Overview

This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with...

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Focal Therapy in Prostate Cancer

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Overview

This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.

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Editorial Reviews

From the Publisher
“Whilst the book is not designed to represent a daily reference guide for the majority of the urological fraternity, it clearly does what it sets out to do; provide an up-to-date and comprehensive analysis of a treatment option that perhaps one day we will routinely consider alongside active surveillance and robotic surgery.” (Urology News, 1 November 2012)
Doody's Review Service
Reviewer: Edouard Trabulsi, MD, FACS (Thomas Jefferson University)
Description: This book offers a comprehensive overview of focal therapy for prostate cancer by experts in urology, radiation oncology, radiology, medical oncology, and pathology from North America and Western Europe.
Purpose: The goal is to provide information about the rationale behind the controversial idea of partial gland treatment of prostate cancer, commonly known as focal therapy. The editors attempt to provide a comprehensive overview of the challenges and goals of focal treatment of prostate cancer. These include the accurate imaging and diagnosis of tumor lesions and effective modalities of tissue destruction, while avoiding the peril of untreated, potentially lethal disease.
Audience: As a book devoted to a rather narrow segment of prostate cancer treatment, it is most appropriate for clinicians who treat patients for prostate cancer and researchers.
Features: The book is divided into three sections that cover the question of the role of focal therapy of prostate cancer, the imaging modalities used to localize tumor foci, and the different tissue ablative modalities being explored for this treatment. It provides a broad descriptive overview of imaging and tissue ablative modalities in clinical practice as well as some information about innovative imaging and treatment modalities on the horizon. The references are somewhat sparse, but that is not surprising given the lack of randomized clinical trial data and level one evidence for this controversial treatment approach. The illustrations are high quality and are presented in color in several chapters.
Assessment: This is a well-written, descriptive overview of the issues and technologies applicable to focal therapy for prostate cancer. Given the relative lack of rigorous research in this area, the authors do a good job of outlining the technical issues involved with accurate targeting and destruction of focal prostate cancer lesions. The editors and authors are all proponents of focal therapy for prostate cancer, but a better description of the controversies involved in this approach would strengthen the book and provide a more balanced review.
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Product Details

  • ISBN-13: 9781444346879
  • Publisher: Wiley
  • Publication date: 10/19/2011
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 1
  • Pages: 200
  • File size: 6 MB

Meet the Author

Edited by Hashim U. Ahmed, Division of Surgery and Interventional Science, University College London, London, UK

Manit Arya, Department of Urology, University College London, London, UK

Peter R. Carroll, Department of Urology, University of California, San Francisco, CA, USA

Mark Emberton, Division of Surgery and Interventional Science, University College London, London, UK

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Table of Contents

Contributor List, vii

Preface, xi

Section I Is there a role for Focal Therapy in Localised Prostate Cancer?, 1

1 The Rationale for Focal Therapy of Prostate Cancer, 3
Cole Davis, Matthew Cooperberg, and Peter R. Carroll

2 Factors That Affect Patients' Choice of Treatment, 11
Deb Feldman-Stewart and Michael D. Brundage

3 Histological Trends and the Index Lesion in Localized Prostate Cancer, 17
Vladimir Mouraviev, Thomas Wheeler, and Thomas J. Polascik

4 Selection Criteria for Prostate Cancer Focal Therapy, 29
Rajat K. Jain, Timothy K. Ito, and Samir S. Taneja

Section II How can we accurately locate cancer within the gland?, 37

5 Localisation of Cancer within the Gland: Biopsy Strategies, 39
Winston E Barzell and Rodrigo Pinochet

6 Localisation of Cancer within the Gland: Ultrasound Imaging, 47
Ulrich Scheipers

7 Localization of Cancer within the Prostate: Dynamic Contrast-Enhanced MRI, 55
Philippe Puech, Anwar Padhani, Laurent Lemaitre, Nacim Betrouni, Pierre Colin, and Arnauld Villers

8 Localization of Cancer within the Gland: Diffusion-Weighted Magnetic Resonance Imaging of the Prostate, 66
Sophie F Riches, Nina Tunariu, and Nandita M deSouza

9 The future of Molecular and Biomolecular Imaging in Prostate Cancer, 75
Michael S. Gee and Mukesh G. Harisinghani

Section III How can we create discrete tissue necrosis?, 85

10 Energies for Focal Ablation: Cryoablation, 87
John F. Ward

11 Focal Salvage Cryoablation in Recurrent Prostate Cancer, 98
Katsuto Shinohara

12 High-Intensity Focused Ultrasound, 106
Hashim Uddin Ahmed and Mark Emberton

13 Energies for Focal Ablation: Photodynamic Therapy, 114
Caroline M. Moore, Nimalan Arumainayagam and Mark Emberton

14 Focal Therapy for Prostate Cancer Using Radiation, 126
Irving Kaplan, Elizabeth Genega and Neil Rofsky

15 Image Registration and Fusion for Image-Guided Focal Ablation, 132
Dean Barratt and David Hawkes

Section IV How can we determine the success of Focal Therapy? , 143

16 Determining Success of Focal Therapy: Biochemical and Biopsy Strategies, 145
Al Barqawi, Paul Maroni, and David Crawford

17 Determining Success of Focal Therapy: Imaging, 153
Alex Kirkham and Clare Allen

18 Evaluating Focal Therapy: Future Perspectives, 170
Hashim Uddin Ahmed and Mark Emberton

Index, 179

Colour plate section can be found facing page 116

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