SIR 2024
Nonvascular Interventions
Samir Jambhekar, BS
MS4
Drexel University College of Medicine
Financial relationships: Full list of relationships is listed on the CME information page.
Mina S. Makary, MD (he/him/his)
Interventional Radiologist
The Ohio State University Wexner Medical Center
Financial relationships: Full list of relationships is listed on the CME information page.
To provide an overview of available image-guided ablative therapies for prostate cancer and explore emerging modalities.
Background: As Prostate-Specific Antigen (PSA) screening utilization decreases in line with recent guidelines, prostate cancer is being detected increasingly at later stages. Radical prostatectomy and External Beam Radiation Therapy (EBRT) are well-established techniques for prostate cancer treatment, though damage to genitourinary and abdominal function and overall morbidity are concerning {1}. Interventional radiologists can fill the growing demand for less invasive treatment with various established and emerging ablative therapies. These therapies can potentially significantly reduce morbidity and mortality for patients with prostate cancer and can occupy the middle ground between active surveillance and radical treatment {2}.
Clinical Findings/Procedure Details:
This educational exhibit will (1) examine current guidelines for treatment of prostate cancer, (2) explore current techniques in image-guided ablative therapy, including HIFU, brachytherapy, VTP, IRE, FLA, microwave ablation, radiofrequency ablation, and cryotherapy, (2) review their indications, optimal case selection, contraindications, (4) present evidence based review of the literature and recent trials examining these techniques, (5) explore emerging future techniques of ablative therapies for prostate cancer, and (6) highlight potential changes in treatment guidelines.
Conclusion and/or Teaching Points:
After reviewing this exhibit, the reader will gain a deeper understanding of current and emerging ablative therapies for prostate cancer and the future role of these techniques in treatment.