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Optimizing radiotherapy for intermediate-risk localized disease

Dose-intensified radiotherapy is widely used in prostate cancer treatment but its effect on distant metastasis and overall survival is unclear. A large randomized clinical trial to evaluate the role of external-beam-based dose intensification without androgen deprivation therapy in intermediate-risk disease shows that dose escalation can reduce distant metastases.

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Fig. 1: Dose-escalated intensity-modulated radiotherapy (IMRT) reduces distant metastases in men with intermediate-risk localized prostate cancer.

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Correspondence to Thomas Wiegel.

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Ghadjar, P., Wiegel, T. Optimizing radiotherapy for intermediate-risk localized disease. Nat Rev Urol 15, 470–471 (2018). https://doi.org/10.1038/s41585-018-0024-y

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