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. 2021 Feb 12;13(4):759. doi: 10.3390/cancers13040759

Table 2.

Treatment characteristics and observed toxicities of the three trials that included pelvic lymph node irradiation.

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%