Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6-7
pubmed:dateCreated
2010-9-27
pubmed:abstractText
External beam radiotherapy (RT) is used to treat all stages of localized prostate cancer. Using a 3D conformal RT (3DCRT) without any androgen deprivation, a clear dose-effect relationship has been shown in terms of both biochemical control and also unfortunately of rectal and urinary toxicity. Compared to a "standard" 3DCRT, intensity modulated RT (IMRT) improves the dose distribution by mainly providing concave dose distribution and tight dose gradients. Based on large clinical experiences for at least one decade, IMRT is widely used to increase the dose in the prostate and therefore local control, without increasing toxicity. Indeed, toxicity rates observed after high dose delivered in the prostate (80Gy) with IMRT appear no different than those observed after a standard dose (70Gy) delivered by a standard 3DCRT. Arc IMRT appears a new promising IMRT modality, decreasing dramatically treatment duration. However, this IMRT-based dosimetric benefit may not be translated into a full clinical benefit, if intra-pelvic prostate motion is not taken in account. Image-guided radiotherapy (IGRT) should be therefore associated with IMRT for a maximal clinical benefit. This article is a literature review showing the interest of both combined approaches.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1769-6658
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
479-87
pubmed:meshHeading
pubmed-meshheading:20797889-Adenocarcinoma, pubmed-meshheading:20797889-Artifacts, pubmed-meshheading:20797889-Dose-Response Relationship, Radiation, pubmed-meshheading:20797889-Humans, pubmed-meshheading:20797889-Imaging, Three-Dimensional, pubmed-meshheading:20797889-Male, pubmed-meshheading:20797889-Motion, pubmed-meshheading:20797889-Multicenter Studies as Topic, pubmed-meshheading:20797889-Prostate, pubmed-meshheading:20797889-Prostatic Neoplasms, pubmed-meshheading:20797889-Radiation Injuries, pubmed-meshheading:20797889-Radiotherapy, Intensity-Modulated, pubmed-meshheading:20797889-Radiotherapy Dosage, pubmed-meshheading:20797889-Radiotherapy Planning, Computer-Assisted, pubmed-meshheading:20797889-Randomized Controlled Trials as Topic, pubmed-meshheading:20797889-Rectum, pubmed-meshheading:20797889-Treatment Outcome, pubmed-meshheading:20797889-Urinary Bladder
pubmed:year
2010
pubmed:articleTitle
[Benefit of intensity modulated and image-guided radiotherapy in prostate cancer].
pubmed:affiliation
Service de Radiothérapie, Groupe Oncorad-Garonne, Clinique Pasteur, L'Atrium, 1 rue de la Petite-Vitesse, 31000 Toulouse, France. i.latorzeff@clinique-pasteur.com
pubmed:publicationType
Journal Article, English Abstract, Review