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Ultrasound 
High-Intensity Focused Ultrasound for Localized Prostate Cancer
High-Intensity Focused Ultrasound for Localized Prostate Cancer
High-Intensity Focused Ultrasound for Localized Prostate Cancer
Monday, 30 March 2009 06:38 | 
| Radiology News |
To report on the short-term functional and oncological results, from one institution, of high-intensity focused ultrasound (HIFU) for treating localized prostate cancer.
Over a 3-year period, 43 patients with localized prostate cancer were scheduled for HIFU in the primary (31) and salvage (12) settings using a second-generation Ablatherm(TM) device (EDAP, Lyon, France). Oncological failure was defined by several criteria, including biochemical failure (assessed using both the Phoenix definition of the nadir + 2 ng/mL) and the current Food and Drug Administration (FDA) trial endpoint of a prostate-specific antigen (PSA) level of >/=0.5 ng/mL, or starting salvage therapy, or the presence of cancer on biopsy after treatment.
Three patients had their procedures abandoned due to technical limitations/rectal wall thickness. The mean PSA levels in the primary and salvage groups were 9.2 and 5.1 ng/mL, respectively. The mean HIFU treatment time in the primary and salvage groups was 71.1 and 63.3 min, respectively. Using the Phoenix definition of biochemical failure, HIFU treatment failed in 13 patients in the primary group (46%) and five in the salvage group. Using the FDA trial endpoint, HIFU failed in 21 patients in the primary group (75%) and eight in the salvage group. One man died from metastatic prostate cancer 18 months after salvage HIFU. There were two urethral strictures in the primary (7%) and one in the salvage treatment group. There were two prostato-rectal fistulae in the salvage HIFU group.
HIFU is proposed to be a minimally invasive low-morbidity ablative treatment for localized prostate cancer, and with good efficacy. The present limited series is unable to support these claims. There were significant rates of complications and oncological failure in both the primary and salvage setting. As a result we have suspended our programme pending further evidence of its safety and efficacy.
Source: UroToday
Three patients had their procedures abandoned due to technical limitations/rectal wall thickness. The mean PSA levels in the primary and salvage groups were 9.2 and 5.1 ng/mL, respectively. The mean HIFU treatment time in the primary and salvage groups was 71.1 and 63.3 min, respectively. Using the Phoenix definition of biochemical failure, HIFU treatment failed in 13 patients in the primary group (46%) and five in the salvage group. Using the FDA trial endpoint, HIFU failed in 21 patients in the primary group (75%) and eight in the salvage group. One man died from metastatic prostate cancer 18 months after salvage HIFU. There were two urethral strictures in the primary (7%) and one in the salvage treatment group. There were two prostato-rectal fistulae in the salvage HIFU group.
HIFU is proposed to be a minimally invasive low-morbidity ablative treatment for localized prostate cancer, and with good efficacy. The present limited series is unable to support these claims. There were significant rates of complications and oncological failure in both the primary and salvage setting. As a result we have suspended our programme pending further evidence of its safety and efficacy.
Source: UroToday
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- MAGNETOM Aera and Skyra Open Bore MRI Scanners Commercially Available in U.S.
- Radiation Therapy for Prostate Cancer Associated With a Local Second Malignancy Risk
- GE Healthcare Continues Advancements in Nuclear Medicine on Three Continents
- SpectraScience Names New Chairman of the Board
- Medtronic Clinical Trial Receives FDA Approval to Evaluate New CoreValve® System for Aortic Valve Implantation
- DATSCAN™ (IOFLUPANE I 123 injection) Recommended in Updated European Guidelines for Diagnosis of Alzheimer's Disease
- Prostate Cancer Patients Treated with Robotic-assisted Surgery
- Impact of Potential FDA Regulation of EMRs
- Medtronic Announces New Inflatable Bone Tamp for Treatment of Vertebral Compression Fractures
- Medtronic Announces New Inflatable Bone Tamp For Treatment of Vertebral Compression Fractures
- Calypso Medical Initiates First Clinical Study Using Real-Time Tracking During Lung Cancer Radiotherapy
- Accuray's CyberKnife VSI System Featured at 2010 American Society for Radiation Oncology (ASTRO) Annual Meeting
- FDA Classifies Previous Field Action of Medtronic Surgical Device as Class I Recall
- Varian Medical Systems Receives 510(k) Clearance for Acuros® XB for Planning Radiotherapy and Radiosurgery
- EDAP Completes Preliminary Trial of HIFU in Liver Cancer
- Medtronic Receives FDA Approval of Talent Captivia® System for Endovascular Treatment of Thoracic Aortic Aneurysms
- GE Healthcare Introduces Latest Enhancements to Vivid E9 for Cardiovascular Ultrasound
- GE Healthcare Announces FDA Clearance of CARESCAPE Monitor B650 Patient Monitor
- Carestream Health Receives Approval Letter from FDA for CR Mammography System
- FDA Urges Two Steps for Safer CT Scans
- Xoft Awarded Two Qualifying Therapeutic Discovery Project Program Grants For Electronic Brachytherapy
- FDA Reclassifies Certain Digital Mammography Devices
- Hologic Encourages Health Professionals to Get the Facts about Women’s Imaging at RSNA 2010
- FDA Pushes to Make CT Diagnostic Scans Safer
- Hologic Encourages Health Professionals to Get the Facts About Women's Imaging at RSNA 2010
- A World's First in Imaging - Integrated Whole-body Molecular MR System available for Clinical Use Testing
- Carestream Health Receives Final FDA Approval For CR Mammography System
- Medtronic Announces Global Launch of New Heart Valve Repair Ring
- iCAD Announces Schedule of Events and Featured Quantitative Image Analysis Solutions at the 2010 RSNA
- Medtronic Introduces New Spinal Cord Stimulation Multi-Lead Trialing Cable For Enhanced Patient Screening Test
- Barco releases 10 MegaPixel display system for diagnostic grayscale imaging
- Hologic Receives FDA Approvable Letter for Selenia Dimensions (3-D) Digital Mammography Tomosynthesis System
- Practice Fusion Provides Rapid EMR Response to FDA Recall of Darvocet
- Agfa HealthCare Introduces Fully-Motorized, Mobile Digital X-ray Unit to the North American Market at RSNA 2010
- Agfa HealthCare Introduces Cost-Effective Integrated Digital X-ray Room at RSNA 2010
- Philips Ushers in New Era of Imaging with Introduction of Ingenia, the First-Ever Digital Broadband MRI System
- GE Healthcare Showcases Healthymagination Commitment and Innovations at RSNA 2010; Latest Advancements on Display in Booth 5533
- Imaging Diagnostic Systems Exhibits CT Laser Mammography (CTLM(R)) System at the 96th Annual Radiological Society of North America (RSNA) Scientific Assembly
- GE Healthcare Showcases Latest Advancements in CT Dose Reduction at RSNA
- Fujifilm Receives FDA Clearance for Synapse® 3D
- Siemens Demonstrates its Leadership in Molecular Imaging at RSNA 2010
- Medtronic Announces CD HORIZON® System 510k Pedicle Screw Clearance for Adolescent Idiopathic Scoliosis
- Elekta Receives FDA 510(k) Clearance for XiO Software to Plan Spot Scanning for Proton Therapy
- InfraReDx Announces Publication of a Case Report in Circulation Highlighting Novel Clinical Finding with LipiScan™
- Carestream Health Announces FDA Approval Of Advanced Software, Screens For Its CR Mammography System
- Lantheus Medical Imaging Announces FDA Accepts for Review DEFINITY® SNDA for Use in Stress Echocardiography
- Medtronic Launches CareLink Pro 3.0, the First Diabetes Management Software to Offer Advanced Decision Support
- Mixing Social Media and Health Care: Concocting a Worst Case Scenario Using Big Pharma and Manipulated Web 2.0 Writers
- Imaging Diagnostic Systems Receives Deposits for Two of Its CT Laser Breast Imaging Systems
- Accuray Receives FDA Clearance for the CyberKnife® System's Lung Optimized Treatment
- Specialist MRI Shows Promise in Detecting Advancing Prostate Cancer
- Using Mediware's BloodSafe® Product Oregon Health & Science University Hospital Realizes Five-Month Return on Investment
- Accuray Elevated to NASDAQ Global Select Market
- Revolutions Medical Completes Revision of Exclusive Rights to License Additional Patents on FDA Approved Breast Biopsy Localization System
- Varian Medical Systems Receives 510(k) Clearance for its Proton Therapy System
- Medtronic Completes Acquisition of Ardian
- Calypso Medical Completes First Installation of Dynamic Edge Gating
- Given Imaging's Bravo® pH Monitoring System Cleared for Use in Children
- Medtronic Revises Design of CoreValve® U.S. Pivotal Trial
- GE Healthcare Named Exclusive Distributor of Veran ig4 Navigation Systems in United States
- Novarad Gets Bigger in Texas, Adds Four Contracts
- FDA Advisory Committee Recommends Approval of Bayer's Gadobutrol Injection for MRI of the Central Nervous System
- Calypso Medical Completes First Installation of Dynamic Edge Gating
- Sectra MicroDose Mammography Receives First Approval in North America
- FIME 2011: Conference Tracks
- Toshiba Vantage Titan Enables Better Clinical Accuracy For Bariatric Imaging
- Apps mobilize radiology
- Is the iPad radiology's dream device for mobile healthcare?
- ECRI Institute Participates in AAMI 2011 Conference and Expo—June 25-27, 2011
- Konica Minolta REGIUS Sigma Receives FDA Clearance
- Hologic Breast Tomosynthesis System Wins Top Award in Medical Design Excellence Competition
- Trio of Studies Support Use of PET/CT Scans as Prostate Cancer Staging Tool
- SonoSite Begins International Shipments of New EDGE Ultrasound System
- FDA Clears Xpress CR Mammography for Sale in U.S
