Merrick Gregory S, Wallner Kent E, Butler Wayne M
Schiffler Cancer Center, Wheeling Hospital, Wheeling Jesuit University, Wheeling, West Virginia 26003-6300, USA.
Oncology (Williston Park). 2004 Apr;18(4):445-52; discussion 452, 455-7.
Prostate brachytherapy efficacy and morbidity are primarily dependent on implant quality and patient management. While most alleged contraindications to brachytherapy have been propagated based on physician bias rather than clinical data, a number of evidence-based factors contributing to radiation-related morbidity have accumulated. Refinements in patient selection may result in further improvements in biochemical and quality-of-life outcomes. Herein, we have summarized evidence-based vs unsubstantiated patient selection factors that affect outcome.
前列腺近距离放射治疗的疗效和发病率主要取决于植入质量和患者管理。虽然大多数所谓的近距离放射治疗禁忌症是基于医生的偏见而非临床数据传播开来的，但一些导致放射性发病率的循证因素已经积累起来。患者选择的优化可能会进一步改善生化指标和生活质量。在此，我们总结了影响治疗结果的循证与无充分依据的患者选择因素。
