Table 2.
Parameters | FASTR [28] | SATURN [38] | Murthy et al. 2018 [31] | |
---|---|---|---|---|
Primary clinical target volume (CTV) | Prostate + 1 cm seminal vesicles (SV) | Prostate | Prostate + entire SV | |
Primary CTV to planning target volume (PTV) | 5 mm | 3 mm | 5 mm (3 mm posteriorly) | |
Dose to prostate | 40 Gy to PTV | 40 Gy to CTV 33.25 Gy to PTV |
35 Gy–37.5 Gy to PTV | |
Pelvic lymph node irradiation | 25 Gy to PTV | 25 Gy to CTV 23.75 Gy to PTV |
25 Gy to PTV | |
Fractionation | Once weekly | Once weekly | Thrice weekly | |
Image guidance | Cone beam computed tomography (CBCT) | CBCT + fiducials | CBCT | |
Bladder dose constraints | V35 < 30% V29 < 50% |
V35 < 5% V32 < 10% |
V35 < 3% V17.5 < 20% |
|
Rectum dose constraints | V35 < 20% V27 < 50% |
V35 < 5% V32 < 10% |
V35 < 3% V31.5 < 8% V28 < 15% V17.5 < 40% |
|
Small bowel dose constraints | V25 < 190 cc V27.5 < 2 cc |
V25 < 20 cc V30 < 2 cc |
V28 < 80 cc | |
Median Follow-up | 6 months | 24 months | 18 months | |
Grade 2+ acute gastrointestinal (GI) toxicity |
0.0% | 3.3% | 4.0% | |
Grade 2+ acute genitourinary (GU) toxicity |
25% | 46.7% | 12.0% | |
Grade 2+ late GI toxicity |
50.1% | 32.0% | 4.0% | |
Grade 2+ late GU toxicity |
37.5% | 60.0% | 7.0% |