Report of a consensus meeting on focal low dose rate brachytherapy for prostate cancer

被引:78
作者
Langley, Stephen [1 ]
Ahmed, Hashim U. [2 ]
Al-Qaisieh, Bashar [3 ]
Bostwick, David
Dickinson, Louise [2 ]
Gomez Veiga, Francisco [4 ]
Grimm, Peter [5 ]
Machtens, Stefan [6 ]
Guedea, Ferran [7 ]
Emberton, Mark [2 ]
机构
[1] Royal Surrey Cty Hosp NHS Fdn Trust, Dept Urol, Guildford GU2 7XX, Surrey, England
[2] UCL, Div Surg & Intervent Sci, London WC1E 6BT, England
[3] St Jamess Inst Oncol, Dept Med Phys, Leeds, W Yorkshire, England
[4] Complejo Hosp Univ, Dept Urol, La Coruna, Spain
[5] Prostate Canc Treatment Ctr Seattle, Seattle, WA USA
[6] Marien Krankenhaus, Dept Urol, Bergisch Gladbach, Germany
[7] Catalan Inst Oncol, Dept Radiat Oncol, Barcelona, Spain
关键词
prostate cancer; brachytherapy; focal therapy; patient selection; outcome; INTENSITY FOCUSED ULTRASOUND; RADICAL PROSTATECTOMY; INDEX LESION; BIOPSY; THERAPY; TUMOR; IMPACT; CS-131; ULTRASONOGRAPHY; RECOMMENDATIONS;
D O I
10.1111/j.1464-410X.2011.10825.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Low dose rate prostate brachytherapy is an effective treatment for localized prostate cancer. Recently, it has been considered for use in a focused manner whereby treatment is targeted only to areas of prostate cancer. The objective of focal brachytherapy is to provide effective cancer control for low-risk disease but with reduced genitourinary and rectal side-effects in a cost-effective way. We report on the outputs of a consensus meeting of international experts in brachytherapy and focal therapy convened to consider the feasibility and potential development of focal brachytherapy. A number of factors were considered for focal brachytherapy including optimal patient selection, disease characterization and localization, treatment protocols and outcome measures. The consensus meeting also addressed the design of a clinical trial that would assess the oncological outcomes and side-effect profiles resulting from focal brachytherapy.
引用
收藏
页码:7 / 16
页数:10
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