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Does mpMRI guidance improve HIFU partial gland ablation compared to conventional ultrasound guidance? Early functional outcomes and complications from a single center
Sivaraman, Arjun; Marra, Giancarlo; Stabile, Armando; Mombet, Annick; Macek, Petr; Lanz, Camille; Cathala, Nathalie; Moschini, Marco; Carneiro, Arie; Sanchez-Salas, Rafael; Cathelineau, Xavier.
Afiliação
  • Sivaraman, Arjun; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Marra, Giancarlo; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Stabile, Armando; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Mombet, Annick; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Macek, Petr; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Lanz, Camille; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Cathala, Nathalie; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Moschini, Marco; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Carneiro, Arie; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Sanchez-Salas, Rafael; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
  • Cathelineau, Xavier; Université Paris Descartes. LInstitut Mutualiste Montsouris. Department of Urology. Paris. FR
Int. braz. j. urol ; 46(6): 984-992, Nov.-Dec. 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1134246
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT Background Focal therapy (FT) for localized prostate cancer (PCa) treatment is raising interest. New technological mpMRI-US guided FT devices have never been compared with the previous generation of ultrasound-only guided devices. Materials and Methods We retrospectively analyzed prospectively recorded data of men undergoing FT for localized low- or intermediate-risk PCa with US- (Ablatherm®-2009 to 2014) or mpMRI-US (Focal One®-from 2014) guided HIFU. Follow-up visits and data were collected using internationally validated questionnaires at 1, 2, 3, 6 and 12 months. Results We included n=88 US-guided FT HIFU and n=52 mpMRI-US guided FT HIFU respectively. No major baseline differences were present except higher rates of Gleason 3+4 for the mpMRI-US group. No major differences were present in hospital stay (p=0.1), catheterization time (p=0.5) and complications (p=0.2) although these tended to be lower in the mpMRI-US group (6.8% versus 13.2% US FT group). At 3 months mpMRI-US guided HIFU had significantly lower urine leak (5.1% vs. 15.9%, p=0.04) and a lower drop in IIEF scores (2 vs. 4.2, p=0.07). Of those undergoing 12-months control biopsy in the mpMRI-US-guided HIFU group, 26% had residual cancer in the treated lobe. Conclusion HIFU FT guided by MRI-US fusion may allow improved functional outcomes and fewer complications compared to US- guided HIFU FT alone. Further analysis is needed to confirm benefits of mpMRI implementation at a longer follow-up and on a larger cohort of patients.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Neoplasias da Próstata / Imageamento por Ressonância Magnética Multiparamétrica Tipo de estudo: Estudo diagnóstico / Guia de prática clínica / Estudo observacional / Pesquisa qualitativa / Fatores de risco Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: França Instituição/País de afiliação: Université Paris Descartes/FR

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Neoplasias da Próstata / Imageamento por Ressonância Magnética Multiparamétrica Tipo de estudo: Estudo diagnóstico / Guia de prática clínica / Estudo observacional / Pesquisa qualitativa / Fatores de risco Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: França Instituição/País de afiliação: Université Paris Descartes/FR
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