碘-125低剂量前列腺近距离放射治疗。

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Journal of Urology Pub Date : 2024-10-16 DOI:10.1111/iju.15609

Takafumi Minami, Saizo Fujimoto, Kazutoshi Fujita

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引用次数: 0

摘要

机器人辅助腹腔镜前列腺癌根治术和调强放射治疗是局部前列腺癌最常见的根治方法，近距离放射治疗（BT）也在这一领域发挥着作用。碘-125（I-125）低剂量率（LDR）前列腺近距离放射治疗是一种成熟的治疗方法。然而，它仍然存在争议。具体来说，存在各种问题，如与体外放射治疗和雄激素剥夺疗法联合治疗的适应症、前列腺特异性抗原随访、植入后活检的意义、挽救性 BT 和病灶治疗的效用、减少毒性以及 BT 后的膀胱癌等。在这篇综述中，我们总结了 I-125 LDR BT 的最新进展。

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Iodine-125 low-dose rate prostate brachytherapy.

Robotic-assisted laparoscopic radical prostatectomy and intensity-modulated radiation therapy are the most common radical treatments for localized prostate cancer, and brachytherapy (BT) also plays a role in this field. Iodine-125 (I-125) low-dose rate (LDR) prostate BT is an established treatment. However, it remains controversial. Specifically, there are a variety of issues, such as indications for combined treatment with external beam radiotherapy and androgen deprivation therapy, prostate-specific antigen follow-up, the significance of postimplant biopsy, the usefulness of salvage BT and focal therapy, reduction of toxicities, and bladder cancer after BT. In this review, we summarize the recent developments in I-125 LDR BT.

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来源期刊

International Journal of Urology 医学-泌尿学与肾脏学

CiteScore

4.70

自引率

11.50%

发文量

340

审稿时长

3 months

期刊介绍： International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.