ESTRO Brachytherapy for Prostate Cancer 2018

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

• Volume limited • Limited cover of ECE/SV • Dose determined by implant accuracy • QA post implant