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• W2078165601 abstract "No AccessJournal of UrologyAdult Urology1 Oct 2013Prostate Swelling and Shift During High Intensity Focused Ultrasound: Implication for Targeted Focal Therapy Sunao Shoji, Toyoaki Uchida, Masahiko Nakamoto, Hakushi Kim, Andre Luis de Castro Abreu, Scott Leslie, Yoshinobu Sato, Inderbir S. Gill, and Osamu Ukimura Sunao ShojiSunao Shoji University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author , Toyoaki UchidaToyoaki Uchida Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author , Masahiko NakamotoMasahiko Nakamoto University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan More articles by this author , Hakushi KimHakushi Kim Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author , Andre Luis de Castro AbreuAndre Luis de Castro Abreu University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author , Scott LeslieScott Leslie University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author , Yoshinobu SatoYoshinobu Sato Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan More articles by this author , Inderbir S. GillInderbir S. Gill University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Financial interest and/or other relationship with Hansen Medical. More articles by this author , and Osamu UkimuraOsamu Ukimura University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.03.116AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We quantified prostate swelling and the intraprostatic point shift during high intensity focused ultrasound using real-time ultrasound. Materials and Methods: The institutional review board approved this retrospective study. Whole gland high intensity focused ultrasound was done in 44 patients with clinically localized prostate cancer. Three high intensity focused ultrasound sessions were required to cover the entire prostate, including the anterior zone (session 1), middle zone (session 2) and posterior zone (session 3). Computer assisted 3-dimensional reconstructions based on 3 mm step-section images of intraoperative transrectal ultrasound were compared before and after each session. Results: Most prostate swelling and intraprostatic point shifts occurred during session 1. The median percent volume increase was 18% for the transition zone, 9% for the peripheral zone and 13% for the entire prostate. The volume percent increase in the transition zone (p <0.001), peripheral zone (p = 0.001) and entire prostate (p = 0.001) statistically depended on the volume of each area measured preoperatively. The median 3-dimensional intraprostatic shift was 3.7 mm (range 0.9 to 13) in the transition zone and 5.5 mm (range 0.2 to 14) in the peripheral zone. A significant negative linear correlation was found between the preoperative presumed circle area ratio, and the percent increase in prostate volume (p = 0.001) and shift (p = 0.01) during high intensity focused ultrasound. Conclusions: We quantified significant prostate swelling and shift during high intensity focused ultrasound. Smaller prostates and a smaller preoperative presumed circle area ratio were associated with greater prostate swelling and intraprostatic shifts. Real-time intraoperative adjustment of the treatment plan impacts the achievement of precise targeting during high intensity focused ultrasound, especially in prostates with a smaller volume and/or a smaller preoperative presumed circle area ratio. References 1 : Ultrasonic lesions in the mammalian central nervous system. Science1955; 122: 517. 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Google Scholar © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 190Issue 4October 2013Page: 1224-1232Supplementary Materials Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.Keywordshigh-intensity focused ultrasound ablationedemaprostatetransrectalultrasoundhigh-intensity focusedprostatic neoplasmsMetricsAuthor Information Sunao Shoji University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author Toyoaki Uchida Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author Masahiko Nakamoto University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan More articles by this author Hakushi Kim Department of Urology, Tokai University Hachioji Hospital, Hachioji, Japan More articles by this author Andre Luis de Castro Abreu University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author Scott Leslie University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author Yoshinobu Sato Department of Radiology, Osaka University Graduate School of Medicine, Osaka, Japan More articles by this author Inderbir S. Gill University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California Financial interest and/or other relationship with Hansen Medical. More articles by this author Osamu Ukimura University of Southern California Institute of Urology, Hillard and Roclyn Herzog Center for Prostate Cancer Focal Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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