MRI-guided focal therapy of prostate cancer

被引:9
作者
Mathew, Melvy Sarah [1 ]
Oto, Aytekin [1 ]
机构
[1] Univ Chicago, Dept Radiol, Abdominal & Pelv Imaging Sect, Chicago, IL 60637 USA
关键词
cryotherapy; focal laser ablation; focal therapy; HIFU; irreversible electroporation; MRI guidance; multiparametric MRI; prostate cancer; INTENSITY FOCUSED ULTRASOUND; RESONANCE-IMAGING MRI; IRREVERSIBLE ELECTROPORATION; LASER-ABLATION; LOW-RISK; RADICAL PROSTATECTOMY; FUNCTIONAL OUTCOMES; CONSENSUS; CRYOABLATION; RECOMMENDATIONS;
D O I
10.2217/fon-2016-0201
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
With the advent of focal therapy as a recognized treatment option for men with prostate cancer, there are a host of emerging interventions that take advantage of MRI for image guidance. Focal therapy affords a middleground option for patients with low-to intermediate-grade prostate cancer by providing a means of keeping their cancer at bay while avoiding the negative consequences of radical therapies. However, the practice of focal treatment is far from straightforward, with some believing focal treatment errs on the side of overtreatment among patients with low-grade cancer; others worry it is undertreatment in potentially significant multifocal disease. Further research is necessary, both relating to focal therapy in general and to the utility of each MRI-guided focal treatment discussed.
引用
收藏
页码:537 / 549
页数:13
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