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