Are there reasons to not use prostate SBRT when treating the prostate +\- proximal SV?

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...

Review your constraints. If you are meeting them, then it is fine.

If you are not meeting them consider:

1. Reduce coverage to SV
2. Reduce volume of SV
3. Don't treat them
4. Switch to moderate hypo