Current standards and future directions for prostate cancer radiation therapy

Definitive radiation therapy is a well-recognized curative treatment option for localized prostate cancer. A suitable technique, dose, target volume and the option of a combination with androgen deprivation therapy need to be considered. An optimal standard external beam radiotherapy currently inclu...

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Bibliographische Detailangaben
Hauptverfasser: Pinkawa, Michael (VerfasserIn) , Schoth, Felix (VerfasserIn) , Böhmer, Dirk (VerfasserIn) , Hatiboglu, Gencay (VerfasserIn) , Sharabi, Andrew (VerfasserIn) , Song, Danny (VerfasserIn) , Eble, Michael J (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2013
In: Expert review of anticancer therapy
Year: 2013, Jahrgang: 13, Heft: 1, Pages: 75-88
ISSN:1744-8328
DOI:10.1586/era.12.156
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1586/era.12.156
Volltext
Verfasserangaben:Michael Pinkawa, Felix Schoth, Dirk Böhmer, Gencay Hatiboglu, Andrew Sharabi, Danny Song & Michael J Eble

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520 |a Definitive radiation therapy is a well-recognized curative treatment option for localized prostate cancer. A suitable technique, dose, target volume and the option of a combination with androgen deprivation therapy need to be considered. An optimal standard external beam radiotherapy currently includes intensity-modulated and image-guided radiotherapy techniques with total doses of ≥76-78 Gy in conventional fractionation. Protons or carbon ions are alternatives available only in specific centers. Data from several randomized studies increasingly support the rationale for hypofractionated radiotherapy. A simultaneous integrated boost with dose escalation focused on a computed tomography/PET- or MRI/magnetic resonance spectroscopy-detected malignant lesion is one option to increase tumor control, with potentially no additional toxicity. The application of a spacer is a promising concept for optimal protection of the rectal wall. 
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