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Role of 3T Multiparametric MRI in the Detection of Local Recurrent Prostate Cancer after Radical Prostatectomy

Radiotherapy and oncology(2015)

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Abstract
47 patients were considered 'suitable ', 60 were 'low risk', 7 'intermediate risk' and 8 'high risk'.69 patients were defined as 'acceptable' and 6 as 'not acceptable' following ABS recommendations.46 of ABS 'acceptable' patients were also either 'suitable' or 'low risk' according to ASTRO and GEC-ESTRO, meaning an accordance rate between guidelines on who to definitely treat with APBI of 67%.6% (n=4) of patients with clear indication not to treat by ASTRO and/or GEC-ESTRO fitted the 'acceptable' group criteria by ABS.No locoregional relapses were documented, 1 patient developed distant metastasis.Conclusions: This study shows a lack of agreement between the current guidelines and supports the existing evidence that APBI with multicatheter brachytherapy is an effective adjuvant treatment modality.
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