{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:23:49Z","timestamp":1787163829348,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002865","name":"Chongqing Municipal Science and Technology Bureau","doi-asserted-by":"publisher","award":["CSTB2022NSCQ\u2010MSX0119"],"award-info":[{"award-number":["CSTB2022NSCQ\u2010MSX0119"]}],"id":[{"id":"10.13039\/501100002865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002865","name":"Chongqing Municipal Science and Technology Bureau","doi-asserted-by":"publisher","award":["CSTB2022NSCQ\u2010MSX0140"],"award-info":[{"award-number":["CSTB2022NSCQ\u2010MSX0140"]}],"id":[{"id":"10.13039\/501100002865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of this study is to investigate the correlation between long\u2010term reintervention rates following high\u2010intensity focused ultrasound (HIFU) ablation with varying non\u2010perfused volume ratios (NPVR) and hysteroscopic transcervical resection of myoma (TCRM) for type 1 and 2 fibroids. Additionally, the study aims to define the technical success criteria in this context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients with type 1 and 2 fibroids who underwent treatment with HIFU or TCRM between January 2012 and December 2019. Follow\u2010up assessments were conducted to monitor reintervention rates. NPVR, assessed via magnetic resonance imaging (MRI) post\u2010HIFU treatment, served as a technical indicator for comparing reintervention outcomes between HIFU and TCRM. Logistic regression analysis was employed to identify factors influencing reintervention in patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 445 patients were enrolled, with successful follow\u2010up on 325 cases, including 181 cases in the HIFU group and 144 cases in the TCRM group, resulting in a follow\u2010up rate of 73%. When NPVR was \u226570% (n\u2009=\u2009151), the long\u2010term reintervention rate following HIFU was comparable to that of TCRM. Binary logistic regression analysis revealed age and long\u2010term symptom relief as independent influencing factors influencing reintervention. The cut\u2010off value of age in patients from the HIFU group was determined as 41.5 using receiver operating characteristic curve (ROC) analysis. The reintervention rate was found to be 10.1% (n\u2009=\u200979) for patients aged over 41.5\u2009years, compared to 34.7% (n\u2009=\u200972) for those aged below it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HIFU emerges as an effective and reliable treatment modality for large type 1 and type 2 uterine fibroids, providing a viable non\u2010invasive alternative for their management. NPVR \u226570% can serve as a technical criterion for successful operation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.70011","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T12:29:11Z","timestamp":1754396951000},"page":"2273-2281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Reintervention Rates for Type 1 and Type 2 Uterine Fibroids Treated With\n                    <scp>HIFU<\/scp>\n                    Ablation With Varying Non\u2010Perfused Volume Ratios to That With\n                    <scp>TCRM<\/scp>"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2372-1352","authenticated-orcid":false,"given":"Tao","family":"Tan","sequence":"first","affiliation":[{"name":"State Key Laboratory of Ultrasound in Medicine College of Biomedical Engineering, Chongqing Medical University  Chongqing 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