Evidence map›Paper›PMID 26296371›Full record

ArticleWorld journal of urology2016

The correlation between the electrode configuration and histopathology of irreversible electroporation ablations in prostate cancer patients.

W van den Bos, D M de Bruin, R R Jurhill, C D Savci-Heijink, B G Muller, I M Varkarakis, A Skolarikos, P J Zondervan, M P Laguna-Pes, H Wijkstra and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in World journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01790451 (The Safety and Efficacy of Irreversible Electroporation for the Ablation of Prostate Cancer Assessed by Procedural Related Side Effects and Post Prostatectomy Histology), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01790451 phase1completednot on this map

The Safety and Efficacy of Irreversible Electroporation for the Ablation of Prostate Cancer Assessed by Procedural Related Side Effects and Post Prostatectomy Histology: A Prospective Human In-Vivo Study.

TypeinterventionalSponsorClinical Research Office of the Endourological SocietyRan2013 to 2014Enrolled16ConditionsProstate CancerArmsIrreversible Electroporation
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 69 citations in OpenAlex.

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  13. Targeting the cancer lesion, not the whole prostate.Translational andrology and urology · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

W van den BosDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. w.vandenbos@amc.uva.nl.
D M de BruinDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
R R JurhillDepartment of Pathology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
C D Savci-HeijinkDepartment of Pathology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
B G MullerDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
I M Varkarakis2nd Department of Urology, Athens Medical University, University of Athens, Athens, Greece.
A Skolarikos2nd Department of Urology, Athens Medical University, University of Athens, Athens, Greece.
P J ZondervanDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
M P Laguna-PesDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
H WijkstraDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
T M de ReijkeDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
J J M C H de la RosetteDepartment of Urology Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Academic Medical Center · NLUniversity of Amsterdam · NLNational and Kapodistrian University of Athens · GREindhoven University of Technology · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIrreversible electroporation (IRE) is a novel minimally invasive therapy for prostate cancer using short electric pulses to ablate prostate tissue. The purpose of this study is to determine the IRE effects in prostate tissue and correlate electrode configuration with the histology of radical prostatectomy (RP) specimens. We hypothesize that the area within the electrode configuration is completely ablated and that the area within the electrode configuration is predictive for the ablated area after treatment.

methodsA prospective phase I/II study was conducted in 16 consecutive patients with histopathologically confirmed prostate cancer scheduled for RP. Focal or extended IRE treatment of the prostate was performed 4 weeks prior to RP. The locations of the electrodes were used to calculate the planned ablation zone. Following RP, the specimens were processed into whole-mount sections, histopathology (PA) was assessed and ablation zones were delineated. The area of the tissue alteration was determined by measuring the surface. The planned and the histological ablation zones were compared, analysed per individual patient and per protocol (focal vs. extended).

resultsAll cells within the electrode configuration were completely ablated and consisted only of necrotic and fibrotic tissue without leaving any viable cells. The histological ablation zone was always larger than the electrodes configuration (2.9 times larger for the 3 electrodes configuration and 2.5 times larger for the ≥4 electrode configuration). These ablation effects extended beyond the prostatic capsule in the neurovascular bundle in 13 out of 15 cases.

conclusionsIRE in prostate cancer results in completely ablated, sharply demarcated lesions with a histological ablation zone beyond the electrode configuration. No skip lesions were observed within the electrode configuration. CLINICAL TRIALS: ClinicalTrials.gov Identifier: NCT01790451 https://clinicaltrials.gov/ct2/show/NCT01790451.

Indexed as

Ablation TechniquesAdultAgedElectrodesElectroporationElectrosurgeryHumansMaleMiddle AgedProspective StudiesProstatic NeoplasmsFocal therapyIREIrreversible electroporationPlanningProstate cancer

Identifiers

PMID26296371
PMCPMC4841841
OpenAlexW2122352794

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.