Evidence map›Paper›PMID 39443815›Full record

ReviewProstate cancer and prostatic diseases2025

Identifying the best candidate for focal therapy: a comprehensive review.

Alireza Ghoreifi, Leonard Gomella, Jim C Hu, Badrinath Konety, Luca Lunelli, Ardeshir R Rastinehad, Georg Salomon, Samir Taneja, Rafael Tourinho-Barbosa, Amir H Lebastchi

Abstract readReview
In one paragraph

Review in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  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
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. 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

10 authors.

Alireza GhoreifiDepartment of Urology, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-7368-7240
Leonard GomellaDepartment of Urology, Thomas Jefferson University, Philadelphia, PA, USA.
Jim C HuDepartment of Urology, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY, USA.
Badrinath KonetyAllina Health Cancer Institute, Minneapolis, Minneapolis, MN, USA.
Luca LunelliDepartment of Urology, Hospital Louis Pasteur, Chartres, France.ORCID 0000-0002-1162-8923
Ardeshir R RastinehadThe Smith Institute for Urology at Lenox Hill, New York, NY, USA.ORCID 0000-0002-2074-5849
Georg SalomonMartini Clinic, Prostate Cancer Center Hamburg-Eppendorf, Hamburg, Germany.
Samir TanejaDepartment of Urology, NYU Langone Health, New York, NY, USA.
Rafael Tourinho-BarbosaDepartment of Urology, Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
Amir H LebastchiDepartment of Urology, University of Southern California, Los Angeles, CA, USA. Amir.Lebastchi@med.usc.edu.ORCID 0000-0002-9693-4822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the evidence supporting the use of focal therapy (FT) in patients with localized prostate cancer (PCa), considerable variability exists in the patient selection criteria across current studies. This study aims to review the most recent evidence concerning the optimal approach to patient selection for FT in PCa.

methodsPubMed database was systematically queried for studies reporting patient selection criteria in FT for PCa before December 31, 2023. After excluding non-relevant articles and a quality assessment, data were extracted, and results were described qualitatively.

resultsThere is no level I evidence regarding the best patient selection approach for FT in patients with PCa. Current international multidisciplinary consensus statements recommend multiparametric magnetic resonance imaging (mpMRI) followed by MRI-targeted and systematic biopsy for all candidates. FT may be considered in clinically localized, intermediate risk (Gleason 3 + 4 and 4 + 3), and preferably unifocal disease. Patients should have an acceptable life expectancy. Those with prostate volume >50 ml and erectile dysfunction should not be excluded from FT. Prostate-specific antigen (PSA) level of < 20 (ideally < 10) ng/mL is recommended. However, the utility of other molecular and genomic biomarkers in patient selection for FT remains unknown.

conclusionsFT may be considered in well-selected patients with localized PCa. This review provides a comprehensive insight regarding the optimal approach for patient selection in FT.

Indexed as

Patient SelectionProstatic NeoplasmsHumansMaleProstate-Specific AntigenProstate-Specific Antigen

Identifiers

PMID39443815
PMCPMC12399419

What OpenQuestion holds

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Registered trials

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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.