Laser Interstitial Thermal Therapy in the Focal Treatment of Localized Prostate Cancer (LITT)
New Technology for low risk patients
It works like this.
Lessions are found using a multiparametric MRI , then a biopsied, either fused to a 3-D biopsy machine, or in real time with using an MRI.
Where the cancers are determined, This techology targets the lesions found in the prostate. It is done using an MRI to guide the to the spots to be ablalated.
This is a partial ablalation using an MRI in real time, that is you're actually in the tube while they use the MRI images to insert and position the laser fiber in the lesion.
You able to target individual areas of cancer as targets as opposed to a standardised hemi-ablation with a resulting reduction of margin around the the cancer....during treatment contrast dye is typically administered before and after the ablation to verify there are no remaining areas of the active lesion
I do not know if one can have radiotherapy after having had Laser Interstitial Thermal Therapy?...(I've heard of a doc who says yes).
It's said that one can repeat LITT in the future with no side effects, if the cancer is found after the procedure. ..side effects are minimum.
There is a doc in Tx who has done a good amount of these http://radiology.utmb.edu/prostate.asp
There is also another doc in palm desert, CA. Dr. Feller, who has done lots of them.
Now to cut to the chase
How advanced is current techology so that one can have confidence in this method?
Would another method such as SBRT be a better choice where the whole prostate can be treated where there is a 97% 5 year biochemical recurrence-free survival for low-risk, 90.7 % for intermediate risk, and 74.1% for high risk patients.
When will current technology be improved, to include but not limited to higher resolution MRI at the clinical level.
Hopefully there will be some discussion at the site about this technology
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