MRgFUS Referrals and Scheduling

Medical advantages for patients and their physician

With the rapid pace of advances in medicine and technology today, the patient and her physician gain the advantage of in-depth experience with all the latest options for dealing with the range of variations in fibroids, which not every gynecologist has.  At UCSF patients can meet with internventional radiologist Maureen Kohi, MD, who performs the advanced treatments for fibroids. And if the patient has no gynecologist, then the patient can meet with both a UCSF gynecologist and Dr. Kohi, who are both experienced in the very latest advances and techniques for managing fibroids.  Following the patient evaluation and treatment for fibroids, the patient’s personal physician will receive a detailed report and will continue full ongoing management of her health.

Embospheres

 How to Schedule Fibroid Treatment: 

If you are a patient without a gynecologist:

If you are a patient without a gynecologist and would like to come to UCSF for a potential fibroid treatment, please call the UCSF Comprehensive Fibroid Center at (415) 885-7788 and press option 1. Tell the receptionist you are interested in MR guided Focused Ultrasound Treatment for Fibroids. You will be scheduled for an appointment with UCSF gynecologist, Vanessa Jacoby, MD as well as with the physician who performs the procedures, UCSF interventional radiologist Maureen Kohi, MD. If the treatment seems to be appropriate for your situation,you will be scheduled to attend the MR-guided Focused Ultrasound Clinic (which meets most Fridays in the morning) at 2356 Sutter Street, 5th floor, San Francisco, CA 94115.

The first step in the process is to get an MRI to be sure you are an appropriate candidate for the advanced fibroid treatments.  If you are a candidate for the procedure, we will order the MR-guided focused ultrasound treatment (MRgFUS) and start the insurance authorization process. If the procedure is not covered by your insurance, you can choose a discounted “self-pay option”.  If you are not a candidate for focused ultrasound surgery, then we can recommend an alternative and equally safe, minimally invasive procedure called Uterine Artery Embolization (UAE). Uterine artery embolization is a procedure that cuts off the blood supply for example by using embospheres as blockage causing them to shrink.  UAE is covered by almost all insurance plans. 

If you are a referring physician or you are a patient with your own gynecologist who is referring you:

If you are a physician referring a patient or you are a patient with your own gynecologist who is referring you to UCSF for a potential fibroid treatment:

Please call interventional radiology directly at (415) 353-1300 (or get an APeX referral to interventional radiology) in order to have an appointment with Maureen Kohi, MD who will discuss the latest advanced treatment options available with you. She will explain the pros and cons of the advanced procedures. These include either MR-guided Focused Ultrasound (MRgFUS) or Uterine Artery Embolization (UAE).

The first step in the process for the patient is to get an MRI to be sure she is an appropriate candidate for the advanced fibroid treatments. It is possible to have the MRI at UCSF, or if the patient has recently had an MRI at another facility, we will see if we can use that imaging study to determine the best fibroid treatment option for her.

When you call (415) 353-1300, the patient will be scheduled to meet with Maureen Kohi, MD as part of our interventional radiology clinic or at some mutually agreed upon time. If the patient is a candidate for the procedure, we will order the MR-guided focused ultrasound treatment (MRgFUS) and start the insurance authorization process. Patients can choose a discounted self-pay option if the procedure is not covered by their insurance. If the patient is not a candidate for MR focused ultrasound, then we can recommend an alternative and equally safe minimally invasive procedure called Uterine Artery Embolization (UAE). Uterine artery embolization is a procedure that cuts off the blood supply for example by using embospheres as blockage causing them to shrink. UAE is covered by almost all insurance plans.