Advances of Particle Therapy in Prostate Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 10 September 2024 | Viewed by 1315

Special Issue Editor


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Guest Editor
Department of Biomedical Engineering, Case School of Engineering, Case Western Reserve University, Cleveland, OH, USA
Interests: molecular imaging; prostate cancer; targeting prostate-specific membrane antigen

Special Issue Information

Dear Colleagues,

Prostate cancer is the most prevalent cancer among men in the United States. Radiation therapy has been one of the major treatment options for prostate cancer. Recent technical advances in external beam RT using photons—for example, SBRT and IMRT—have permitted the delivery of a higher dose to tumors and a lower dose to surrounding tissues. At the same time, basic and clinical research into external RT using particles (particle RT) has been carried out for the purpose of establishing more effective and non-invasive treatments. Among the particles used in such treatments, protons and carbon ions are the ones most commonly used. New technologies and clinical approaches have been developed to improve therapies. This Special Issue aims to introduce recent advances and breakthroughs in the particle treatment of prostate cancer. Submissions of communications, full papers, mini-reviews, and reviews are all welcomed. We look forward to your contributions and fruitful discussions.

Dr. Xinning Wang
Guest Editor

Manuscript Submission Information

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Keywords

  • prostate cancer
  • particle therapy
  • radiation therapy
  • diagnose
  • treatment
  • SBRT
  • IMRT

Published Papers (1 paper)

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Research

10 pages, 1737 KiB  
Article
5-Years Analysis of Effectivity and Toxicity of Ultra-Hypofractionated Proton Radiotherapy in the Treatment of Low- and Intermediate-Risk Prostate Cancer—A Retrospective Analysis
by Jiri Kubeš, Silvia Sláviková, Pavel Vítek, Alexandra Haas, Barbora Ondrová, Kateřina Dedečková, Michal Andrlík, Martin Domanský, Kateřina Jiránková, Veronika Schlencová, Anh Harazimová, Barbora Turková, Tomáš Doležal, Sarah Falah Abass Al-Hamami and Vladimír Vondráček
Cancers 2023, 15(18), 4571; https://doi.org/10.3390/cancers15184571 - 15 Sep 2023
Cited by 1 | Viewed by 1008
Abstract
Background: We retrospectively analyzed the 5-year biochemical disease-free survival (bDFS) and occurrence of late toxicity in prostate cancer patients treated with pencil beam scanning (PBS) proton radiotherapy. Methodology: In the period from January 2013 to June 2018, 853 patients with prostate cancer were [...] Read more.
Background: We retrospectively analyzed the 5-year biochemical disease-free survival (bDFS) and occurrence of late toxicity in prostate cancer patients treated with pencil beam scanning (PBS) proton radiotherapy. Methodology: In the period from January 2013 to June 2018, 853 patients with prostate cancer were treated with an ultra-hypofractionated schedule (36.25 GyE/five fractions). The mean PSA value was 6.7 (0.7–19.7) µg/L. There were 318 (37.3%), 314 (36.8%), and 221 (25.9%) patients at low (LR), favorable intermediate (F-IR), and unfavorable intermediate risk (U-IR), respectively. Neoadjuvant hormonal therapy was administered to 197 (23.1%) patients, and 7 (0.8%) patients had adjuvant hormonal therapy. The whole group of patients reached median follow-up time at 62.7 months, and their mean age was 64.8 (40.0–85.7) years. The bDFS rates and late toxicity profile were evaluated. Results: Median treatment time was 10 (7–38) days. Estimated 5-year bDFS rates were 96.5%, 93.7%, and 91.2% for low-, favorable intermediate-, and unfavorable intermediate-risk groups, respectively. Cumulative late toxicity (CTCAE v4.0) of G2+ was as follows: gastrointestinal (GI)—G2: 9.1%; G3: 0.5%; genitourinary (GU)—G2: 4.3%, and no G3 toxicity was observed. PSA relapse was observed in 58 (6.8%) patients: 16 local, 22 lymph node, 4 bone recurrences, and 10 combined sites of relapse were detected. Throughout the follow-up period, 40 patients (4.7%) died, though none due to prostate cancer. Conclusion: Ultra-hypofractionated proton beam radiotherapy is an effective treatment for low- and favorable intermediate-risk prostate cancer, with long-term bDFS rates comparable to other techniques. It is promising for unfavorable intermediate-risk prostate cancer and has acceptable long-term GI and favorable GU toxicity. Full article
(This article belongs to the Special Issue Advances of Particle Therapy in Prostate Cancer)
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