Evidence map›Paper›PMID 30819483›Full record

ArticleJournal of vascular and interventional radiology : JVIR2019

Focal Laser Ablation of Prostate Cancer: Results in 120 Patients with Low- to Intermediate-Risk Disease.

Eric Walser, Anne Nance, Leslie Ynalvez, Shan Yong, Jacqueline S Aoughsten, Eduardo J Eyzaguirre, Stephen B Williams

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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.

NCT04045756 naunknown statusnot on this map

Short-term Efficacy of Transperineal Laser Ablation (TPLA) With Image Fusion and Multi-parametric (mpMRI) Follow-up in Focal Low-intermediate Risk Prostate Cancer: Interventional Pilot Study

TypeinterventionalSponsorUniversity of Rome Tor VergataRan2019 to 2024Enrolled50ConditionsProstate CancerArmsProcedure/Surgery: Transperineal Focal Laser Ablation (TPLA)
NCT05698576 narecruitingnot on this mapstarted 2022, after this paper: background citation

TRANBERG® Transperineal MR/US Focalyx Fusion Laser--Induced Thermal Therapy in the Office Setting Under Local Anesthesia

TypeinterventionalSponsorUrological Research Network, LLCRan2022 to 2033Enrolled20ConditionsProstate Cancer, Adverse Effects Surgery, MRI, UltrasoundArmsTRANBERG® Transperineal Fusion Laser--Induced Thermal Therapy of Prostate Cancer (TPF-LITT)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Focal therapy for prostate cancer.Abdominal radiology (New York) · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. The State-of-the-Art and Perspectives of Laser Ablation for Tumor Treatment.Cyborg and bionic systems (Washington, D.C.) · 2024
    Article
  13. Image-Guided Prostate Cryoablation: State-of-the-Art.Medicina (Kaunas, Lithuania) · 2023
    Review
  14. Review
  15. Motorized template for MRI-guided focal cryoablation of prostate cancer.IEEE transactions on medical robotics and bionics · 2023
    Article
  16. Article
  17. The use of advanced imaging in guiding the further investigation and treatment of primary prostate cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Review
  18. Interstitial Optical Monitoring of Focal Laser Ablation.IEEE transactions on bio-medical engineering · 2022
    Article
  19. Review
  20. Review
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

7 authors.

Eric WalserDepartment of Radiology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas. Electronic address: ewalser@utmb.edu.
Anne NanceDepartment of Radiology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.
Leslie YnalvezDivision of Urology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.
Shan YongDivision of Urology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.
Jacqueline S AoughstenDepartment of Radiology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.
Eduardo J EyzaguirreDepartment of Pathology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.
Stephen B WilliamsDivision of Urology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Funding

UTMB Clinical and Translational Science AwardKL2TR001441 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI AMEREDES, BILL T · 2015 to 2024
$4.0M
Established Investigator Award in Cancer Prevention & ControlK05CA134923 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2008 to 2019
$1.0M
NCATS NIH HHS KL2 TR001441NCI NIH HHS K05 CA134923
6 · The paper itself

Abstract

purposeCan focal laser ablation (FLA) of low to intermediate risk prostate cancer preserve sexual and urinary function with low morbidity while providing adequate oncologic outcomes. MATERIALS AND

methodsTransrectal FLA was done in 120 patients with low- to intermediate-risk prostate cancer. MR imaging thermometry controlled ablation. At 6 and 12 months, patients had clinical and MR imaging follow-up with biopsy of suspicious areas. Patients submitted surveys of sexual and urinary function. Multivariate logistic regression identified determinants of positive imaging and biopsies. Two-sided Wilcoxon signed rank test evaluated scores and laboratory values.

resultsMedian patient age was 64 years, and median prostate-specific antigen (PSA) was 6.05 ng/mL. Median follow-up period was 34 months (range, 17-55 months). Gleason score was 3+3=6 in 37 (30.8%), 3+4=7 in 56 (46.7%), and 4+3=7 in 27 (22.5%) patients. Tumor stage was T1c in 89 (74.2%), T2a in 26 (21.7%), and T2b in 5 (4.2%) patients. Twenty (17%) patients had additional oncologic therapy 1 year after FLA when biopsy confirmed cancer following abnormal MR imaging. There was no difference between functional scores before and after ablation. Median PSA decreased to 3.25 at 12 months (P < .001). Tumor diameter above the median (odds ratio = 3.36; 95% confidence interval, 1.41-7.97) was the only significant predictor for positive MR imaging after treatment.

conclusionsOne year after FLA, selected patients had low morbidity, no significant changes in quality of life, and 83% freedom of retreatment rate. Sexual and urinary function did not significantly change after FLA.

Indexed as

BiopsyHumansKallikreinsLaser TherapyLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNeoplasm GradingNeoplasm StagingProspective StudiesProstate-Specific AntigenProstatic NeoplasmsQuality of LifeRisk AssessmentRisk FactorsKallikreinsKLK3 protein, humanProstate-Specific Antigen

Identifiers

PMID30819483
PMCPMC8503805

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.