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Brachytherapy pp 137-146 | Cite as

Prostate Brachytherapy: Clinical Efficacy and Future Trends

  • Peter F. OrioIIIEmail author
  • Katelyn A. Crouse
  • Paul L. Nguyen
  • Martin T. King
Chapter

Abstract

Low-dose rate (LDR) prostate brachytherapy is a highly efficacious and cost-effective treatment with a very favorable side effect profile and has a role in the treatment paradigm of low-, intermediate-, and high-risk prostate cancers. Brachytherapy is typically an outpatient procedure where tiny radioactive “seeds” are implanted in the prostate to eradicate the cancer right where it has grown. Brachytherapy has a long and proven track record with data demonstrating it to be extremely effective when used alone in low and favorable intermediate-risk prostate cancer. Brachytherapy also shows significantly higher rates of cancer control and tumor eradication in the higher-risk setting when used in combination with external beam radiation therapy (EBRT) as compared to surgery or EBRT alone.

Despite its efficacy, brachytherapy utilization rates are declining secondary to competing treatment options, to include a shift to active surveillance. With prostate cancer diagnosis on the rise, and prospective and randomized trials showing brachytherapy’s superior efficacy over other modalities such as radical prostatectomy and EBRT, it is important to put corrective actions in place to ensure that brachytherapy is available to patients across the globe.

Keywords

Prostate cancer Brachytherapy Low risk Intermediate risk High risk Outcomes 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Peter F. OrioIII
    • 1
    Email author
  • Katelyn A. Crouse
    • 2
  • Paul L. Nguyen
    • 1
  • Martin T. King
    • 1
  1. 1.Dana-Farber/Brigham and Women’s Cancer CenterHarvard Medical SchoolBostonUSA
  2. 2.Dana-Farber/Brigham and Women’s Cancer CenterBostonUSA

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