Do you deliver prostate SBRT every other day or consecutively?
Is there a benefit to one fractionation schedule v. the other?
Answer from: Radiation Oncologist at Community Practice
Morgan S et al just published Hypofractionated radiation therapy for localized prostate cancer: Executive summary of an ASTRO, ASCO, and AUA Evidence-Based Guideline. It's an article in press in PRO right now. Question KQ4C addresses this question of daily fractionation and in the summary they wri...
Answer from: Radiation Oncologist at Academic Institution
At Fox Chase Cancer Center we treat our prostate SbRT patients twice a week over 2 1/2 weeks. This is based on the multi-institutional clinical trial that we participated with colleagues at the University of Michigan, Washington University, Cedar Sinai, UCSF and the Sutter Medical Group in Sacramen...
Answer from: Radiation Oncologist at Community Practice
Thanks for the references. I think it’s important to recall that the teletherapy TDF is derived from the prostate HDR monotherapy literature. While comparing the teletherapy apples to the HDR oranges may be fraught realize that urethral doses and marginal doses to rectum and bladder are simila...