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Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. T2WI fat suppressed sagittal screening MR of the pelvis shows a heterogenous fibroid, hyperintense relative to the uterine wall. Note the Foley`s bulb in urinary bladder. (Protocol: 1.5T MRI, TR: 5560ms, TE: 105.3ms)

Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. T1WI coronal screening MR of the pelvis shows the fibroid (white arrow) isointense relative to the uterine wall.(Protocol: 1.5T MRI, TR: 720ms, TE: 13.2ms)

Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. Contrast enhanced SPGR sagittal screening MR of the pelvis shows enhancement of the fibroid.(Protocol: 1.5T MRI, TR: 900ms, TE: 13.2ms, 10ml gadodiamide USP [Omniscan])

Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. T2WI sagittal MR of the pelvis during treatment planning shows an inflated rectal balloon, empty urinary bladder with Foley`s in situ (white arrow) bringing the fibroid close to the anterior abdominal wall. (Protocol: 1.5T MRI, TR: 4200ms, TE: 86.6ms)

Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. Coronal, axial and sagittal T2WI images obtained during treatment showing sonication spots (yellow arrow) and ultrasound beam path(*) Red line: skin surface; blue line: pubic bone; yellow line: far field; pink line: bowel. FigD: post sonication image showing sonicated spot (Protocol: 1.5T MRI+ ExAblate 2000, TR: 4200ms, TE: 86.8ms)

Click 44 year old nulliparous woman with intramural fibroid and acute retention of urine. Contrast enhanced spoiled gradient recalled acquisition in the steady state(SPGR) sagittal MR of the pelvis after MRgFUS treatment shows non enhancing area (arrow) corresponding to non-perfused volume of 54% (Protocol: 1.5T MRI, TR: 260ms, TE: 1.4ms, 10ml gadodiamide USP [Omniscan])