2017_SBRT_Course Book

Metastatic spreat of prostate cancer

Liu Nat Med 2009

Ahmend NEJM 2009

• Prostate Cancer: Multi-focal and poly-clonal disease • HOWEVER: mono-clonal origin of metastatic spreat • Clinically significant cancer Ø GS ≤ 6 w/o G pattern 4 or 5

Ø Organ-confined disease Ø Tumour volume <0.5 cm 3

/ 07.09.17 Matthias Guckenberger - ESTRO SBRT Course 2017

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Multiparametric MRI for detection of clinically significant cancer

Donati Radiology 2013

Rais-Bahramia Urology 2013

Ø MP MRI valuable tool for detection of clinically significant cancer Ø Accuracy insufficient for focal therapy only

/ 07.09.17 Matthias Guckenberger - ESTRO SBRT Course 2017

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