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Physician describes first robotic excessive depth ultrasound procedures with Focal One, Unfold AI


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Final month, EDAP TMS SA and Avenda Well being stated they are going to collectively supply personalised prostate most cancers care utilizing Avenda’s Unfold AI expertise. Their said objective is to launch the Focal One robotic utilizing a synthetic intelligence for high-intensity centered ultrasound, or HIFU, procedures.

Avenda Well being’s Unfold AI is a multimodal AI decision-support platform cleared by the U.S. Meals and Drug Administration (FDA). It could possibly construct 3D patient-specific most cancers maps that reveal the extent of tumors that may in any other case be invisible, it stated. This permits physicians to keep away from leaving cancerous tissue behind whereas sparing wholesome surrounding tissue. 

By combining Unfold AI’s planning with the Focal One robotic HIFU platform, EDAP and Avenda claimed that urologists can present a extra tailor-made, patient-specific HIFU ablation process for his or her prostate most cancers sufferers.

Wayne G. Brisbane, M.D., an assistant professor of urology on the College of California Los Angeles David Geffen College of Drugs, labored with Avenda and Focal One to launch the system. Dr. Brisbane gave The Robotic Report further perception into how this expertise may change urology procedures. 

How Focal One can change urology procedures

A headshot of Dr. Wayne Brisbane.

Wayne G. Brisbane, M.D., an assistant professor of urology on the UCLA David Geffen College of Drugs. | Supply: UCLA Well being

From the surgeon‘s perspective, how does Focal One change the way you strategy treating sufferers with prostate most cancers?
Brisbane: Focal One permits us to ablate a selected space within the prostate moderately than treating all the prostate. Whereas this strategy is newer and never as well-established, it has been extensively wanted by sufferers to scale back unintended effects of therapy.

Unfold AI’s 3D cancer-mapping expertise helps us establish the place to ablate. Conventional imaging strategies like MRI can underestimate the extent of the most cancers.

Unfold AI combines information from MRI, PSA ranges, biopsy places, and Gleason scores to create an in depth 3D map, which guides us in performing extra correct tumor ablation.

How do you suppose this expertise will have an effect on affected person outcomes?
Brisbane: This expertise will enhance our means to foretell tumor extent after which ship therapy guided by robotics. It takes the guesswork out of treating the tumor.

Unfold AI additionally permits us to pick out sufferers for focal remedy extra confidently, notably those that fall between energetic surveillance and extra aggressive therapies.

What dangers include HIFU procedures, and the way does Focal One reduce these?
Brisbane: HIFU therapies, whereas non-invasive and customarily secure, do carry dangers. These embody adjustments in urinary and sexual operate. Nevertheless, the principle concern about HIFU is most cancers recurrence from incomplete therapy.

By fusing Unfold AI and FocalOne, we hope to restrict one of many main dangers of HIFU – incomplete ablations.

How does Focal One change your workflow?
Brisbane: Focal One offers an intuitive workflow and simply integrates with Unfold AI.

EDAP and Unfold AI prepped for prostate process

How carefully did you collaborate with Avenda Well being earlier than this primary process?
Brisbane: Earlier than the primary process, I collaborated with Avenda Well being to make sure a radical understanding of the Focal One system and its capabilities. Our partnership concerned discussions about therapy protocols, expertise integration, and easy methods to leverage Unfold AI’s 3D most cancers maps successfully.

How have sufferers reacted to this new expertise?
Brisbane:
Sufferers have responded positively to Focal One. Many really feel relieved that we are able to goal the tumor extra exactly, decreasing the danger of harming wholesome tissue. They admire the less-invasive nature of the process, particularly since conventional therapies typically include issues about unintended effects.

Sufferers additionally worth the insights from Unfold AI’s 3D most cancers maps. Some have reported fewer unintended effects in comparison with typical therapies, which has improved their notion of the process. The expertise has helped construct larger confidence amongst sufferers and improved their total therapy expertise.

In your opinion, may this expertise be utilized to different kinds of procedures sooner or later?
Brisbane: I do count on AI maps to be carried out via further robotic platforms.

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