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Permanent prostate brachytherapy: a century of technical evolution

Prostate Cancer and Prostatic Diseases volume 9, pages 215–220 (2006)Cite this article

Abstract

Purpose: To summarise the practical aspects of the development of techniques of interstitial permanent prostate brachytherapy (PPB) implantation. Prostate brachytherapy dates back to Pasteau's publication in 1913 describing the insertion of a radium capsule into the prostatic urethra to treat carcinoma of the prostate. Various implantation methods were employed but with unsatisfactory results until the development of the transrectal ultrasound in the 1980s. The subsequent two-stage Seattle technique allowed for a planned homogenous distribution of radioactive sources throughout the gland resulting in biochemical control comparable to surgical and external beam radiotherapy series. With the advent of advanced computer software and improved imaging, the technique has developed accordingly to a single stage procedure with on-table dosimetric assessment. The principles of targeting dose to the prostate while avoiding surrounding organs at risk remain as relevant today as nearly a century ago. There is an array of techniques to consider for the novice PPB provider. Whether the evolution of PPB techniques will translate into improved biochemical control is yet to be seen.

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Authors and Affiliations

  1. Guy's and St Thomas’ NHS Foundation Trust, London, UK

    P L Acher, S L Morris, R J M P Popert, M J A Perry & R P Beaney

  2. New York Prostate Institute, South Nassau Communities Hospital, New York, USA

    L Potters

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  1. P L Acher
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  2. S L Morris
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Correspondence to P L Acher.

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Supplementary Information accompanies the paper on the Prostate Cancer and Prostatic Diseases website (http://www.nature.com/pcan)

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Acher, P., Morris, S., Popert, R. et al. Permanent prostate brachytherapy: a century of technical evolution. Prostate Cancer Prostatic Dis 9, 215–220 (2006). https://doi.org/10.1038/sj.pcan.4500873

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