When the doctor tells you that you have a tumor in your body, the fear that immediately comes to mind is, "Oh, will I have to have an operation?" None of us like to cut our bodies or suffer major injuries. But now, medical science has advanced a lot. Have you heard of a technology that can destroy tumors inside the body without surgical wounds, like magic? That's what we call HIFU, which stands for High-Intensity Focused Ultrasound. Today, we'll talk about this simply, in a way that you can understand.
Simply put, what is this HIFU?
Okay, let's first understand the name of this. High-Intensity Focused Ultrasound. That means "high-intensity focused sound waves". Although the name is a little complicated, the work is very simple.
Most of us are familiar with ultrasound scans. This scan is done to look at the baby in the womb of an expectant mother, or to look at the organs inside the womb. It involves sending sound waves into the body and looking at the resulting picture.
But HIFU is something completely different. Instead of taking pictures, it uses sound waves that are thousands of times more powerful than ultrasound waves to destroy diseased tissue inside the body, such as a tumor.
Imagine using a pair of sunglasses to focus sunlight into one spot and set fire to a piece of paper. This is what happens with HIFU technology. Thousands of sound waves are directed at the same time, at the same place, that is, exactly where the tumor is. This high energy causes the temperature of the targeted tissue to rise suddenly, destroying those cells (this is what we call ``ablation'' in medicine).
The amazing thing about this is that these sound waves pass through your skin and muscles without harming any healthy tissues outside, and only work on the target area. When performing this treatment, doctors use MRI scans (Magnetic Resonance Imaging) or Ultrasound scans to see exactly where the target is. That's why this is very accurate.
What conditions can be treated with HIFU?
HIFU technology is now being used to treat a wide range of conditions around the world. It is particularly effective for treating solid tumors that develop anywhere in the body. These tumors can be either malignant (cancerous) or benign (non-cancerous).
You can get a good idea about this from the table below.
| Condition being treated | More information |
|---|---|
| Cancers and tumors of various organs | It treats conditions such as bones, brain, breast, kidney, liver, pancreas, and especially prostate cancer. |
| Uterine Fibroids | HIFU is used to treat this condition, which is common among women, without surgery. |
| Essential Tremor | HIFU can be used to treat a specific part of the brain to provide relief for severe hand tremors that cannot be controlled with medication. |
| Parkinson's Disease | The main symptom of this disease is tremor, and HIFU is also used to control that condition. |
| Cancer pain that has spread to the bones | This method is also used to relieve severe pain caused by metastatic bone growth when cancer spreads to the bones. |
| Thyroid nodules | It is also used to remove some lumps that form in the thyroid gland in the neck. |
In addition to this list, doctors are still researching whether HIFU can treat many other diseases. So this is a technology that is improving day by day.
Why do we choose HIFU treatment? What are the benefits?
You may be wondering, "Why go through this procedure if you can have an operation?" There are several reasons for that.
The first and most important advantage is that it is non-invasive.That means there are no cuts, no major wounds, and no stitches. That's why the risk of infection is very low.
The second reason is that this is a very precise targeted therapy . As mentioned earlier, since it only targets and destroys the diseased cells, the surrounding healthy tissue is not damaged. Also, since it does not use radiation, it does not have the side effects that radiation therapy does.
This treatment usually does not require a hospital stay. You can go home the same day after the treatment (outpatient procedure). The recovery time is very short. You can return to your normal activities within a few days.
But we must remember one thing. Not every tumor or cancer can be treated with HIFU. For example, this treatment is only used for prostate cancer if it is in its early stages, has not spread beyond the gland, and is clearly visible on an MRI or Ultrasound scan. Your doctor will decide whether this treatment is suitable for you or not.
What happens before and during treatment?
To give you a better understanding of this treatment method, let's look at the steps involved in this process.
Before treatment
After deciding to have HIFU treatment, your doctor will first ask you to have an MRI or an ultrasound scan. This will help determine the exact location of the tumor and its size. You will then be given special instructions (e.g. how to control your diet) to follow starting the day before the treatment. It is very important to follow these instructions exactly.
During treatment
On the day of treatment, these steps are usually followed:
1. Preparation: You will be made to lie down on a special bed. Depending on the part of the body being treated, a special device (stabilizing device) may be used to keep that part still. For example, if the brain is being treated, a head frame (head frame) may be used to keep the head still.
2. Anesthesia: Depending on the location of the treatment and your condition, you may be conscious, given light sedation, or completely anesthetized (general anesthesia).
3. Targeting: The doctor uses an MRI or ultrasound machine to locate the exact tissue that needs to be treated.
4. Starting the treatment: The HIFU machine's sound wave-emitting probe is then placed over your skin, precisely targeting the target area. (If treating the prostate, a finger-sized probe is inserted through the rectum.)
5. Emitting sound waves:Then, high-intensity sound waves are emitted every few seconds, heating and destroying the targeted cells. This is done gradually, until the entire tumor is covered.
6. Final check-up: At the end of treatment, another scan is performed to confirm that the tumor has been successfully destroyed.
The time it takes for this entire process to complete can vary depending on the size and location of the tumor. Typically, the treatment can be completed in a single session.
Are there any risks or complications with this?
As with any medical treatment, HIFU carries a small risk. However, compared to procedures such as surgery, the risk of complications is very low.
Very rarely, superficial skin burns may occur. Also, specific side effects may occur depending on the area treated. For example, after HIFU treatment for prostate cancer, some people may experience temporary urinary problems or erectile dysfunction.
The most important thing is to talk openly with your doctor about the pros and cons of this treatment, as well as the possible side effects, before you start. Then you can make an informed decision.
The recovery time varies from person to person, but you can usually return to your normal life within a short period of time, about a week.
Take-Home Message
- HIFU is a modern, safe treatment that uses high-intensity focused sound waves to destroy tumors inside the body without cutting into the body.
- This method causes minimal damage to healthy tissue and does not involve exposure to radiation.
- This technology is used to treat a number of diseases, such as cancer, uterine fibroids, and tremors.
- The recovery time is much shorter than with regular surgery, and the risk of side effects is also lower.
- This treatment is not suitable for all patients. Your doctor will decide if it is suitable for you.
- Please discuss any questions, concerns, or doubts you have about this with your doctor.











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