Early prostate cancer (T1–2N0M0)

Michael Scott, Amber Orman, Alan Pollack

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The definitive treatment of early stage prostate cancer with radiation therapy has progressed dramatically over the past two decades primarily due to the development and implementation of intensity-modulated radiation therapy (IMRT) techniques and better definition of the role of androgen deprivation therapy (ADT). IMRT has permitted the escalation of radiotherapy dose to the target tissues, namely, the prostate and proximal seminal vesicles, in an effort to improve tumor cell killing and local tumor control, while also reducing dose to nearby organs at risk (OARs) including the bladder, rectum, bowel, femoral heads, and penile bulb. Advances in image-guided radiotherapy (IGRT) have improved the accuracy of the delivery of IMRT, reduced PTV margins, and consequently decreased acute and long-term side effects. This chapter will review the clinical evidence for the use of IMRT for early stage, clinically localized (T1–2N0M0) prostate cancer and will outline the processes involved in designing and implementing a safe and effective IMRT treatment plan.

Original languageEnglish (US)
Title of host publicationIntensity-Modulated Radiation Therapy: Clinical Evidence and Techniques
PublisherSpringer Japan
Pages355-378
Number of pages24
ISBN (Print)9784431554868, 9784431554851
DOIs
StatePublished - Jan 1 2015

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Keywords

  • Androgen deprivation therapy
  • Image-guided treatment delivery
  • Interfraction motion
  • Intrafraction motion
  • Risk classifications

ASJC Scopus subject areas

  • Medicine(all)
  • Physics and Astronomy(all)

Cite this

Scott, M., Orman, A., & Pollack, A. (2015). Early prostate cancer (T1–2N0M0). In Intensity-Modulated Radiation Therapy: Clinical Evidence and Techniques (pp. 355-378). Springer Japan. https://doi.org/10.1007/978-4-431-55486-8_19