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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
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[Prostate cancer external beam radiotherapy].

R de Crevoisier1, P Pommier2, I Latorzeff3

  • 1Département de radiothérapie, centre régional de lutte contre le cancer Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35042 Rennes, France.

Cancer Radiotherapie : Journal De La Societe Francaise De Radiotherapie Oncologique
|August 13, 2016
PubMed
Summary

This study details prostate external beam radiotherapy techniques for treating prostate cancer or post-prostatectomy, including pelvic lymph nodes. It covers indications, dosing, imaging, target delineation, and image-guided methods for precise radiation delivery.

Keywords:
Cancers de prostateExternal beam radiotherapyProstate cancerRadiothérapie externeRecommandationsRecommendations

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Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Urologic Oncology

Background:

  • External beam radiotherapy is a cornerstone in prostate cancer management.
  • Techniques have evolved to improve target coverage and spare organs at risk.
  • Radiotherapy may be indicated for definitive treatment or post-prostatectomy.

Purpose of the Study:

  • To comprehensively describe prostate external beam radiotherapy techniques.
  • To outline methods for both prostate-only and pelvic lymph node irradiation.
  • To detail the process from planning to image-guided delivery.

Main Methods:

  • Review of established and advanced radiotherapy techniques.
  • Description of computed tomography (CT) imaging for planning.
  • Explanation of volume delineation, margin definition, and Intensity Modulated Radiotherapy (IMRT) planning with dose constraints.
  • Discussion of Image-Guided Radiotherapy (IGRT) implementation.

Main Results:

  • Detailed description of radiotherapy indications, total dose, and fractionation schedules.
  • Clear guidelines for target volume and organ-at-risk delineation.
  • Specification of IMRT planning parameters and dose-volume constraints.
  • Emphasis on the role of IGRT for accurate treatment delivery.

Conclusions:

  • External beam radiotherapy for prostate cancer requires meticulous planning and execution.
  • Techniques discussed enable precise targeting of the prostate and pelvic lymph nodes.
  • IGRT is crucial for ensuring accuracy and safety in prostate radiotherapy.