{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:05:03Z","timestamp":1787022303764,"version":"build-2736575974"},"reference-count":30,"publisher":"Korean Society of Ultrasound in Medicine","issue":"1","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81901753"],"award-info":[{"award-number":["81901753"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"crossref","award":["SHSLCZDZK 03502"],"award-info":[{"award-number":["SHSLCZDZK 03502"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","award":["21Y21901200"],"award-info":[{"award-number":["21Y21901200"]}],"id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","award":["19DZ2251100"],"award-info":[{"award-number":["19DZ2251100"]}],"id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010108","name":"Zhongshan Hospital","doi-asserted-by":"publisher","award":["2022ZSQD07"],"award-info":[{"award-number":["2022ZSQD07"]}],"id":[{"id":"10.13039\/501100010108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-ultrasonography.org"],"crossmark-restriction":true},"short-container-title":["Ultrasonography"],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:p>Purpose: This study evaluated the value of contrast-enhanced ultrasonography (CEUS) in the ultrasound-guided microwave ablation (MWA) treatment of symptomatic focal uterine adenomyosis.Methods: This retrospective study was conducted between March 2020 and January 2023, enrolling 52 patients with symptomatic focal uterine adenomyosis who had undergone MWA. All patients were examined with CEUS before and after MWA. The non-perfused volume (NPV) was compared between CEUS and dynamic contrast-enhanced magnetic resonance imaging (DCEMRI) following ablation. Therapeutic efficacy and safety were evaluated at 3-, 6-, and 12-month follow-ups. Additionally, this study explored the correlations between pre-treatment CEUS features and a volume reduction ratio indicating sufficient ablation, defined as 50% or more at the 3-month follow-up.Results: No significant differences in NPV were noted between CEUS and DCE-MRI immediately after MWA and during follow-up (all P&gt;0.05). At the 3-month follow-up, the median VRRs for the uterus and adenomyosis were 33.2% and 63.9%, respectively. Sufficient ablation was achieved in 69.2% (36\/52) of adenomyosis cases, while partial ablation was observed in the remaining 30.8% (16\/52). The identification of non-enhancing areas on pre-treatment CEUS was associated with sufficient ablation (P=0.016). At the 12-month follow-up, significant decreases were observed in both the uterine and adenomyosis volumes (all P&lt;0.001). Dysmenorrhea and menorrhagia were significantly alleviated at 12 months, and no major complications were encountered.Conclusion: CEUS can be used to evaluate the ablation zone of focal adenomyosis that has been treated with MWA, similarly to DCE-MRI. The identification of non-enhancing areas on pretreatment CEUS indicates satisfactory treatment outcomes.<\/jats:p>","DOI":"10.14366\/usg.23145","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T03:29:52Z","timestamp":1702870192000},"page":"68-77","update-policy":"https:\/\/doi.org\/10.14366\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Value of contrast-enhanced ultrasonography in microwave ablation treatment of symptomatic focal uterine adenomyosis"],"prefix":"10.14366","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7886-5122","authenticated-orcid":true,"given":"Xiao-Long","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5370-2634","authenticated-orcid":true,"given":"Jia-Xin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1203-5126","authenticated-orcid":true,"given":"Song-Yuan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5630-7210","authenticated-orcid":true,"given":"Pei-Li","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3470-6151","authenticated-orcid":true,"given":"Yun-Jie","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3622-9080","authenticated-orcid":true,"given":"Er-Jiao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4285-7160","authenticated-orcid":true,"given":"Sai-Nan","family":"Guan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0425-4249","authenticated-orcid":true,"given":"Er-Ya","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5447-8232","authenticated-orcid":true,"given":"Qiu-Yan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7954-5385","authenticated-orcid":true,"given":"Zheng-Biao","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9162-6441","authenticated-orcid":true,"given":"Jiu-Ling","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8699-854X","authenticated-orcid":true,"given":"Hui-Xiong","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"China Alliance of Multi-Center Clinical Study for Ultrasound (Ultra-Chance)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5473","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2016.09.006"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2011.00117.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2217\/whe.15.60"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.26436"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2006.01.012"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.10.025"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4603-6"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2018.01.032"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2021.1994659"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2020.1769869"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1615\/critrevbiomedeng.v38.i1.60"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-3133"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2019.1690169"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2017.1285444"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jimed.2022.06.001"},{"key":"ref16","first-page":"96","volume-title":"Principles and clinical applications of ultrasound-guided percutaneous microwave ablation in treatment of adenomyosis","author":"Zhang","year":"2016"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-001-0186-5"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1177\/01617346211017462"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3233\/ch-211287"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20211301"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.01.008"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/s0015-0282(01)01847-7"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-0887-y"},{"key":"ref24","first-page":"205","volume-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","author":"Dindo","year":"2004"},{"key":"ref25","first-page":"2749","volume-title":"Ultrasound-guided percutaneous microwave ablation in the treatment of diffuse adenomyosis","author":"Zhang","year":"2011"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2021.1939443"},{"key":"ref27","first-page":"11701","volume-title":"Efficacy of high-intensity focused ultrasound ablation for adenomyosis therapy and sexual life quality","author":"Long","year":"2015"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20160119"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2006.01.016"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1111\/jog.14145"}],"container-title":["Ultrasonography"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-ultrasonography.org\/upload\/usg-23145.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ultrasonography.org\/journal\/view.php?doi=10.14366\/usg.23145","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ultrasonography.org\/upload\/usg-23145.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T01:28:13Z","timestamp":1703813293000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-ultrasonography.org\/journal\/view.php?doi=10.14366\/usg.23145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,1]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.14366\/usg.23145","relation":{},"ISSN":["2288-5919","2288-5943"],"issn-type":[{"value":"2288-5919","type":"print"},{"value":"2288-5943","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,1]]},"assertion":[{"value":"2023-07-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-07","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}