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MR-Guided Transurethral Ultrasound Ablation (TULSA)—An Emerging Minimally Invasive Treatment Option for Localised Prostate Cancer

  • Kin Fen Kevin Fung,
  • Roberto Luigi Cazzato,
  • Thibault Tricard,
  • Pierre D. E. Marini,
  • Gregory Bertucci,
  • Pierre-Alexis Autrusseau,
  • Guillaume Koch,
  • Julia Weiss,
  • Julien Garnon,
  • Hervé Lang,
  • Afshin Gangi

摘要

The optimal treatment strategy for men with localised prostatic cancer of low and intermediate risk is an actively evolving field. It is important to strike a balance between maximal oncological control and minimal treatment-related complications, which helps preserve the patients’ quality of life. MR-guided transurethral ultrasound ablation (TULSA) has emerged as a minimally invasive treatment option for this group of patients. This article aims to provide of a background on TULSA technology, a step-by-step procedural guide of MR-guided TULSA and to summarise the current evidence of TULSA in management of localised prostatic cancer, as well as other potential indications.

Graphical Abstract