Focal Therapy and Interventional Urology

Dr. Art Rastinehad, DO
Associate Professor of Urology and Radiology
Icahn School of Medicine at Mount Sinai

Mission Statement

The goal of the interventional urology program led by Dr. Art Rastinehad is to cultivate and develop a truly multidisciplinary program by integrating the knowledge and understanding of a urologist with the use of new imaging technologies (radiologists) and skills of an interventional radiologist to improve urologic patient care. The interventional urology team includes interventional radiologists Drs. Aaron Fischman and Gajan Sivananthan. Our team approach helps us research and develop new therapies to move them as efficiently as possible from the research bench to main stream clinical practice.

Interventional urology provides care for many urologic diseases in the most minimally invasive fashion possible. New approaches include state of the art prostate cancer screening technologies, focal therapies for prostate cancer, minimally invasive kidney cancer treatments, embolization for BPH, non-surgical approaches to treat varicoceles and erectile dysfunction.

Research Summary

Dr Rastinehad is the world’s first dual fellowship trained urologic oncologist and interventional radiologist. His oncology research focused on image optimization for prostate cancer screening and treatment. He pioneered the development of the first electromagnetically tracked MR US fusion biopsy platform to perform transperineal biopsies to help decrease the morbidity associated with the standard transrectal biopsy approach. Using the image based biopsy platform (the first FDA cleared device for guidance for focal therapy), he performed the world’s first gold nano-particle directed laser ablation for prostate cancer. Dr. Rastinehad continues to push the field forward by multiple extra-mural collaborations with investigators from the NIH, Case Western Reserve University, and the Smith Institute for Urology.

Dr Rastinehad continues to develop therapies for benign urologic diseases as well. He has extensive experience in performing prostate artery embolizations for the treatment of BPH. This is a very exciting project since almost all urologic treatments of BPH have negative sexual side effects and impact one’s quality of life and prostate artery embolization does not have any of these sequelae and patient actually reported improvement in their erections.

Superlatives at Sinai

  1. First Textbook on ‘Interventional Urology’
  2. First in the world: MR/US Fusion Guided Transperineal Biopsy using Electromagnetic Tracking
  3. Frist in the world: MR/US Fusion Guided Gold Nanoparticle Directed Laser Ablation of Prostate Cancer
  4. First in the world dual fellowship trained urologic oncologist and interventional radiologist
  5. First in the world MR US Fusion Guided Prostate Biopsy Course in collaboration with the American Urological Association