When to choose radiotherapy for prostate cancer, and what technique?

摘要

This review describes the present curative role of radiotherapy in men with localised prostate cancer, and the many technical innovations that have occurred over the last 20 years that have improved its accuracy and safety. These have resulted in today’s state of the art irradiation technique known as ‘imaged guided intensity modulated radiotherapy’. Emerging changes in practice for men with good prognosis tumours, which include radiation dose escalation, and major reductions in the duration of radiotherapy treatment courses are outlined. Finally, the role of adjuvant treatments for men with poor prognosis, high risk locally advanced tumours, and new approaches to these initiatives are summarised.