Patient selection guidelines for magnetic resonance focused ultrasound (MRgFUS) treatment: an updated view

Methods 373 women with symptomatic uterine fibroids were screened with MRI exams with and without contrast utilizing T2 coronal and axial, T2 fat suppressed sagittal, T1 axial precontrast images, and post contrast fat saturated images in 3 planes. Patients were initially considered clinically eligible if they met the standard published screening criteria/Food and Drug Administration-based treatment guidelines. These selection criteria were expanded on a case-by-case basis if it was felt that a NPV of at least 50% could be obtained or if the patient refused other treatment approaches (myomectomy, hysterectomy, uterine artery embolization).