HDR Brachytherapy in the Management of High-Risk Prostate Cancer

High-dose-rate (HDR) brachytherapy is used with increasing frequency for the treatment of prostate cancer. It is a technique which allows delivery of large individual fractions to the prostate without exposing adjacent normal tissues to unacceptable toxicity. This approach is particularly favourable...

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Main Authors: Susan Masson, Raj Persad, Amit Bahl
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/980841
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author Susan Masson
Raj Persad
Amit Bahl
author_facet Susan Masson
Raj Persad
Amit Bahl
author_sort Susan Masson
collection DOAJ
description High-dose-rate (HDR) brachytherapy is used with increasing frequency for the treatment of prostate cancer. It is a technique which allows delivery of large individual fractions to the prostate without exposing adjacent normal tissues to unacceptable toxicity. This approach is particularly favourable in prostate cancer where tumours are highly sensitive to dose escalation and to increases in radiotherapy fraction size, due to the unique radiobiological behaviour of prostate cancers in contrast with other malignancies. In this paper we discuss the rationale and the increasing body of clinical evidence for the use of this technique in patients with high-risk prostate cancer, where it is combined with external beam radiotherapy. We highlight practical aspects of delivering treatment and discuss toxicity and limitations, with particular reference to current practice in the United Kingdom.
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spelling doaj-art-98c415397e8340cb96f303f4c37e553c2025-02-03T05:55:16ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/980841980841HDR Brachytherapy in the Management of High-Risk Prostate CancerSusan Masson0Raj Persad1Amit Bahl2Bristol Haematology and Oncology Centre, University Hospitals Bristol NHS Foundation Trust, Bristol BS2 8ED, UKDepartment of Urology, University Hospitals Bristol NHS Foundation Trust, Bristol BS2 8HW, UKBristol Haematology and Oncology Centre, University Hospitals Bristol NHS Foundation Trust, Bristol BS2 8ED, UKHigh-dose-rate (HDR) brachytherapy is used with increasing frequency for the treatment of prostate cancer. It is a technique which allows delivery of large individual fractions to the prostate without exposing adjacent normal tissues to unacceptable toxicity. This approach is particularly favourable in prostate cancer where tumours are highly sensitive to dose escalation and to increases in radiotherapy fraction size, due to the unique radiobiological behaviour of prostate cancers in contrast with other malignancies. In this paper we discuss the rationale and the increasing body of clinical evidence for the use of this technique in patients with high-risk prostate cancer, where it is combined with external beam radiotherapy. We highlight practical aspects of delivering treatment and discuss toxicity and limitations, with particular reference to current practice in the United Kingdom.http://dx.doi.org/10.1155/2012/980841
spellingShingle Susan Masson
Raj Persad
Amit Bahl
HDR Brachytherapy in the Management of High-Risk Prostate Cancer
Advances in Urology
title HDR Brachytherapy in the Management of High-Risk Prostate Cancer
title_full HDR Brachytherapy in the Management of High-Risk Prostate Cancer
title_fullStr HDR Brachytherapy in the Management of High-Risk Prostate Cancer
title_full_unstemmed HDR Brachytherapy in the Management of High-Risk Prostate Cancer
title_short HDR Brachytherapy in the Management of High-Risk Prostate Cancer
title_sort hdr brachytherapy in the management of high risk prostate cancer
url http://dx.doi.org/10.1155/2012/980841
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AT rajpersad hdrbrachytherapyinthemanagementofhighriskprostatecancer
AT amitbahl hdrbrachytherapyinthemanagementofhighriskprostatecancer