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How to optimise prostate SBRT: ESTRO clinical practice consensus recommendations
Cédric Draulans1, Alison Tree2, Thomas Zilli3
1Department of Oncology, KU Leuven, Leuven, Belgium; Department of Radiation Oncology, AZ Sint-Maarten Hospital, Mechelen, Belgium.
Summary
Stereotactic body radiation therapy (SBRT) for prostate cancer is increasing. This consensus provides practical recommendations for implementing SBRT in radiation therapy departments, covering patient care, planning, and delivery.
Area of Science:
- Radiation Oncology
- Medical Physics
- Urologic Oncology
Background:
- Increasing adoption of stereotactic body radiation therapy (SBRT) for primary prostate cancer necessitates standardized guidelines.
- Existing radiotherapy (RT) practices require updated recommendations for prostate SBRT implementation.
Purpose of the Study:
- To develop practical, evidence-based recommendations for initiating and implementing prostate SBRT.
- To define minimum requirements, common practices, and optional approaches for prostate SBRT.
Main Methods:
- A panel of 15 prostate SBRT experts reviewed literature and utilized a Delphi process.
- A 10-item questionnaire addressed controversial aspects of prostate SBRT, with consensus defined as ≥75% agreement.
Main Results:
- Consensus recommendations were established for prostate SBRT based on expert opinion and scientific evidence.
- Key areas covered include patient selection, follow-up, treatment planning, and delivery techniques.
Conclusions:
- The ESTRO 'how to' consensus provides a framework for safe and effective prostate SBRT implementation.
- These recommendations aim to standardize prostate SBRT practices in RT departments.
- Guidance is provided for patient management from selection through follow-up.
