1. Noninvasive Treatment of Uterine Fibroids: Early Mayo Clinic Experience With Magnetic Resonance Imaging-Guided Focused Ultrasound 
Gina K. Hesley, MD, Joel P. Felmlee, PhD, John B. Gebhart, MD, Kelly T. Dunagan, Krzysztof R. Gorny, PhD, Jessica B. Kesler, RN, Kathleen R. Brandt, MD, Janel N. Glantz, MD, Bobbie S. Gostout, MD 
Mayo Clinic Proceedings 
Volume 81, Issue 7, Pages (July 2006)
DOI: /
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2. FIGURE 1
Left, Diagram of patient positioned to undergo magnetic resonance imaging-guided focused ultrasound treatment showing pelvic imaging coils and location of the ultrasound (US) transducer, degassed water, Mylar membrane, plastic drape (dashed arrow), and gel pad. Right, Magnetic resonance image showing uterine fibroid and the location of the gel pad and transducer in relationship to the fibroid.
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3. FIGURE 2
Magnetic resonance image of the pelvis in the coronal plane with the area to be treated outlined in white over the fibroid.
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4. FIGURE 3
Left, Magnetic resonance image (MRI) in the sagittal plane showing patient lying on a standard flat gel pad. Bowel (white arrow) lies anterior to the uterus, preventing treatment of fibroid. Right, Sagittal MRI of the same patient now lying on a convex gel pad. Bowel (white arrow) is displaced superior to the uterus, allowing for treatment of the fibroid.
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5. FIGURE 4
Left, Magnetic resonance image (MRI) in the sagittal plane showing patient with a retroverted uterus and bowel (white arrow) anterior to the uterus preventing treatment of fibroid. Right, Sagittal MRI showing the rectum (white arrow) filled with water to displace the uterus forward. Bowel is now superior to the uterus, allowing for treatment of the fibroid.
Mayo Clinic Proceedings  , DOI: ( / )
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