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

Topics: Radiation Oncology • Genitourinary Cancers

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?

Answer from: Radiation Oncologist at Academic Institution

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 â‰¥50 cm3 may have slightly increased acute grade â‰...

Comments

Radiation Oncologist at SSM Cancer Center/St Louis CyberKnife
@Amar U. Kishan, how does the decision/need to cov...

Radiation Oncologist at David Geffen School of Medicine at UCLA
@Joseph G. Waller, we have found that, with a pres...

Answer from: Radiation Oncologist at Academic Institution

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...

Answer from: Radiation Oncologist at Academic Institution

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. ...

Comments

Radiation Oncologist at Mon Health
In a 5 fraction regiment, is it safe to offer pros...

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