Author reply Re:Kumar A, Yadav S, Krishnappa RS, Gautam G, Raghavan N, Bakshi G, et al. The Urological Society of India guidelines for the evaluation and management of prostate cancer (executive summary). Indian J Urol 2022;38:252-257.

Abstract

The point about the dose of radiation therapy, whether conventional or hypofractionated regimens, is well put. Radiation therapy doses are a discussion unto themselves due to the very nuanced approach that is optimized by the radiation oncologist in terms of the technology available in their department, its functioning in terms of protocols for immobilization/target delineation and planning. For example, a lack of access to image-guided radiation therapy can lead to uncertainty in the execution of some well made plans. The same uncertainty plays even more when hypofractionated regimens are used. Thus, the committee has not kept the discussion of radiation doses and techniques within its defined scope.