Treatment FAQ

what is the radiation dose for prostate cancer treatment

by Andreane Kassulke DVM Published 2 years ago Updated 2 years ago
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What are the long term effects of prostate radiation?

  • Increased, looser bowel movements
  • Infertility (For patients in their childbearing years who wish to have children one day, there are options to preserve fertility prior to treatment.)
  • Reduction in bladder capacity
  • Vaginal dryness

What is the best treatment for prostate cancer?

Treating advanced prostate cancer

  • Chemotherapy. Chemotherapy is often used to treat prostate cancer that's spread to other parts of the body (metastatic prostate cancer).
  • Steroids. Steroid tablets are used when hormone therapy no longer works because the cancer is resistant to it.
  • Other medical treatments. ...

Should I have surgery or radiation for prostate cancer?

Radiation therapy or surgery may be used to treat your prostate cancer. Both treatments work well. With either treatment, the chance of your cancer spreading is low. Both treatments have side effects, such as bladder, bowel, and erection problems. Radiation therapy is more likely to cause bowel problems.

Is prostate surgery better than radiation?

Surgery for localized prostate cancer offers a significantly higher survival rate than either external-beam radiation or hormonal therapies, according to a new study led by researchers at UCSF.

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What type of radiation is used for prostate cancer?

The main types of radiation therapy used for prostate cancer are: External beam radiation. Brachytherapy (internal radiation) (Another type of radiation therapy, in which a medicine containing radiation is injected into the body, is described in Treating Prostate Cancer Spread to the Bone .)

What is the best treatment for prostate cancer?

Brachytherapy (internal radiation therapy) 1 Brachytherapy alone is generally used only in men with early-stage prostate cancer that is relatively slow growing (low-grade). 2 Brachytherapy combined with external radiation is sometimes an option for men who have a higher risk of the cancer growing outside the prostate.

How does proton beam therapy work?

Proton beam therapy focuses beams of protons instead of x-rays on the cancer. Unlike x-rays, which release energy both before and after they hit their target, protons cause little damage to tissues they pass through and release their energy only after traveling a certain distance. This means that proton beam radiation can, in theory, deliver more radiation to the prostate while doing less damage to nearby normal tissues. Proton beam radiation can be aimed with techniques similar to 3D-CRT and IMRT.

Why do you put a balloon between your prostate and your rectum?

Sometimes a balloon-like device or gel is put between the rectum and the prostate before treatment to act like a spacer to lessen the amount of radiation that reaches the rectum. Urinary problems: Radiation can irritate the bladder and lead to a condition called radiation cystitis.

What is EBRT radiation?

In EBRT, beams of radiation are focused on the prostate gland from a machine outside the body. This type of radiation can be used to try to cure earlier stage cancers, or to help relieve symptoms such as bone pain if the cancer has spread to a specific area of bone.

What is IGRT prostate?

Some newer radiation machines have imaging scanners built into them. This advance, known as image guided radiation therapy (IGRT), lets the doctor take pictures of the prostate just before giving the radiation to make minor adjustments in aiming.

How long does radiation treatment last?

You will usually go for treatment 5 days a week in an outpatient center for at least several weeks, depending on why the radiation is being given. Each treatment is much like getting an x-ray. The radiation is stronger than that used for an x-ray, but the procedure typically is painless.

What is radiation therapy for prostate?

This is a sophisticated form of external beam radiation, which is delivered by linear accelerators (LINACS). Oncologists can change the intensity and shape of the radiation beams to better target radiation delivered to the prostate while limiting radiation to nearby bladder and rectal tissue. Because of the treatment planning involved with this type of radiation therapy, the doctor can deliver far more precise, intense and effective doses of radiation with less risk of damaging surrounding tissue.

How does radiation kill prostate cancer?

Radiation therapy is an effective treatment that kills prostate cancer cells by using high energy rays or particles. The radiation can be delivered in several ways, including brachytherapy (using seeds that are implanted in the patient’s body) and external beam radiation that projects the energy through the skin.

What is IGRT in prostate cancer?

IGRT refers to the use of daily imaging to check the tumor target’s position. Most often, this may include a low dose X-ray (kV) or CT scan (cone beam CT). For some patients, gold or platinum fiducial markers may be placed in the prostate before treatment. These markers show up on imaging scans and help the radiation oncologist see the tumor’s position, which helps prepare the patient for treatment each day.

What imaging is used to map prostate cancer?

Before treatment, your radiation team will use computerized tomography (CT) scans and magnetic resonance imaging (MRI) scans to map out the location of the prostate and tumor cells. During each treatment session, X-ray beams are focused on the targeted cancer areas. Oncologists can change the intensity of doses and radiation beams ...

How thick is a brachytherapy seed?

For permanent (low dose rate) brachytherapy, tiny radioactive seeds (about 0.8 millimeters thick and 4.5 millimeters long) are inserted into the prostate using needles that enter the skin just behind the scrotum.

What is the benefit of proton therapy?

The main benefit of proton therapy is that, because of the beam’s physical properties, the beam stops at the borders of the tumor, preventing an “exit dose” that could affect nearby, healthy tissues in areas outside of the prostate target, such as the bladder and rectum. Current evidence suggests that it is equally effective as other radiation ...

How to treat recurrent prostate cancer?

Treat recurrent prostate cancer following surgery. Treat men with limited spreading (oligometastatic) prostate cancer to reduce the tumor’s size and improve survival and quality of life. Slow cancer growth, reduce fracture risk. Be used as a palliative treatment to address pain from advanced cancer.

How does HRT compare to standard radiation?

Compared with standard radiation therapy, HRT uses larger doses over a shorter period of time.

How long does it take for prostate cancer to return after HRT?

After an average of five to six years, the intermediate-risk men who had HRT were less likely than men who got standard radiation therapy to have their prostate cancer return.

Bowel And Bladder Problems

Radiation therapy for prostate cancer can irritate the bowel, the bladder, or both.

Swelling Bruising Or Tenderness Of The Scrotum

Symptoms generally resolve on their own within three to five days. Oral anti-inflammatory medications such as ibuprofen are usually sufficient for pain relief, if necessary. You should avoid hot tubs and Jacuzzis for at least two to three days after the procedure. Postpone bike riding until the tenderness is gone.

Who Should Consider External Beam Radiation Therapy

In most cases, external beam radiation therapy is used for men with localized prostate cancer . The intent of EBRT in this case is to kill the tumor while sparing as much healthy tissue as possible. Sometimes it is used in more advanced cases. For example, it can be used along with hormone therapy, or used to relieve pain from bone metastases.

Possible Side Effects Of Radiation Treatment

There are possible side effects associated with radiation therapy. Some people may not experience any side effects. Others may experience mild or bothersome side effects.

Radiation For Prostate Cancer

Radiation therapy may be a treatment option for certain men with prostate cancer.

Remission And The Chance Of Recurrence

A remission is when cancer cannot be detected in the body and there are no symptoms. This may also be called having no evidence of disease or NED.

Radiation Therapy In Advanced Disease

Some forms of radiation therapy, like external radiation therapy and radiopharmaceuticals, can help with advanced prostate cancer. One type of external radiation therapy is used along with hormone therapy to treat cancer that has spread outside the prostate to nearby tissue.

How Has Radiation Therapy For Prostate Cancer Evolved In Recent Years

Radiation has evolved dramatically in the last 40 years, and during that time, our ability to plan and deliver treatment has changed at about the same rate as computers have progressed. Think of your computer 10 years ago and your iPad now, says Dr. Yu.

Active Surveillance And Watchful Waiting

If prostate cancer is in an early stage, is growing slowly, and treating the cancer would cause more problems than the disease itself, a doctor may recommend active surveillance or watchful waiting.

What Is Stereotactic Body Radiation Therapy And What Advantages Does It Offer

Traditionally, we deliver external beam radiation in 45 to 48 sessions over a span of ten weeks, using very sophisticated computer-based planning and enhanced imaging techniques and tumor tracking during the treatment. This is called image-guided IMRT and it is the current standard of care.

What Happens During Radiation Therapy

Radiation therapy uses high-energy x-rays or a stream of particles . High doses of radiation can destroy abnormal cancer cells. Each treatment destroys some of the cancer cells at a microscopic level. Patients do not feel the radiation during treatment. They will only hear some electrical noise and may see light from the machine.

Where You Get Treated Matters

Like all radiation therapies, brachytherapy is best administered by medical professionals who specialize in the treatment.

What Are The Side Effects Of Hormone Therapy For Prostate Cancer

Because androgens affect many other organs besides the prostate, ADT can have a wide range of side effects , including:

How Does External Beam Radiation Therapy Work

External beam radiation therapy, or EBRT, uses a machine to direct high-energy X-rays at the cancer in daily doses. The radiation beam is generated by a machine called a linear accelerator or LINAC.

How long does radiation therapy last?

Standard treatment with radiation therapy lasts for five to eight weeks, depending on the specific type of cancer being treated, and is at the discretion of the oncologist supervising the therapy.

What is the unit used to measure the total amount of radiation that the patient is exposed to?

Gray (Gy) is the unit used to measure the total amount of radiation that the patient is exposed to. This can also be recorded as centigray (cGy), which is 0.01 of a single Gy unit.

Why is radiation therapy important?

By Yolanda Smith, B.Pharm. Reviewed by Benedette Cuffari, M.Sc. When radiation therapy is used to kill cancerous cells in the body , it is important to measure the dose correctly to avoid unnecessary damage to normal cells in the body. Radiation is not selective to tumor cells and therefore targets any cells that are in the process ...

Why is patient positioning important during radiation treatment?

The exact position of the patient during the radiation treatment is of utmost importance to ensure that the correct dose of radiation is emitted to the intended area of the body. It is common practice for skin to be marked to indicate where the treatment should be focused.

Why do you need a mold for radiation?

Additionally, areas of the body that do not contain tumor cells should be subjected to as little radiation as possible, often necessitating blocks or shields to protect other parts of the body .

Is radiation selective to tumor cells?

Radiation is not selective to tumor cells and therefore targets any cells that are in the process of replication when the therapy is applied. This thereby stresses the importance of administering the correct dose in order to ensure optimal efficiency with minimal side effects. Image Credit: Roman Zaiets / Shutterstock.com.

What are the treatment options for prostate cancer?

Depending on each case, treatment options for men with prostate cancer might include: Observation or Active Surveillance for Prostate Cancer. Surgery for Prostate Cancer. Radiation Therapy for Prostate Cancer. Cryotherapy for Prostate Cancer. Hormone Therapy for Prostate Cancer. Chemotherapy for Prostate Cancer.

What are the things to consider when making a decision about cancer treatment?

Some important things to consider include: The stage and grade of your cancer. Your age and expected life span.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

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