{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:37:45Z","timestamp":1761561465434},"reference-count":57,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2010,8,18]],"date-time":"2010-08-18T00:00:00Z","timestamp":1282089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R01CA100184"],"award-info":[{"award-number":["1R01CA100184"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P50CA103175"],"award-info":[{"award-number":["P50CA103175"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5P30CA06973"],"award-info":[{"award-number":["5P30CA06973"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["Breast SPORE: P50CA88843"],"award-info":[{"award-number":["Breast SPORE: P50CA88843"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["Avon:01\u20102009\u2010031"],"award-info":[{"award-number":["Avon:01\u20102009\u2010031"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01CA070095"],"award-info":[{"award-number":["U01CA070095"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Physics"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>: To investigate the comparison between diffusion\u2010weighted imaging (DWI),<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0003.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0003\" \/>\u2010weighted imaging, <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0004.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0004\" \/> and contrast <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0005.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0005\" \/>\u2010weighted imaging <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0006.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0006\" \/> in uterine leiomyoma following treatment by magnetic resonance imaging\u2010guided, high intensity focused ultrasound surgery (MRg\u2010HIFUS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>: Twenty one patients<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0007.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0007\" \/> with clinical symptoms of uterine leiomyoma (fibroids) were treated by MRg\u2010HIFUS using an integrated 1.5T MRI\u2010HIFUS system. MRI parameters consisted of DWI, <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0008.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0008\" \/>, and <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0009.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0009\" \/>\u2010weighted fast spoiled gradient echo before and after contrast. The post\u2010MRg\u2010HIFUS treatment volume in the fibroid was assessed by <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0010.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0010\" \/> and DWI. Trace apparent diffusion coefficient maps were constructed for quantitative analysis. The regions of the treated uterine tissue were defined by a semisupervised segmentation method called the \u201ceigenimage filter,\u201d using both <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0011.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0011\" \/> and DWI. Signal\u2010to\u2010noise ratios were determined for the <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0012.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0012\" \/> pretreatment images. Segmented regions were tested by a similarity index for congruence. Descriptive, regression, and Bland\u2013Altman statistics were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>: All the patients exhibited heterogeneously increased DWI signal intensity localized in the treated fibroid regions and were colocalized with the<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0013.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0013\" \/> defined area. The mean pretreatment <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0014.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0014\" \/> signal intensity ratios were <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0015.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0015\" \/> and <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0016.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0016\" \/>. The congruence between the regions was significant, with a similarity of 84% and a difference of 8% between the regions. Regression analyses of the <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0017.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0017\" \/> and DWI segmented treatment volumes were found to be significantly correlated <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0018.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0018\" \/> with the linear equation, <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0019.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0019\" \/>. There is good agreement between the regions defined by cT1WI and DWI in most of the cases as shown from the Bland\u2013Altman plots.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>: Diffusion\u2010weighted imaging exhibited excellent agreement, congruence, and correlation with the<jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mp5940-math-0020.png\" xlink:title=\"urn:x-wiley:00942405:media:mp5940:mp5940-math-0020\" \/>\u2010defined region of treatment in uterine fibroid. Therefore, DWI could be useful as an adjunct for assessing treatment of uterine fibroids by MRg\u2010HIFUS.<\/jats:p><\/jats:sec>","DOI":"10.1118\/1.3475940","type":"journal-article","created":{"date-parts":[[2010,8,31]],"date-time":"2010-08-31T22:55:42Z","timestamp":1283295342000},"page":"4768-4776","source":"Crossref","is-referenced-by-count":17,"title":["Comparison between diffusion\u2010weighted imaging, \u2010weighted, and postcontrast \u2010weighted imaging after MR\u2010guided, high intensity, focused ultrasound treatment of uterine leiomyomata: Preliminary results"],"prefix":"10.1002","volume":"37","author":[{"given":"Michael A.","family":"Jacobs","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Gultekin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun S.","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,8,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/94.4.435"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.09.010"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.07.1298"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199404000-00013"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199404000-00012"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)40479-4"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1994.tb21775.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)92282-2"},{"key":"e_1_2_7_10_1","first-page":"1754","article-title":"Arterial embolization\u2014new treatment for menorrhagia due to uterine fibromas","volume":"24","author":"Ravina J. H.","year":"1995","journal-title":"Presse Med."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2271020395"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.345"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2361040312"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2005.04.008"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.4065\/81.7.936"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03622-9"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/14786440908564348"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1085\/jgp.26.2.179"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(01)00389-1"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(01)00515-4"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.10055"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.16.1.185"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.219.1.r01ap02176"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00130404-200203000-00004"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000275283.39475.f6"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.189.3.8234695"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.08.030"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.20063"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.21677"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rct.0000146111.48570.64"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2006.10.010"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.21688"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198801000-00001"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.596851"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-8993(99)01582-6"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1109\/42.61756"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1109\/42.276155"},{"key":"e_1_2_7_38_1","first-page":"893","article-title":"Reproducibility study for volume determination in MRI of the brain using the eigenimage algorthim","volume":"20","author":"Windham J.","year":"1993","journal-title":"Med. Phys."},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.2307\/2987937"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.10.001"},{"key":"e_1_2_7_42_1","first-page":"423","article-title":"Diffusion\u2010weighted MR imaging of acute stroke: Correlation withT2\u2010weighted and magnetic susceptibility\u2010enhanced MR imaging in cats","volume":"11","author":"Moseley M. E.","year":"1990","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.182.1.1727307"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.172.2.9930819"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrm.1910180106"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.25.6.1252"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.11.1983"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.32.4.950"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.1.28"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/0730-725X(93)90073-M"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.161.2.3763909"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.9.1717"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/92.24.2029"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.20159"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rct.0000171913.74086.1b"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ro.2009.01.003"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2009.12.004"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10091367"}],"container-title":["Medical Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1118%2F1.3475940","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1118%2F1.3475940","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1118\/1.3475940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T03:24:43Z","timestamp":1694921083000},"score":1,"resource":{"primary":{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/10.1118\/1.3475940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8,18]]},"references-count":57,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["10.1118\/1.3475940"],"URL":"https:\/\/doi.org\/10.1118\/1.3475940","archive":["Portico"],"relation":{},"ISSN":["0094-2405","2473-4209"],"issn-type":[{"value":"0094-2405","type":"print"},{"value":"2473-4209","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8,18]]}}}