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How do you contour proximal SV for definitive prostate EBRT?

RTOG 0815 protocol says 1 cm from base of SV in any direction. Some contour the SV visible in the slices within 1 cm sup/inf from base of SV. Per Kestin et al. IJROBP 2002 (PMID: 12377319 DOI: 10.1016/s0360-3016(02)03011-0). For Low risk, 1cm seems appropriate and for intermediate/high, they recommended covering proximal 2-2.5 cm.
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Radiation Oncology · Washington University School of Medicine
Answered on

Few people may know where the idea of the proximal seminal vesicle CTV came from. After the RTOG had completed it's 9406 phase II dose-escalation study with 3DCRT, we began the 0126 phase III trial of 70.2Gy vs 79.2Gy with 3DCRT. For the intermediate-risk patients, the predecessor 9406 study had a c...

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Radiation Oncology · Case Western Reserve University/ University Hospitals Seidman Cancer Center
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It is a case by case basis, and always a risk/benefit ratio. I don't treat low-risk disease, and I put a decent number of favorable intermediate on AS based on MRI and genomics. So really, the people I treat I believe had significant enough disease that warrants curative therapy.

What the Kestin et a...

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Radiation Oncology · UC San Diego
Answered on · Updated on

Alright, answering my own question to create a record for users of this forum.

I conducted a super-unscientific poll on Twitter: see here. 77 responses.

  • Only 1 cm, any direction: 43%.
  • All SV on slice, 1 cm sup: 57%.

See the comments and re-tweets for various opinions. There appears to be a fair am...

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