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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’ll collectively supply customized prostate most cancers care utilizing Avenda’s Unfold AI know-how. Their said aim is to launch the Focal One robotic utilizing a man-made 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 may 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 Faculty of Drugs, labored with Avenda and Focal One to launch the system. Dr. Brisbane gave The Robotic Report extra perception into how this know-how 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 Faculty of Drugs. | Supply: UCLA Well being

From the surgeon‘s perspective, how does Focal One change the way you method treating sufferers with prostate most cancers?
Brisbane: Focal One allows us to ablate a selected space within the prostate fairly than treating all the prostate. Whereas this method is newer and never as well-established, it has been broadly wanted by sufferers to cut back uncomfortable side effects of remedy.

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

Unfold AI combines knowledge 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 assume this know-how will have an effect on affected person outcomes?
Brisbane: This know-how will enhance our skill to foretell tumor extent after which ship remedy 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, significantly those that fall between energetic surveillance and extra aggressive remedies.

What dangers include HIFU procedures, and the way does Focal One decrease these?
Brisbane: HIFU remedies, whereas non-invasive and usually secure, do carry dangers. These embody adjustments in urinary and sexual perform. Nonetheless, the principle concern about HIFU is most cancers recurrence from incomplete remedy.

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 supplies 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 an intensive understanding of the Focal One system and its capabilities. Our partnership concerned discussions about remedy protocols, know-how integration, and how you can leverage Unfold AI’s 3D most cancers maps successfully.

How have sufferers reacted to this new know-how?
Brisbane:
Sufferers have responded positively to Focal One. Many really feel relieved that we are able to goal the tumor extra exactly, decreasing the chance of harming wholesome tissue. They respect the less-invasive nature of the process, particularly since conventional remedies usually include issues about uncomfortable side effects.

Sufferers additionally worth the insights from Unfold AI’s 3D most cancers maps. Some have reported fewer uncomfortable side effects in comparison with standard remedies, which has improved their notion of the process. The know-how has helped construct better confidence amongst sufferers and improved their total remedy expertise.

In your opinion, may this know-how be utilized to different kinds of procedures sooner or later?
Brisbane: I do anticipate AI maps to be applied via extra robotic platforms.

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