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Echipa Sf. Paul, pe 13 martie 2018 -
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HIFU ( Ecoterapie ) – Principiile terapiei

Terapia HIFU utilizează hipertemia tranzitorie pentru a produce necroză prin coagulare a țesutului țintă. Țesutul necrozat este absorbit de țesuturile normale din jur sau devine țesut fibros. Deoarece distrugerea țesutului are loc prin creșterea temperaturii (60 – 100℃) se considera a fi ablație termică. HIFU este o tehnologie nouă pentru tratamentul local al tumorilor ce include tratamentul tumorilor benigne si maligne.

Indicații și contraindicații HIFU

Obiectivul terapiei HIFU este distrugerea prin necroză a țesutului țintă cu distrugerea tuturor celulelor aflat în focus. Asemănător tratamentului chirurgical este important ca întreaga masă tumorală să fie distrusă prin ablație termică cu HIFU într-o sesiune dacă este posibil. Pentru masele tumorale mari, tratamentul necesită o durată mai mare de timp și pacienții trebuie ținuți o perioadă relativ lungă într-o poziție fixă cu un control bun asupra mișcărilor respiratorii fiind astfel recomandat ca tratamentul să fie efectuat cu anestezia pacientului.

Ultrasunetele pot fi complet reflectate de aer altfel o undă de US (ultrasunete) care intră într-un organ ce conține aer este parțial sau total reflectată rezultând imposibilitatea de a acumula energie și a produce necroză în țesutul țintă. Undele reflectate pot determina distrugerea țesuturilor din jurul țintei. Organele care conțin aer cum ar fin intestine sau plămâni sunt conectate cu mediul extern și pot permite bacteriilor să intre in cavități. Astfel tumorile aflat în organe de acest fel nu sunt considerate potrivite pentru ablație prin HIFU.

Considerând particularitățile ultrasunetelor terapeutice, specificitatea organelor țintă și experiența de peste 20 de ani a terapiei cu HIFU se pot considera următoarele indicații pentru un astfel de tratament:

  •  Ficat –carcinom hepatic tumori primare sau secundare, tumori benigne cum ar fi hemangioame hepatice.
  • Pancreas – carcinom pancreatic primar fără icter sau  după intervenție chirurgicală pentru eliberarea canalelor biliare
  • Rinichi – tumori renale primare sau secundare fără emboli în vena renală sau vena cavă inferioară și tumori benigne cum ar fi hamartoamele.
  • Oase – tumori primare sau secundare cu excepția craniului și a coloanei
  • Sân – tumori primare de sân, sarcoame sau tumori benigne (fibroame)
  • Țesuturi moi – tumori primare sau secundare și sarcoame recurente și reziduale post chirugical, tumori benigne cum ar fi lipoamele.
  • Histeromioame – nu mai mult de 3 mioame ale uterului intramurale sau subseroase
  • Vezică urinară – cancere de vezică urinară fără obstrucție ureterală. Apă degazată trebuie injectată în vezică
  • Tumori ale cavității abdominale care nu invadează pereții intestinali și pot fi vizualizate ecografic.
  • Tiroidă – noduli tiroidieni de origine benignă

Contraindicații:

  • Tumori craniene benigne și maligne;
  • Tumori ale coloanei vertebrale și canalului vertebral;
  • Tumori gastrointestinale – orice tumoră benignă sau malignă care invadează pereții gastrointestinali;
  • Tumori ale cavității toracice și organelor mediastinale, cancer pulmonar;
  • Tumori care obstruează organe cavitare
  • Pacienți care nu tolerează proceduri anestezice – care au cașexie severă, cardiovasculară, boli cerebrale sau pulmonare sau diabet necontrolat.

Principii de bază in terapia HIFU în oncologie

Cancerul poate fi considerat ca o boală sistemică și terapia HIFU, la fel ca și chirurgia este considerată ca o metodă locală de tratament. Alegerea HIFU ca opțiune terapeutică în cancer trebuie să respecte cele 2 principii de tratament – tratamentul sistemic și cel local.

Tratamentul sistemic

Cancerul poate fi considerat ca o boală sistemică după metastazare. Pornind de la această situație orice metodă de tratament local poate avea efecte limitate și este recomandată utilizarea metodelor multiple de tratament pentru creșterea ratei de supraviețuire a pacienților. Ca orice metodă de tratament local cum este și chirurgia,  terapia HIFU trebuie utilizată în combinația cu celelalte metode de tratament.

, pe 7 martie 2018 -
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Advantages of HIFU

The Advantages of Hifu

On account of the incredible imaging capabilities in addition to the ability to correct the power level and have full control over the probe itself, the physician can steer clear of all neurovascular bundles that may lead to nerve damage resulting in impotence. The individual will lie back on his right hand side for the length of the treatment approach. Therefore, HIFU treatment can be employed on numerous occasions without damaging healthier tissue. Although it has several advantages over traditional treatments, you and your doctor should discuss your condition as well as all options so you can make an informed decision about the best treatment for you. It is appropriate for localized cases of prostate cancer (meaning it has not spread to other parts of the body beyond the primary site). To find out more about whether or not it is the best choice for you, contact the prostate cancer specialists at Comprehensive Urology in Beverly Hills. The great thing about HIFU treatment for face is that it’s the sole non-invasive treatment once it comes to specifically targeting the deep foundation beneath the skin that’s addressed in cosmetic surgery where there’s no cutting or disrupting the top layer of the skin.

Hifu Options

When the procedure is finished, patients only require a few hours to recoup and in merely a day or two, patients are in a position to return to their life. It appears to have been successful. It is ideal for early stages as it can be used to target very specific areas of the gland. Once it is complete, the physician has the ability to monitor the location of the precise lesion. It is currently being evaluated by the FDA and is not yet available in the United States. It is not available in the United States, but Americans do have the option to go to Toronto, Canada to get treated in the first North American clinic to perform the procedure. Naturally, not everybody is qualified for the procedure, and it’s important to explore the available options with one’s doctor.

Vital Pieces of Hifu

The cancer is thought to have recurred. Prostate cancer isn’t characterized by any symptom, during the first stages. Prostate cancer, the most frequent sort of cancer in males over age 50, has many treatment alternatives available through the subject of urology.
In instances where the disease spreads from the prostate into other components of the human body, or the cancer has recurred after a set of treatments, hormone therapy is considered an option. Get a yearly prostate exam for early detection and learn more regarding the HIFU prostate cancer treatment if you’re diagnosed with the disease. Accordingly, many other forms of treatment are viable alternatives. Treatment The most suitable treatment is mainly dependent on the stage and aggressiveness (how quickly it’s growing and spreading) of the disease when it’s discovered. Late stage treatments will consist of orchiectomy (the removal of the testicles), which is intended to take out the source of the human body’s major production of testosterone, or a selection of hormone treatments aimed at either reducing the degree of testosterone and other male hormones in the human body or of blocking their action. Early stage cancer treatments are intended to eliminate the prostate or to destroy it and therefore to block the cancer cells before they have an opportunity to spread to other regions of the body.
There are over 100 distinct kinds of cancer. Prostate cancer is extremely typical in American men. It is beatable and we have a variety of prostate cancer treatment options to help you beat it. It is a common type of cancer. The only reliable way to way to determine if it exists is by visiting your doctor for a screening. For a guy, among the most dreaded phrases you’ll be able to hear is You have prostate cancer.
If you are thinking about treating your prostate cancer with HIFU, then it’s important to realize the 2 options accessible to decide on the one which is appropriate for you. When caught early, prostate cancer is just one of the most treatable types of the disease. It is the second most common type of cancer to affect men in the United States, after skin cancer.

The risks of smoking in every facet of human health have been well documented. When other health risks like being overweight are factored into the deficiency of exercise, it’s not surprising that health experts are finding that getting regular exercise many times weekly may also be a possible tool in the struggle against cancer. There’s quite a minimal risks connected to the HIFU facelift therapy.

, pe 7 martie 2018 -
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HIFU – High Intensity Focused Ultrasound

Brief Article Teaches You the Ins and Outs of High Intensity Focused Ultrasound ( HIFU ) and What You Should Do Today

Early stage cancer treatments are intended to eliminate the prostate or to destroy it and therefore to block the cancer cells before they have an opportunity to spread to other regions of the body. Prostate cancer HIFU treatment is a good alternative for many men battling the disease. If you were diagnosed with the disease, you are likely wondering if prostate cancer HIFU treatment is best for you. If you do eliminate the cancer working with the alkaline method, it is going to come back in the event you don’t quit doing whatever resulted in the cancer to appear in the very first place. When you have reason to feel you can have prostate cancer, perhaps as a result of diagnosis of a relative, make certain you get yourself checked out. Prostate cancer is just one of the most frequent cancers affecting men in the usa.

It is also known as focused ultrasound surgery which is under magnetic resonance to target the fibroids so that the healthy tissue are not harmed.If you’re still confused about the procedure then it is possible to ask your gynecologist about it. The process seems to have been successful.  Non-surgical medical procedures to take care of skin laxity are among the most well-known treatments in aesthetic medication.
No surgery is needed to remove jowls or chubby cheeks. Secondly, it carries inherent risks which many people are not willing to take. Even with the constant desire to remain youthful, plastic surgery has rarely become the very first selection for the majority of people because of several factors.

High Intensity Focused Ultrasound Options

The sensor contains a core piezoelectric crystal placed within the gadget. Ultrasound sensors are used for a selection of healthcare devices and healthcare. It can be used for elastography. Fibroids are more prevalent in obese ladies. Uterine fibroids are extremely common and approximately one in four women are experiencing no symptoms in any respect.
By sparing as much healthier tissue as possible, patients are normally able to continue to appreciate their regular amount of sexual activity in addition to bladder continence. Prostate cancer survival is a complex issue. Some risk factors connected with the evolution of uterine fibroids are modifiable. Growth in the world base of geriatric population would function as a high effect driver of the marketplace. Furthermore, the market for 2-D imaging is forecast to expand at the slowest CAGR because of the arrival of 3-D and 4-D imaging. The worldwide medical imaging equipment market has a massive chance to grow with the debut of cloud-based medical imaging. On the flip side, the lung cancer sector is forecast to experience tremendous growth because of the factors like rising smoking incidences, air pollution and deskbound way of life. Clearly, they do need to be counselled about the consequences of a PSA test. They can return to work on the same day. Actually, oftentimes, a physician can finish the procedure in an out-patient setting. The perfect way to come across such doctors is to look for them online and book an appointment with the one which you locate the most experienced and recommended in treating gynecological troubles.

 

Medical aesthetic doctors have the ability to realize excellent skin rejuvenation outcome within a couple hours at the physician’s officeNo alternate treatment can work without a wholesome diet. A thread lift treatment can be finished in 45-minute at the physician’s office.In years past many treatments have claimed to attain skin lifting outcome.

If your gynecologist has suggested you to undergo a surgery to take care of the fibroid in your uterus and you’re unable to validate the treatment on account of the scare of knives in your abdomen then there’s not any reason to fret now.

The technology was shown to be wholly secure and without any substantial side effects. Ultrasound technology is supposed to be among the safest and least invasive techniques of medical diagnostic testing and doesn’t use harmful chemicals like radiation, which can create hazards to humans. Though the technique and outcome are the very same, the threads are made from unique materials. Similar techniques are used in brain surgery to deal with essential tremor. A number of different radiation therapy techniques could be used and treatment will typically be carried out over a period of many weeks.
Based on the doctor you decide on, they have their very own preferred assortment of fillers they use. Besides the difficulties of handling prostate cancer, a lot of men discover they have to deal with one or another kind of urinary incontinence after having to manage the illness.  Today, there are lots of kinds of therapies to take care of prostate diseases.

DIFFERENCE BETWEEN SURGICAL FACELIFT AND ULTHERAPY It is very important to remember that a surgical facelift doesn’t create the exact same results as Ultherapy.Radiesse dermal filler is the very first and only dermal filler accepted by the FDA for hand augmentation to offer hand rejuvenation therapy. Getting fit has become the most popular New Year resolution and often on the cap of the wish list of several women and men.

The reward of ultrasound is that it may eliminate a tumour without surgery. There are a few choices according to researchers to lessen the risk. No matter the stage of your cancer it’s important to look at all the options carefully and weigh the advantages, disadvantages and hazards of each carefully before deciding upon the treatment which is most appropriate for you. Another quality of prostate cancer is it usually progresses slowly.

, pe 7 martie 2018 -
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High Intensity Ultrasound

High Intensity Ultrasound – HIFU

Ultrasound may be used for elastography. It assisted liposuction is achieved by a large paddle circulating over the troublesome areas much like a traditional ultrasound. Like any other sort of waves, ultrasound carry power and deliver it to the tissues where they’re absorbed. It can be used for the local drug delivery by carriages. It is the cheapest imaging modality available that provides real-time images using the same form of energy used for treatment. Because the focused ultrasound is MRI-guided, the team managed to monitor the prospective effects before producing the ablation. High-intensity air-borne ultrasound might be an adequate contact-less process to break the bubbles.

What You Should Do to Find Out About High Intensity Ultrasound Before You’re Left Behind

The technology is a new means to get rid of the source of tremors in an entirely non-invasive way. It offers a good safety profile. Ultrasound technology is believed to be among the safest and least invasive techniques of medical diagnostic testing and doesn’t use harmful chemicals like radiation, which can create hazards to humans.

Ideas, Formulas and Shortcuts for High Intensity Ultrasound

In case the cancer spreads to other components of the human body, typically the bones, it can’t be cured and treatment is centered on prolonging life and relieving symptoms. Additional people diagnosed with cancer are living far longer after their diagnosis and oftentimes live for over two decades after the cancer was identified. Additional the cancer may have spread beyond the prostate gland, thus there isn’t any guarantee that the surgeon will have the ability to remove all the cancer. If you’re considering treating your prostate cancer with HIFU, then it’s important to see the 2 options accessible to decide on the one which is appropriate for you. If you or somebody you care about has been diagnosed with prostate cancer, among the many concerns you may have is exactly how much treatment will impact your everyday life.

The procedure is done under imaging guidance. It uses energy-rich bundled ultrasound. It is ideal for early stages as it can be used to target very specific areas of the gland. It is also known as focused ultrasound surgery which is under magnetic resonance to target the fibroids so that the healthy tissue are not harmed. Cyclodestructive procedures are restricted to refractory or end-stage glaucoma. Non-surgical medical procedures to deal with skin laxity are among the most well-known treatments in aesthetic medication.

The Ultimate High Intensity Ultrasound Trick

What would be a perfect approach for a single patient isn’t necessarily the exact same for another person. Patients can return to regular activity in a quick quantity of time. They will then be provided with a prescription to reduce spasms which may occur for a short time after treatment. They were asked to complete a written questionnaire before and after each treatment. The individual is lying on their back and a balloon is put over the ultrasound probe, which is subsequently set in the rectum. Patients could have a light breakfast, followed by drinking clear fluids for the remaining portion of the day. It is essential for a patient to weigh the probable advantages versus the greater cost of the process.
Patients may eat and drink whenever you’re awake. They never need to worry about any injury to the surface of the skin. The individual is discharged home the very same day, and might go back to work within one day. Patients can go back to work on precisely the same day. They are generally willing to travel to Toronto or elsewhere to get the procedure, since it is non-surgical and non-invasive, with similar or better success rates to surgery or radiation.

Choosing Good High Intensity Ultrasound

HIFU treatment may be used repeatedly since there is no danger of radiation exposure. Also referred to as prostate preservation, focal therapy is several non-invasive methods that are intended to target certain regions of cancer within the prostate whilst leaving normal tissue and function intact. Focal therapy utilizing high-intensity focused ultrasound intends to find and destroy no more than the cancerous portions of the prostate, avoiding treatment of healthful tissue. Then you will obtain the HIFU therapy. HIFU therapy for prostate cancer has been used for 6-7 decades.
If you opt to have your treatment with us, you’ll be looked after by a seasoned multi-disciplinary care team. Generally just one treatment is needed every 6 months to 2 years based on the customer’s age and level of skin laxity, biological reaction to ultrasound energy and their personal collagen-building procedure. In years past many treatments have claimed to attain skin lifting outcome. Other treatments continue to be an option If HIFU isn’t powerful and the cancer returns, your physician can pursue different choices, including surgery. Focused ultrasound treatment doesn’t use ionizing radiation, meaning that it’s possible to repeat therapy, it’s possible to offer it like a salvage therapy for patients who fail radiation therapy, and it doesn’t prevent pursuing other therapy options. Focused ultrasound treatment for the prostate can be found in the Europe.

Dr. Lungu Cornel, pe 21 decembrie 2017 -
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Avantajele HIFU (ecoterapie) în terapia non-chirurgicală a fibroadenomului mamar -studii clinice de actualitate

HIFU – Ecoterapia – metodă veritabilă non-invazivă în tratamentul fibroadenomului mamar

Fibroadenomul mamar este cea mai frecventă tumoră benignă a sânului, reprezentând aproximativ 70% dintre formațiunile tumorale non-maligne.

O incidență crescută se înregistrează în rândul femeilor tinere, fertile, însă fibroadenomul se întâlnește frecvent și după instalarea menopauzei, ca drept consecință terapiei de substituție hormonală.

Fibroadenomul mamar se prezintă de cele mai multe ori unilateral, leziunile pot fi unice sau multiple la nivelul glandei mamare sau se pot fi prezente și bilateral. Clinic, fibroadenomul se decelează ca formațiune rotundă, netedă, mobilă și cu sensibilitate în perioada premenstruală sau în funcție de oscilațiile hormonale corespunzătoare perioadei de sarcină.

Majoritatea pacientelor sunt diagnosticate incidental după examinări de rutină, sau prin auto-examinare, uneori când apare durererea la nivelul sânului îngrijorând pacienta.

În absența tratamentului, fibroadenomul mamar poate involua, chiar să dispară într-un număr restrâns de cazuri, mai mult de jumătate dintre acestea pot stagna, iar unele cazuri pot crește în dimensiuni semnificativ.

Probabilitatea de degenerare neoplazică obligă pacientele la o abordare terapeutică pentru plaja de siguranță, mai ales la tinere. Se optează pentru rezecția chirurgicală în cazul fibroamelor de dimensiuni mari, care determină un disconfort psihic și totodată un fond anxios pentru probabilitatea de degenerare malignă, desi studiile nu au înregistrat cazuri de malignizare, însă s-au constat prezența fibroadenomului concomitent cu dezvoltarea formațiunilor neoplazice…Citeste mai mult

Dr. Lungu Cornel, pe 17 noiembrie 2017 -
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Ultrasonografia focalizată de înaltă intensitate (HIFU)

HIFU – Ecoterapia (HIFU – High intensity focused ultrasound  )

Ultrasonografia focalizată de înaltă intensitate ( HIFU – High intensity focused ultrasound) constituie în momentul de față singura metodă non-invazivă de abordare terapeutică în patologia tumorală, având succes în ablația tumorilor primare cât și a celor diseminate la distanță.

Prima abordare a ultrasunetelor focalizate de înaltă intensitate a avut loc în 1940, progresele HIFU fiind remarcate în tratarea tumorilor maligne solide pe dimensiuni bine delimitate la nivelul sânului, pancreasului, ficatului, prostată și fibrom uterin.

Spre deosebire de tehnicile convenționale utilizate în tratarea tumorilor, precum intervențiile chirurgicale, chimio- sau radioterapia, HIFU are o serie de avantaje conferindu-i un grad de încredere ridicat, fiind o metodă non-invazivă și non ionizantă, ce nu interferează cu funcția organului asupra căruia se intervine, iar postterapeutic având complicații foarte reduse, în întreaga lume fiind tratate cu succes până în momentul de față peste 100.000 de cazuri.

Principiile tehnicii de ablație HIFU constau în focusarea ultrasunetelor și creșterea rapidă a temperaturii peste 60˚C generând necroza de coagulare a formațiunii tumorale și dezintegrarea acesteia sub influența procesului de cavitație.

Orizonturile HIFU au lărgit aplicabilitatea în patologia oncologică și se estimează că va juca un rol esențial în decizia…Citește mai mult

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