Table 2.
Treatment Characteristics.
All Patients | HDR-BT Upfront | IMRT Upfront | p-value* | |
---|---|---|---|---|
(n = 115) | (n = 58) | (n = 57) | ||
Treatment Year | ||||
2014 | 6 (5.2%) | 6 (10.3%) | 0 (0%) | |
2015 | 22 (19.1%) | 20 (34.5%) | 2 (3.5%) | |
2016 | 19 (16.5%) | 12 (20.7%) | 7 (12.3%) | <0.001 |
2017 | 22 (19.1%) | 4 (6.9%) | 18 (31.6%) | |
2018 | 20 (17.4%) | 4 (6.9%) | 16 (28.1%) | |
2019 | 26 (22.1%) | 12 (20.7%) | 14 (24.6%) | |
Interval between HDR-BT and IMRT (days) | ||||
Median (range) | 20 (3–108) | 21 (10–38) | 19 (3–108) | NS |
Androgen-deprivation therapy (ADT) | 110 (95.6%) | 53 (91.4%) | 56 (98.2%) | NS |
Duration of ADT (months) | ||||
Median (range) | 12 (0–32) | 18 (0–30) | 7 (0–32) | NS |
IMRT | ||||
Prostate/Seminal Vesicle | 26 (22.6%) | 15 (25.9%) | 11 (19.3%) | NS |
Whole Pelvis | 89 (77.4%) | 43 (74.1%) | 46 (80.7%) | NS |
Prostate volume at volume study | ||||
Median (range) | 26.5 (9.4 – 84.9) | 26.2 (9.4–58.8) | 27.5 (12.3 – 84.9) | NS |
2 (1.7%) | 0 (0%) | 2 (3.5%) | NS | |
> 60 cc | ||||
Prostate volume at brachytherapy | ||||
Median (range) | 28.1 (12.6–82.8) | 28.0 (12.6 – 67.2) | 29.3 (13.8 – 82.8) | NS |
>60 cc | 6 (5.2%) | 2 (3.4%) | 4 (7.0%) | NS |
Bladder Perforated | 24 (20.9%) | 12 (20.7%) | 12 (21.1%) | NS |
Urethra Perforated | 3 (2.6%) | 1 (1.7%) | 2 (3.5%) | NS |
Number of needles implanted | ||||
Median (range) | 16 (13–20) | 16 (13–19) | 16 (14–20) | NS |
Prostate PTV V100 (%) | ||||
Mean (SD) | 95.93 ± 2.28 | 95.4 ± 2.7 | 96.4 ± 1.6 | NS |
Bladder V75 (%) | ||||
Mean (SD) | 0.2 ± 0.3 | 0.2 ± 0.3 | 0.2 ± 0.2 | NS |
Rectum V75 (%) | ||||
Mean (SD) | 0.4 ± 0.3 | 0.4 ± 0.3 | 0.3 ± 0.3 | NS |
Urethra V125 (%) | ||||
Mean (SD) | 0.1 ± 0.2 | 0.1 ± 0.2 | 0.1 ± 0.2 | NS |
Abbreviations: HDR, high dose rate; BT, brachytherapy; IMRT, intensity modulated radiation therapy; ADT, androgen deprivation therapy; PTV, planning target volume; V100, % volume of organ receiving ≥100% prescription dose; V75, % volume of organ receiving ≥75% prescription dose; V125, % volume of organ receiving 125% prescription dose; SD, standard deviation; NS = not significant.
*Pearson and Wilcoxon statistical tests employed to compare cohorts.