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

Cardiovasc Intervent Radiol. 2024 Jun;47(6):689-701. doi: 10.1007/s00270-024-03696-y. Epub 2024 Mar 15.

Abstract

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.

Keywords: Ablation; Interventional oncology; Magnetic resonance; Prostate cancer.

Publication types

  • Review

MeSH terms

  • High-Intensity Focused Ultrasound Ablation / methods
  • Humans
  • Magnetic Resonance Imaging, Interventional*
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Prostatic Neoplasms* / diagnostic imaging
  • Prostatic Neoplasms* / surgery
  • Transurethral Resection of Prostate / methods