few days.
After viewing the webcast, it should be clear that this technology represents
a significant advance in treatment and is a method that ob/gyn clinicians
should consider including in their treatment armamentarium.
Intended Audience
Ob/gyn specialists and other healthcare professionals involved in the
treatment of uterine fibroids.
Objectives
After viewing this webcast, clinicians should understand:
The role magnetic resonance-guided ultrasound surgery (MRgFUS) can play in
the care of patients with uterine fibroids.
How the ExAblate MRgFUS and GE Signa HD 1.5T system works to treat uterine
fibroids noninvasively.
How ob/gyn specialists can offer this new treatment in their own practices.
Program Overview
Charles E. Miller, MD, FACOG
Clinical Associate Professor,
Department of Obstetrics and Gynecology
University of Illinois at Chicago
Clinical Associate,
Department of Obstetrics and Gynecology
University of Chicago
Understanding and Using MR-Guided Focused Ultrasound Technology for the
Treatment of Fibroids
Richard M. Chudacoff, MD, FACOG
Women’s Specialists of Houston
Clinical Results: MR-Guided Focused Ultrasound for Uterine Fibroids
Elizabeth A. Stewart, MD, FACOG
Clinical Director, Center for Uterine Fibroids
Brigham and Women’s Hospital
Associate Professor of Obstetrics,
Gynecology and Reproductive Biology
Harvard Medical School, Boston
Incorporating GE Signa HD 1.5T and InSightec ExAblate® 2000 into the
Office-Based Ob/Gyn Practice
Phyllis J. Gee, MD, FACOG
Medical Director,
North Texas Uterine Fibroid Institute, Plano
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