For the treatment for intermediate- and high-risk prostate cancer, Cyberknife boost will be used after 4 weeks of intensity modulated radiotherapy to pelvis. The boost doses are 18 Gy and 21 Gy in 3 fractions, respectively. The investigators plan to evaluate the toxicity of two dose groups and decide the appropriate dose for Cyberknife boost. Also, PSA control will be evaluated.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
pelvis IMRT dose of 44 Gy/20 fx followed by Cyberknife boost 18 Gy/3 fx
pelvis IMRT dose of 44 Gy/20 fx followed by Cyberknife boost 21 Gy/3 fx
Asan Medical Center
Seoul, South Korea
Acute toxicity assessment for 18 Gy and 21 Gy arm
CTCAE v4.03, overactive bladder symptom score (OABSS), International Prostate Symptom Score (IPSS)
Time frame: 3 months
Biochemical control free survival
PSA nadir + 2.0ng/ml or Start of salvage hormonal therapy
Time frame: 3 years
Late toxicity assessment for 18 Gy and 21 Gy arm
Late Effects of Normal Tissues (LENT) scoring system
Time frame: average 6 months
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