Prostate and cancer.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically proven adenocarcinoma of the prostate; 2. Patients treated by external beam radiotherapy followed by a pulsed dose-rate (PDR) brachytherapy boost; 3. Age ¡Ü 80 years; 4. WHO performance status ¡Ü 2 (appendix B); 5. International Prostate Symptom Score (IPSS) ¡Ü 20 (appendix C); 6. Maximal urinary flow ¡Ý 10 ml/sec; 7. Postvoiding residual bladder volume ¡Ü 200 ml; 8. Prostate volume on trans rectal ultrasound ¡Ü 60 ml; 9. No inflammatory bowel diseases such as colitis ulcerosa or M. Crohn; 10. No metallic hip prosthesis; 11. No TURP within 6 months before radiation treatment; 12. No co-morbidity not allowing general or spinal anesthesia; 13. No cardiac diseases: a. Coronary ischemic hart disease; b. Coronary artery intervention in the last year; c. Acute or class III/IV cardiac failure; d. Severe heart arrhythmia; e. Right-to-left shunt; f. Pulmonary hypertension (pulmonary artery pressure > 90 mmHg); 14. No uncontrolled systemic hypertension; 15. No adult respiratory distress syndrome; 16. No prior radiotherapy on prostate or pelvic area; 17. Possible to comply with follow-up; 18. Written informed consent.
Exclusion criteria
Exclusion criteria: See inclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Can contrast enhanced ultrasound be used for the detection of prostate lesions suspicious for cancer that can be used for brachytherapy dose adjustment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Can contrast enhanced ultrasound of the prostate be used to follow up suspicious lesions of the prostate in prostate cancer patients after brachytherapy. | — |
Contacts
Academic Medical Centre Amsterdam Department of urology Postbus 22660