Kishan Amar U, King Christopher R
Department of Radiation Oncology, University of California, Los Angeles, Los Angeles, CA.
Department of Radiation Oncology, University of California, Los Angeles, Los Angeles, CA.
Semin Radiat Oncol. 2017 Jul;27(3):268-278. doi: 10.1016/j.semradonc.2017.02.006. Epub 2017 Feb 22.
With over a decade׳s worth of clinical experience to guide stereotactic body radiotherapy (SBRT) for the treatment of clinically localized prostate cancer (PCa), sufficient data exist for robust conclusions to be made regarding its efficacy and the toxicities associated with this treatment. We briefly review the fundamental radiobiological basis of SBRT for PCa and provide a comprehensive synthesis of the medical literature to date, focusing on clinical outcomes and toxicities. When possible, we draw comparisons to comparable data for conventionally fractionated radiotherapy. Finally, a brief overview of technical considerations is presented. Although randomized clinical trials comparing SBRT with conventionally fractionated radiotherapy are underway, the current body of evidence supports the efficacy and safety of SBRT for PCa.
凭借超过十年的临床经验来指导立体定向体部放疗(SBRT)治疗临床局限性前列腺癌(PCa),现有足够的数据来就其疗效以及与该治疗相关的毒性得出可靠结论。我们简要回顾了SBRT治疗PCa的基本放射生物学基础,并对迄今为止的医学文献进行了全面综述,重点关注临床结果和毒性。在可能的情况下,我们将其与传统分割放疗的可比数据进行比较。最后,简要介绍了技术方面的考虑因素。尽管比较SBRT与传统分割放疗的随机临床试验正在进行中,但目前的证据支持SBRT治疗PCa的疗效和安全性。