Dr. Scionti has combined his vast skills and experience in treating over
500 HIFU patients along with his unique highly defined HIFU techniques
to develop the Advanced HIFU Protocol.
The Advanced HIFU Protocol
is designed to go beyond a standard HIFU treatments by providing
patients with a comprehensive approach that integrates three components
necessary for a successful HIFU procedure:
1) PLANNING: Advanced diagnostic evaluation and planning.
2) TREATMENT: Precise conformal treatment,
3) FOLLOWUP: Personalized patient follow up.
Step one: This is designed to ensure accurate cancer staging along with precise anatomic mapping of the prostate to ensure that HIFU is an appropriate treatment option. As part of this step, a high definition, multi parametric MRI-Scan of the prostate is recommended. (This study is typically covered by most insurance plans) If travel to the Scionit Prostate Center of Boston is not practical, Dr. Scionti can suggest centers that are closer to your home. The MRI Scan provides precise images of the prostate that help identify the size and location of tumors. Additionally, a Power Doppler 3D Ultrasound Scan can map the prostate size, shape, density, and location of the neurovascular bundles as well as to help identify the extent, stage and location of tumors. A face-to-face consultation with Dr. Scionti at the Scionti Prostate Cancer Center of Boston is highly recommended.
Step two: Dr. Scionti performs an advanced precision HIFU treatment based on the patients prostate size, shape, tissue density, tumor volume, tumor location and mapping of sensitive quality of life structures. During treatment Dr. Scionti Conforms the HIFU energy to the shape and anatomy of the prostate. To ensure appropriate treatment, Dr. Scionti modulates the HIFU energy based on prostate tissue characteristics and real time feedback of treated prostate tissue utilizing the advanced TCM (Tissue Change Monitoring) features of the Sonablate 500. Lastly, to help maintain the patients quality of life, Dr. Scionti carefully controls the HIFU energy near critical quality-of-life structures including the nerve bundles to help preserve potency and the urethral apex to help reduce the risk of a urethral stricture. Similar to other prostate cancer treatments, physician experience is the most important factor in treatment success.
As a final step Dr. Scionti develops a unique and comprehensive post HIFU follow up plan for each patient. Dr Scionti personally monitors the recovery progress of every patient. This personalized recovery plan includes access to the highly trained specialty team of physicians and health care professionals at Mass Bay Urology. Likewise, Dr. Scionti works extensively with a patients local care provider to help achieve a speedy and effective return to normal life.
Dr. Scionti has combined his vast skills and experience in treating over 600 High Intensity Focused Ultrasound (HIFU) patients along with his unique HIFU techniques to develop the Advanced HIFU Protocol.
> View Scionti Advanced HIFU Protocol PDF
Aiming At Life is designed to help prostate cancer patients and their families determine if cryotherapy, with its advantages, is a treatment option to discuss with their physician.
> View Dr. Scionti's New Book - Aiming At Life: Targeting Ice Against Prostate Cancer page
One of the oldest and most respected medical publications is the British weekly journal, The Lancet. With its peer-reviewed articles, it is arguably the finest reporting of evolving medical research and wisdom. To paraphrase an advertising slogan, "When The Lancet speaks, doctors listen."
> View details on Good HIFU News From England
A few years ago I started working with a new device named Artemis, named for the ancient Greek goddess of hunting. This technological breakthrough provided 3D advanced ultrasound technology that helped me to better plan, navigate, and record each prostate biopsy.
> View more about Using Fusion To Create A Smarter Prostate Biopsy
I am committed to offering patients an alternative to radical surgery and radiation by performing minimal-to-noninvasive ablation (destruction) of prostate tumors.
Minimally Invasive Treatment Profiles, case studies and personal stories.
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Aiming At Life: Targeting Ice Against Prostate Cancer