Brachytherapy for Prostate Cancer 2017
Relative advantages and disadvantages: LDR vs HDR
LDR • Single step procedure • Low radioprotection
HDR
• Fractionation • Requires HDR facility
• Can implant large glands • Can implant ECE and SV • Accurate dose delivery • Biologically higher dose • QA pre delivery • Focal subvolume boosts
• Volume limited • Limited cover of ECE/SV • Dose delivery variable • Dose limited/fixed • QA post implant • Less flexible for boosts
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