Percutaneous MR-guided prostate cancer cryoablation technical updates and literature review - Ecole Nationale du Génie de l'Eau et de l'Environnement de Strasbourg Accéder directement au contenu
Article Dans Une Revue BJR Open Année : 2019

Percutaneous MR-guided prostate cancer cryoablation technical updates and literature review

Résumé

Prostate cancer (PCa) is the most common malignant tumor in males. The benefits in terms of overall reduction in specific mortality due to the widespread use of Prostate Specific Antigen (PSA) screening and the advancements in the curative treatments (radical prostatectomy or radiotherapy) appear to have reached a plateau. There remains, however, the questions of overdiagnosis and overtreatment of such patients. Currently, the main challenge in the treatment of patients with clinically organ-confined PCa is to offer an oncologically efficient treatment with as little morbidity as possible. Amongst the arising novel curative techniques for PCa, cryoablation (CA) is the most established one, which is also included in the NICE and AUA guidelines. CA is commonly performed under ultrasound guidance with the inherent limitations associated with this technique. The recent advancements in MRI have significantly improved the accuracy of detecting and characterizing a clinically significant PCa. This, alongside the development of wide bore interventional MR scanners, has opened the pathway for in bore PCa treatment. Under MRI guidance, PCa CA can be used either as a standard whole gland treatment or as a tumor targeted one. With MR-fluoroscopy, needle guidance capability, multiplanar and real-time visualization of the iceball, MRI eliminates the inherent limitations of ultrasound guidance and can potentially lead to a lower rate of local complications. The aim of this review article is to provide an overview about PCa CA with a more specific insight on MR guided PCa CA; the limitations, challenges and applications of this novel technique will be discussed.

Domaines

Cancer

Dates et versions

hal-03698367 , version 1 (17-06-2022)

Identifiants

Citer

Pierre de Marini, Roberto Luigi Cazzato, Julien Garnon, Behnam Shaygi, Guillaume Koch, et al.. Percutaneous MR-guided prostate cancer cryoablation technical updates and literature review. BJR Open, 2019, 1 (1), ⟨10.1259/bjro.20180043⟩. ⟨hal-03698367⟩
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