SpaceOAR Vue™ and Fiducial Marker Insertion: Step-by-Step Guided Case

Clinical History:

• 66 years old, male.

• No significant past medical history.

• Favorable intermediate-risk prostate cancer diagnosis.

• Staging: T1c

• PSA: 7.2

• Gleason Score: 3+4 in 4 out of 12 cores

• 38cc (based on diagnostic 3T MRI) prostate size.

• Initial Presentation:

• Minimal Lower Urinary Tract Symptoms (LUTS)

• IPSS: 5

• Not taking alpha-blockers or 5-alpha reductase inhibitors at baseline

Technique description:

• SpaceOAR VueTM and fiducial marker insertion.

Procedure steps:

1. Preparation - Prepare the SpaceOAR VueTM system and assemble the necessary equipment.

2. Anesthesia and positioning - Administer local anesthesia, and position the patient on the procedure table.

3. Marker insertion - Insert gold fiducial markers into the prostate.

4. SpaceOAR VueTM insertion - Perform hydro dissection, insert SpaceOAR VueTM, and confirm placement.

5. Closure - Verify positioning, remove instruments, and provide post-procedural care instructions.

Training Objectives:

• Develop proficiency in SpaceOAR VueTM insertion technique.

• Master the process of fiducial marker placement.

• Acquire expertise in procedural monitoring and post-procedural care.