What is your approach for a brachytherapy boost in prostate cancer patients with extracapsular extension?

In general for patients with documented extracapsular extension, the combination of external beam radiation along with brachytherapy is a very appropriate treatment intervention. For such patients, we generally initiate treatment with the brachytherapy and make sure that seed placement is well cover...

In the days before MRI, there was a common concern that if one tried to treat established extracapsular disease with a brachy boost, one risked undertreating the disease. However, with high quality multiparametric MRI this concern is dramatically reduced. As a result, I routinely treat patients with...