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?
Answer from: Radiation Oncologist at Academic Institution
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,...
Answer from: Radiation Oncologist at Community Practice
This article by @W. Robert Lee gives good overview and dosimetric constraints for moderate hypofractionation (70 Gy in 28 fractions).
Comments
Radiation Oncologist at Duke University School of Medicine Two comments:1) @Justin E. Bekelman should be...
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital Hi @W. Robert Lee - for the small bowel, how is th...
Answer from: Radiation Oncologist at Academic Institution
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...
Comments
Radiation Oncologist at Grand Valley Oncology I don't have access to the protocol, but should th...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center The European wording for OAR constraints is strang...
Answer from: Radiation Oncologist at Academic Institution
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 equ...
Comments
Radiation Oncologist at START Center for Cancer Care Do you do any sort of bowel prep for sim and treat...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center The goal is to have a reproducibly empty rectum ea...
Radiation Oncologist at Jacob E Locke MD PA ** THIS ** is the sensible real world approach. Th...
Radiation Oncologist at START Center for Cancer Care It seems that there is some agreement around this ...