Posted on January 31, 2017 by Sitemaster
There is growing recognition that the patient’s satisfaction or regret with his treatment decision is more than just a matter of whether he is happy with the oncological outcome. Satisfaction/regret is the product of many variables, including how well he understood his options, his interactions with his doctors, the side effects he suffered and when he suffered them, his expectations about the side effects of treatment, and cultural factors. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: HDR-BT, IMRT, perception, radiation, regret, satisfaction, SBRT, value | 1 Comment »
Posted on December 6, 2016 by Sitemaster
In several randomized clinical trials of external beam treatment of primary prostate cancer, we have seen that moderately hypofractionated intensity-modulated radiation therapy (HypoIMRT), accomplished in 12 to 26 treatments or fractions, is no worse than conventionally fractionated IMRT treatment (in 40 to 44 fractions). … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: hypofractionated, IMRT, life, quality, radiation, SBRT, stereotactic | 3 Comments »
Posted on September 20, 2016 by Sitemaster
I was reticent to write about hypofractionation yet again after writing about it so often in the last year (see this link for my latest summary). … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: hypofractionation, IMRT, outcomes, radiation, therapy | 1 Comment »
Posted on September 7, 2016 by Sitemaster
We have just learned that the randomized clinical trial of proton beam radiation therapy (PBRT) vs. IMRT for men with localized prostate cancer (the so-called PARTIQoL trial) now has 10 active centers recruiting patients and another two centers that expect to start enrolling patients soon. A total of 173 patients have been enrolled to date. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: IMRT, PARTIQoL, PBRT, proton, trial | 22 Comments »
Posted on June 22, 2016 by Sitemaster
When you go to large meetings with thousands of presentations, you miss things. And here’s one that a lot of people seem to have missed — your sitemaster included. … READ MORE …
Filed under: Uncategorized | Tagged: IMRT, lung, PBRT, proton, randomized, trial | 1 Comment »
Posted on October 1, 2015 by Sitemaster
The largest-yet randomized clinical trial comparing hypofractionated (fewer treatments or fractions) to normally fractionated intensity-modulated radiation therapy (IMRT) has proved that oncological outcomes and late-term toxicities were the same for both treatment schedules. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: hypofractionated, IMRT, outcome, radiation, therapy, trial | 15 Comments »
Posted on August 27, 2015 by Sitemaster
This is the third and last of three reports discussing a recent, detailed paper by Evans et al. The first (Part 1) was published on Tuesday, August 25, and Part 2 on Wednesday, August 26. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: brachytherapy, first line, IMRT, quality of life, radiation, SBRT | 19 Comments »
Posted on August 26, 2015 by Sitemaster
This is the second of three reports discussing a recent, detailed paper by Evans et al. The first (Part 1) was published yesterday, on Tuesday, August 25, and Part 3 will be published tomorrow (Thursday, August 27). … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: brachytherapy, first line, IMRT, quality of life, radiation, SBRT | 1 Comment »
Posted on August 25, 2015 by Sitemaster
Some of the leading lights in radiation oncology have collaborated on a study (by Evans et al.) of patient-reported quality of life (QOL) following various primary radiation treatments for prostate cancer. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: brachytherapy, first line, IMRT, quality of life, radiation, SBRT | 1 Comment »
Posted on March 31, 2015 by Sitemaster
The “New” Prostate Cancer InfoLink has consistently encouraged newly diagnosed patients who are thinking about radiation therapy as treatment for low- and intermediate-risk, localized prostate cancer to consider enrolling in the ongoing, randomized, Phase III clinical trial known as the PARTIQoL trial. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Treatment | Tagged: IMRT, intensity-modulated, PBRT, proton, radiation, trial | 2 Comments »
Posted on December 26, 2014 by Sitemaster
Proponents of proton beam radiation therapy (PBRT) have long touted its theoretical, healthy, tissue-sparing effects. However, … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: IMRT, intensity-modulated, PBRT, photon, proton, radiation | 9 Comments »
Posted on October 8, 2014 by Sitemaster
An article in yesterday’s Philadelphia Inquirer looked further into the question of the role of proton beam radiation therapy (PBRT) as a treatment for localized prostate cancer. … READ MORE …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: IMRT, PBRT, photon, proton | 7 Comments »
Posted on May 30, 2014 by Sitemaster
A recent, retrospective analysis of Medicare data suggests that men who have first-line stereotactic body radiation therapy (SBRT) are at somewhat higher risk for genitourinary (GU) side effects than men who select intensity-moduated radiation therapy (IMRT). … READ MORE …
Filed under: Management, Treatment, Uncategorized | Tagged: body, CyberKnife, IMRT, intensity-modulated, SBRT, sterotactic | 5 Comments »
Posted on October 10, 2013 by Sitemaster
Many readers may be interested in reading an editorial just published in the Journal of Clinical Oncology that deals with “hypofractionation” (giving fewer doses of radiation therapy at higher dose levels) in treatment of localized prostate cancer. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: conventional, hypofractionated, IMRT, radiation | Leave a comment »
Posted on July 1, 2013 by Sitemaster
In another relatively unsurprising finding, a paper in JAMA Internal Medicine has suggested that– from a clinical point of view — there is little difference in the outcomes of men treated with older rather than newer forms of radiation therapy after first-line surgery for localized prostate cancer. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: 3D-CRT, adjuvant, IMRT, ouctome, prostatectomy, radiation, salvage, second-line | 2 Comments »
THE "NEW" PROSTATE CANCER INFOLINK 