By Adriano Cappelli, David Heimann, Richard Kay
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83 patients underwent radiation treatment only and 17 patients underwent radio-hormonal treatment. 8 months. 8 months to reach nadir. The incontinence rate was the same both before and 1 year after salvage ERBT. 5 % for low, intermediate and high-risk groups, respectively. The predicting factors of failure were the PSA nadir after salvage ERBT and the time to reach nadir after ERBT. Recently, similar results were published by Ripert et al. 5 months (Phoenix criteria) and there was no major EBRT related toxicity at 12 or 24 months.
1 Patient Selection and Treatment Planning: The Need for Better PCa Mapping For many years, prostate imaging has yielded suboptimal results in PCa detection and 31 localization, and the results of US-based techniques have been particularly disappointing (Rouvière et al. 2007). Nevertheless, excellent results have recently been published with MRI, especially since dynamic contrast-enhanced (DCE) and diffusionweighted (Dw) sequences have been used in addition to the classical T2-weighted (T2w) imaging.
The actual 3-year progression-free survival (PSA greater than nadir + 2 ng/mL, positive biopsy or salvage treatment requirement) was 53, 43 and 25 % for lowand intermediate-risk patients, respectively, according to D’Amico’s risk groups. Disease progression was inversely related to pre-HIFU PSA and the use of AD during PCa management. In a recent study, we examined the outcomes of salvage HIFU in 290 consecutive patients (Crouzet et al. 2012). 14). 2 %), respectively. In the multivariate analysis three factors were signiﬁcantly linked to disease progression.