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What are the safest dose constraints for moderately hypofractionated prostate cancer?

For those of us just transitioning over to hypofractionation, what are reasonable, but conservative, constraints that you use?
4 Answers
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Radiation Oncology · University of Pennsylvania
Answered on

At Penn, we have a protocol for 70 Gy/28 fractions using proton or photon therapy for low- and intermediate-risk patients. I initially designed it with a conedown as follows, but that is not always necessary/appropriate.

CTV Initial = Prostate and proximal seminal vesicles to include at least 1 cm, ...

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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

This article by @Dr. First Last gives good overview and dosimetric constraints for moderate hypofractionation (70 Gy in 28 fractions).

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Radiation Oncology · Duke University School of Medicine
Answered on

The PROFIT trial is now published. The strengths of PROFIT are the strong comparison arm of 78 Gy in 39 fractions and the straightforward treatment planning parameters (CHHiP is very hard to figure out...at least by a simple man).

In favorable IR patients, they only treated the prostate and the CTV-P...

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Radiation Oncology · University of Miami Miller School of Medicine
Answered on

I use the Fox Chase Hypofractionation protocol as my hypofractionation guide (currently I am offering it on trial randomizing 70.2 in 26 fractions v. 36.25-40 gy in 5). PTV margins were tighter in this trial than Profit.

For the Hypo arm (from FCCC hypo randomized trial):

Bladder: Less than or equal...

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