Evidence map›Paper›PMID 27545572›Full record

ArticleThe Journal of urology2017

Evaluation of Focal Ablation of Magnetic Resonance Imaging Defined Prostate Cancer Using Magnetic Resonance Imaging Controlled Transurethral Ultrasound Therapy with Prostatectomy as the Reference Standard.

Elizabeth Ramsay, Charles Mougenot, Robert Staruch, Aaron Boyes, Mohammad Kazem, Michael Bronskill, Harry Foster, Linda Sugar, Masoom Haider, Laurence Klotz and 1 more

3 registry-linked trialsOpen access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT03350529 nacompletednot on this map

Feasibility and Safety of Transurethral HIFU in Various Prostate Diseases; Particularly Prostate Cancer

TypeinterventionalSponsorTurku University HospitalRan2017 to 2024Enrolled87ConditionsLocalised Prostate Cancer, Locally Advanced Prostate Cancer, Locally Recurrent Prostate Cancer, Benign Prostatic HyperplasiaArmsMRI guided transurethral HIFU ablation of prostatic tissue
NCT03814252 naactive not recruitingnot on this mapstarted 2018, after this paper: background citation

Prospective Clinical Safety and Efficacy Study of Lesion-targeted MRI-guided Transurethral Ultrasound Ablation for Localized Prostate Cancer

TypeinterventionalSponsorTurku University HospitalRan2018 to 2028Enrolled62ConditionsLocalized Prostate CancerArmsMRI-TULSA
NCT06223295 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Focal Therapy in Men With Prostate Cancer

TypeinterventionalSponsorRadboud University Medical CenterRan2024 to 2031Enrolled356ConditionsProstate Cancer, Prostate NeoplasmArmsFocal therapy, Usual care
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. A Canadian center's experience on whole-gland salvage therapy for radio-recurrent prostate cancer with various modalities.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
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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

11 authors at 6 institutions in 2 countries.

Elizabeth RamsayPhysical Sciences Platform, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Charles MougenotPhilips, Markham, Ontario, Canada.
Robert StaruchPhilips Research North America, Cambridge, Massachusetts.
Aaron BoyesPhysical Sciences Platform, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Mohammad KazemPhysical Sciences Platform, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Michael BronskillPhysical Sciences Platform, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Harry FosterDepartment of Anaesthesiology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto.
Linda SugarDepartment of Anatomic Pathology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Masoom HaiderDepartment of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Laurence KlotzDepartment of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Rajiv ChopraDepartment of Radiology and Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: Rajiv.chopra@utsouthwestern.edu.
Sunnybrook Health Science Centre · CAUniversity of Toronto · CAAdvanced Imaging Research (United States) · USHealth Sciences Centre · CAPhilips (Canada) · CAPhilips (United States) · US

Funding

Evaluation of MRI-controlled transurethral ultrasound therapy for the treatment oR21CA159550 · NCI · SUNNYBROOK & WOMEN'S COLL HLTH SCIS CTR · PI CHOPRA, RAJIV, HAIDER, MASOOM A. · 2011 to 2012
$445k
NCI NIH HHS R21 CA159550
6 · The paper itself

Abstract

purposeWe evaluated magnetic resonance imaging controlled transurethral ultrasound therapy as a treatment for magnetic resonance imaging defined focal prostate cancer using subsequent prostatectomy and histology as the reference standard. MATERIALS AND

methodsFive men completed this pilot study, which was approved by the institutional review board. Prior to radical prostatectomy focal tumors identified by magnetic resonance imaging were treated by coagulating targeted subtotal 3-dimensional volumes of prostate tissue using magnetic resonance imaging controlled transurethral focused ultrasound. Treatment was performed with a 3 Tesla clinical magnetic resonance imaging unit combined with modified clinical planning software for high intensity focused ultrasound therapy. After prostatectomy whole mount histological sections parallel to the magnetic resonance imaging treatment planes were used to compare magnetic resonance imaging measurements with thermal damage at the cellular level and, thus, evaluate treatment and target accuracy.

resultsThree-dimensional target volumes of 4 to 20 cc and with radii up to 35 mm from the urethra were treated successfully. Mean ± SD temperature control accuracy at the target boundary was -1.6 ± 4.8C and the mean spatial targeting accuracy achieved was -1.5 ± 2.8 mm. Mean treatment accuracy with respect to histology was -0.4 ± 1.7 mm with all index tumors falling inside the histological outer limit of thermal injury.

conclusionsMagnetic resonance imaging guided transurethral ultrasound therapy is capable of generating thermal coagulation and tumor destruction in targeted 3-dimensional angular sectors out to the prostate capsule for prostate glands up to 70 cc in volume. Ultrasound parameters needed to achieve ablation at the prostate capsule were determined, providing a foundation for future studies.

Indexed as

AgedBiopsy, NeedleFollow-Up StudiesHigh-Intensity Focused Ultrasound AblationHumansImaging, Three-DimensionalImmunohistochemistryMagnetic Resonance ImagingMaleMiddle AgedPilot ProjectsPreoperative CareProstatic NeoplasmsRisk AssessmentSampling StudiesSurgery, Computer-Assistedhigh-intensity focused ultrasound ablationmagnetic resonance imagingminimally invasive surgical proceduresprostatic neoplasmstransurethral resection of prostate

Identifiers

PMID27545572
PMCPMC5161669
OpenAlexW2511413364

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.