Prostate Cancer Treatment Options: Focal Therapies w/ Dr. Cooperberg & Dr. George | Urology Ep. 169

In this episode, Dr. Matthew Cooperberg (UC San Francisco) and Dr. Arvin George (Johns Hopkins) join host Dr. Aditya Bagrodia in a conversation about guidelines and treatment algorithms for focal therapy in prostate cancer treatment.
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SYNPOSIS
First, the doctors discuss focal therapy in prostate cancer treatment from various perspectives, including the challenges of treating certain lesions, the comparison of different focal therapy modalities like high-intensity focused ultrasound (HIFU) and brachytherapy, cryotherapy and the importance of patient-specific factors in treatment decisions. They emphasize the need for clinical trials and registries to validate focal therapy outcomes, the potential expansion of indications for focal therapy, and the critical role of advanced imaging and genomic classifiers in patient selection and treatment planning. The discussion also touches on the potential of focal therapy to evolve as a standard care option alongside advancements in understanding the biology of prostate cancer and improving imaging and treatment technologies.
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TIMESTAMPS
Siemens Healthineers Theranostics:
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Decipher Prostate Genomic Classifier by Veracyte:
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RESOURCES
Siemens Healthineers Theranostics:
www.siemens-he...
Decipher Prostate Genomic Classifier by Veracyte:
​​decipherbio.co...
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#prostatecancertreatment #hifu #cryotherapy #brachytherapy #URO169

[@unapologetic7900]

Thank you very much for this talk.

[@shilpadandekar4536]

Very informative . Thank you

[@db_carguy4833]

Love the discussion! Two great respected minds excellent questions!
I am curious to find out as your discussions around collecting data from focal procedures, why don’t the speciality clinics like Sperling Medical whom have performed thousands of focal ablations, are they not required to provide follow up data to the academic institutions so that the knowledge base for cure or recurrence can be updated and allow for more widespread acceptance of focal offerings.
I am in the process of deciding on a focal laser or cryo procedure. I just turned 65 so I learned that I would be covered under Medicare, vs going to Florida for an out of pocket expense.

[@unapologetic7900]

A 1 centimeter margin? SO if there is a 2cm tumor, that means a 4cm total area. About the size of a Golf ball. That seems like there isn't much Gland left after that.