Successful Use of Magnetic Resonance-Guided Focused Ultrasound Surgery for Long-Term Pain Palliation in a Patient Suffering from Metastatic Bone Tumor

골전이암 환자에서 장기간 통증을 완화시킨 자기공명영상 유도하 고집적 초음파 시술: 증례 보고

  • Lee, Ji-Eun (Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Yoon, Sang-Wook (Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Kim, Kyoung-Ah (Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Lee, Jong-Tae (Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Shay, Lilach (InSightec Ltd.) ;
  • Lee, Kyong-Sik (Department of General Surgery, CHA Bundang Medical Center, CHA University College of Medicine)
  • 이지은 (CHA의과학대학교 분당차병원 영상의학과학교실) ;
  • 윤상욱 (CHA의과학대학교 분당차병원 영상의학과학교실) ;
  • 김경아 (CHA의과학대학교 분당차병원 영상의학과학교실) ;
  • 이종태 (CHA의과학대학교 분당차병원 영상의학과학교실) ;
  • ;
  • 이경식 (CHA의과학대학교 분당차병원 일반외과학교실)
  • Published : 2011.08.01

Abstract

Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) is a clinically effective, non-invasive treatment for thermal ablation of various soft tissue tumors, and is effective in pain palliation following radiation therapy, as has been demonstrated in the initial studies of bone metastases. The current study evaluated the safety and clinical efficacy of MRgFUS for pain palliation prior to radiation therapy, in a patient with a solitary metastatic bone lesion. This is the first case report of MRgFUS treatment with a 1-year follow-up in a patient.

자기공명영상 유도하 고집적 초음파 시술(MRgFUS)은 다양한 종류의 연부조직 종양에 적용되는 소작 치료술로 임상적으로 효과적이고 비 침습적인 시술로 알려져 있다. 초기 골 전이 병변 치료 연구에서 증명 되었듯이 방사선 치료 후 통증 경감에도 효과적인 치료 방법이다. 본 증례는 단일 병소 골 전이 환자에 있어서 통증 경감을 위해 적용된 자기공명영상 유도 하 고집적 초음파 시술로서 안전성과 임상적 효능을 보여주고, 또한 1년의 장기 추적 조사가 이루어진 최초의 보고이다.

Keywords

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