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. 2023 Feb 6;11(3):127–133. doi: 10.1016/j.prnil.2023.01.004

Table 2.

The comparison of oncologic outcomes between LDR brachytherapy and IMRT

Number of patients Procedure Definition Median follow-up Outcomes
Zelefsky et al9 (2011) 729 LDR (144 Gy) (n = 448) vs. IMRT (81 Gy) (n = 281) Phoenix 77 mo Low 7-yr bPFS
LDR: 95% IMRT: 89% P = 0.004
Spratt et al10 (2014) 870 LDR + EBRT (n = 400) vs. IMRT (86.4 Gy) (n = 470) Phoenix 5.3 yr Int. 7-yr bPFS
LDR: 92% IMRT: 81% P = 0.004
Morris et al11 (ASCENDE-RT) (2017) 398 DE-EBRT (78 Gy) (n = 195) vs. LDR + EBRT (n = 188) Phoenix 78 mo Int. ∼ High
7-yr bPFS
LDR vs. DE-EBRT
86% vs. 75%
P < 0.001

bPFS, biochemical progression-free survival; DE, dose escalated; EBRT, external beam radiation therapy; High, high-risk; IMRT, intensity modulated radiation therapy; Int., intermediate-risk; LDR, low-dose-rate brachytherapy; Low, low-risk.