Lessons learned during implementation of MR-guided High-Intensity Focused Ultrasound treatment of uterine fibroids

Insights into Imaging

Table 5 Overview of failed treatments, reason of failure and possible solution

Treatment number	Patient number	Category failure	Kind of failure	Possible solution
1	1	Treatment	Interposition of bowel	New manipulation protocol
2	2	Treatment	Abdominal scar in pathway	New manipulation protocol
3	2	Treatment	Abdominal scar in pathway	New manipulation protocol
4	3	Treatment	Interposition of bowel	New manipulation protocol
5	3	Treatment	Interposition of bowel	New manipulation protocol
6	4	Treatment	Interposition of bowel	New manipulation protocol
7	5	Treatment	Interposition of bowel, part unreachable because of distance and abdominal scar	New manipulation protocol
8	6	Treatment	Interposition of bowel and small fibroid	New manipulation protocol and breath hold instructions
9	7	Treatment	Pain, interposition of bowel	New manipulation protocol and alterations in sedation protocol
10	8	Heating	Pain, no adequate heating and part unreachable	Alterations in sedation protocol and adequate screening of patients
11	9	Treatment	Pain during treatment	Alterations in sedation protocol
12	10	Heating	No adequate heating	Adequate screening of patients
13	11	Heating	No adequate heating	Adequate screening of patients
14	12	Heating	No adequate heating	Adequate screening of patients
15	13	Treatment	Interposition of bowel	New manipulation protocol
16	14	Heating	No adequate heating	Adequate screening of patients
17	15	Heating	No adequate heating	Adequate screening of patients
18	16	Treatment	Interposition of bowel	New manipulation protocol
19	17	Treatment	Interposition of bowel	New manipulation protocol