Evidence map›Paper›PMID 32488359›Full record

ArticleWorld journal of urology2021

Focal ablation of apical prostate cancer lesions with irreversible electroporation (IRE).

Alexandar Blazevski, Amer Amin, Matthijs J Scheltema, Anjali Balakrishnan, Anne-Maree Haynes, Daniela Barreto, Thomas Cusick, James Thompson, Phillip D Stricker

Abstract read
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In one paragraph

Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  4. MR Imaging/Ultrasound Fusion-Guided Biopsy and Primary Focal Therapy for Localized Prostate Cancer.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
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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

9 authors at 1 institution in 2 countries.

Alexandar BlazevskiSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia. a.blazevski@garvan.org.au.ORCID http://orcid.org/0000-0002-7063-5509
Amer AminSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.ORCID http://orcid.org/0000-0002-0375-9245
Matthijs J ScheltemaSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.ORCID http://orcid.org/0000-0002-9098-9574
Anjali BalakrishnanGarvan Institute of Medical Research and Kinghorn Cancer Centre, Darlinghurst, NSW, Australia.
Anne-Maree HaynesGarvan Institute of Medical Research and Kinghorn Cancer Centre, Darlinghurst, NSW, Australia.
Daniela BarretoGarvan Institute of Medical Research and Kinghorn Cancer Centre, Darlinghurst, NSW, Australia.
Thomas CusickSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.
James ThompsonSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.ORCID http://orcid.org/0000-0002-5115-9930
Phillip D StrickerSt. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.ORCID http://orcid.org/0000-0002-0934-0656
Garvan Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectiveTo assess the safety, oncological and quality-of-life (QoL) outcomes of focal ablation of apical prostate cancer (PCa) lesions with irreversible electroporation (IRE).

methodsPatients were included in the study if they had a PCa lesion within 3 mm of the apical capsule treated with IRE. The IRE procedure was performed in our institution by a single urologist. The QoL and functional data was collected prospectively from patients who provided consent using the Expanded Prostate Cancer Index Composite (EPIC). Oncological follow up included 3-month PSA levels, mpMRI at 6 months and transperineal biopsy at 1-year post treatment.

resultsA total of 50 patients had apical PCa lesions treated between February 2013 and September 2018. Median follow-up was 44 months. There were no Clavien-Dindo grade 3 events or higher. No perioperative complications were recorded. No significant difference was observed in the EPIC urinary or bowel QoL domain between baseline and 12-month post-treatment. One patient (2%) required one pad per day for urinary incontinence 12-month post-treatment. There was a small but significant decline in EPIC sexual QoL (65 at baseline and 59 at 12-month post-IRE). Of patient's potent pre-treatment, 94% remained potent after treatment. The median PSA nadir decreased by 71% (6.25-1.7 ng/mL). Only one patient (2.5%) had in-field residual disease on repeat biopsy.

conclusionFocal ablation using IRE for PCa in the distal apex appears safe and feasible with acceptable early QoL and oncologic outcomes.

Indexed as

ElectroporationQuality of LifeAblation TechniquesAgedHumansMaleMiddle AgedProstatectomyProstatic NeoplasmsRetrospective StudiesTreatment OutcomeApexApicalFocal therapyIrreversible electroporationProstateProstate cancer

Identifiers

PMID32488359
OpenAlexW3032486690

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.