7.01.109 Magnetic Resonance-Guided Focused Ultrasound

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Policy [TOP] Magnetic resonance ‒ guided high-intensity ultrasound ablation may be considered medically necessary for pain palliation in adult patients with metastatic bone cancer who failed or are not candidates for radiotherapy. Magnetic resonance-guided high-intensity ultrasound ablation is considered investigational in all other situations including but not limited to:  Treatment of uterine fibroids;  Treatment of other tumors e.g., brain cancer, prostate cancer and breast cancer.

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7.01.109 Magnetic Resonance-Guided Focused Ultrasound

Policy [TOP] Magnetic resonance ‒ guided high-intensity ultrasound ablation may be considered medically necessary for pain palliation in adult patients with metastatic bone cancer who failed or are not candidates for radiotherapy. Magnetic resonance-guided high-intensity ultrasound ablation is considered investigational in all other situations including but not limited to:  Treatment of uterin...

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تاریخ انتشار 2016