title: Focal laser ablation for localized prostate cancer: principles, clinical trials, and our initial experience.
abstract: Focal therapy of prostate cancer is an evolving treatment strategy that destroys a predefined region of the prostate gland that harbors clinically significant disease. Although long-term oncologic control has yet to be demonstrated, focal therapy is associated with a marked decrease in treatment-related morbidity. Focal laser ablation is an emerging modality that has several advantages, most notably real-time magnetic resonance imaging (MRI) compatibility. This review presents the principles of laser ablation, the role of multiparametric MRI for delineating the site of significant prostate cancer, a summary of published clinical studies, and our initial experience with 23 patients, criteria for selecting candidates for focal prostate ablation, and speculation regarding future directions.
authors.affiliation: Department of Urology, New York University School of Medicine, New York, NY.
authors.forename: Ted
authors.initials: T
authors.lastname: Lee
authors.affiliation: Department of Urology, New York University School of Medicine, New York, NY.
authors.forename: Neil
authors.initials: N
authors.lastname: Mendhiratta
authors.affiliation: Sperling Prostate Center, New York, NY.
authors.forename: Dan
authors.initials: D
authors.lastname: Sperling
authors.affiliation: Department of Urology, New York University School of Medicine, New York, NY.
authors.forename: Herbert
authors.initials: H
authors.lastname: Lepor
keywords: Focal therapy; Laser ablation; Prostate cancer; Targeted therapy