Are there reasons to not use prostate SBRT when treating the prostate +\- proximal SV?
Answer from: Radiation Oncologist at Academic Institution
Early trials such as HYPO-RT-PC which aimed to validate a 7-fraction SBRT dose schedule by comparing it to the standard of care at the time, conventionally fractionated EBRT, utilized a treatment volume consisting of the prostate alone without the seminal vesicles (SVs). While there was some suggest...
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Answer from: Radiation Oncologist at Community Practice
Review your constraints. If you are meeting them, then it is fine.
If you are not meeting them consider:
Reduce coverage to SV
Reduce volume of SV
Don't treat them
Switch to moderate hypo