A structured framework for optimizing high-intensity focused ultrasound ablative treatment in localized prostate cancer

Investig Clin Urol. 2019 Jul;60(4):312-318. doi: 10.4111/icu.2019.60.4.312. Epub 2019 Jun 20.

Abstract

High-intensity focused ultrasound (HIFU) treatment has recently been pursued to reduce radical treatment-related morbidity in low-to-intermediate-risk localized prostate cancer (PCa), especially in older men. The aim of this study was to develop a dedicated framework for HIFU therapy. All clinical data, such as risk categories, magnetic resonance with functional parametric imaging, and histopathology, are essential for driving proper HIFU treatment. All needed data can be added to the framework to localize areas that need to be treated. Once PCa areas have been featured, quantified, and located, planning can be adapted to drive accurate HIFU treatment. Our planning framework may be useful for all ablative therapies in order to standardize treatment for both clinical and scientific purposes.

Keywords: Ablation techniques; High-intensity focused ultrasound ablation; Planning techniques; Prostatic neoplasms.

MeSH terms

  • Aged
  • High-Intensity Focused Ultrasound Ablation / methods*
  • Humans
  • Male
  • Prostatectomy / methods*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / surgery*