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How do you assess whether a patient is suitable for prostate SBRT?

Do you have a prostate volume/size threshold? Baseline urinary function? Any other anatomy or patient factors that may make patient not suitable for prostate SBRT?
3 Answers
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Radiation Oncology · David Geffen School of Medicine at UCLA
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At UCLA, we do not routinely use a prostate volume/size threshold when considering whether a patient is a good candidate for SBRT or not. There are data from the Georgetown group that suggest that men with prostate volumes ≥50 cm3 may have slightly increased acute grade ≥2 GU toxicity; these res...

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Radiation Oncology · Oakland University William Beaumont School of Medicine
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This is a simple but important question.

Where does the data come for extreme dose escalation come from? The answer is LDR and largely for an end point of obstruction which was not infrequent in some series. We don't see that level of obstruction in SBRT series in either HDR like doses or more modera...

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Radiation Oncology · Fox Chase Cancer Center
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At Fox Chase, we assess prostate cancer patients for suitability for SBRT based on clinical and technical factors. Patients with low risk and favorable intermediate risk prostate cancer are candidates for SBRT. Technical factors include mostly a patients baseline urinary function. Although not an ab...

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