2013
DOI: 10.1016/j.cct.2013.06.005
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A multi-centre prospective development study evaluating focal therapy using high intensity focused ultrasound for localised prostate cancer: The INDEX study

Abstract: IntroductionFocal therapy offers the possibility of cancer control, without the side effect profile of radical therapies. Early single centre prospective development studies using high intensity focused ultrasound (HIFU) have demonstrated encouraging genitourinary functional preservation and short-term cancer control. Large multi-centre trials are required to evaluate medium-term cancer control and reproduce functional recovery. We describe the study design of an investigator-led UK multi-centre, single arm tr… Show more

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Cited by 69 publications
(48 citation statements)
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“…The modalities described were cryoablation [5][6][7][8][9][10][11][12], HIFU [6,[13][14][15][16][17], IRE [6,[13][14][15][16][17][18][19][20][21], laser ablation therapy [22][23][24], VTP [6,[25][26][27][28] and brachytherapy [6,29].…”
Section: Systematic Searchmentioning
confidence: 99%
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“…The modalities described were cryoablation [5][6][7][8][9][10][11][12], HIFU [6,[13][14][15][16][17], IRE [6,[13][14][15][16][17][18][19][20][21], laser ablation therapy [22][23][24], VTP [6,[25][26][27][28] and brachytherapy [6,29].…”
Section: Systematic Searchmentioning
confidence: 99%
“…Commonly reported measures of treatment efficacy are prostate-specific antigen (PSA) dynamics after treatment [5-17, 20-22, 25, 26, 28, 29], the presence of suspicious areas on follow-up MRI [13,14,16,18,[20][21][22]25] and follow-up biopsy results. The planned follow-up biopsy scheme varies: in some protocols both the treated zone and the untreated zone are biopsied in every patient [5, 7-11, 15, 17, 19, 25-27, 29].…”
Section: Treatment Efficacymentioning
confidence: 99%
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“…A large, multicentre trial is underway to evaluate disease control and long-term follow-up (Dickinson et al 2013 ). Complications of modern series with HIFU may be summarised as stress incontinence, 5-10 %; fi stula, 0-0.7 %; stricture, 9-12 %; UTI, 5-13 % and impotence, 55-70 % (Aus 2006 ) (Fig.…”
Section: High-intensity Focused Ultrasound (Hifu)mentioning
confidence: 99%