AJ Hayden MBBS, FRANZCR; JM Martin MBChB, FRANZCR; AB Kneebone MBBS, FRANZCR; M Lehman MBBS, FRANZCR; KL Wiltshire MBBS, FRANZCR; M Skala MBBS, FRANZCR; D Christie MBChB, FRANZCR; P Vial PhD; R McDowall Dip App Sc (Therapeutic Radiography); K-H Tai MBBS FRANZCR.
Australian & New Zealand Faculty of Radiation Oncology Genito-Urinary Group: 2010 consensus guidelines for definitive external beam radiotherapy for prostate carcinoma
Article first published online: 28 DEC 2010
© 2010 The Authors. Journal of Medical Imaging and Radiation Oncology © 2010 The Royal Australian and New Zealand College of Radiologists
Journal of Medical Imaging and Radiation Oncology
Volume 54, Issue 6, pages 513–525, December 2010
How to Cite
Hayden, A., Martin, J., Kneebone, A., Lehman, M., Wiltshire, K., Skala, M., Christie, D., Vial, P., McDowall, R. and Tai, K.-H. (2010), Australian & New Zealand Faculty of Radiation Oncology Genito-Urinary Group: 2010 consensus guidelines for definitive external beam radiotherapy for prostate carcinoma. Journal of Medical Imaging and Radiation Oncology, 54: 513–525. doi: 10.1111/j.1754-9485.2010.02214.x
Conflicts of interest: None.
- Issue published online: 28 DEC 2010
- Article first published online: 28 DEC 2010
- Submitted 19 March 2010; accepted 28 August 2010.
- consensus development conference;
- intensity-modulated radiotherapy;
- practice guidelines;
- prostatic neoplasms;
- radiotherapy dosage
External beam radiotherapy for prostate cancer has undergone substantial technological and clinical advances in the recent years. The Australian & New Zealand Faculty of Radiation Oncology Genito-Urinary Group undertook a process to develop consensus clinical practice guidelines for external beam radiotherapy for prostate carcinoma delivered with curative intent, aiming to provide guidance for clinicians on the appropriate integration of clinical evidence and newer technologies. Draft guidelines were presented and discussed at a consensus workshop in May 2009 attended by radiation oncologists, radiation therapists and medical physicists. Amended guidelines were distributed to radiation oncologists in Australia, New Zealand and Singapore for comment, and modifications were incorporated where appropriate. Evidence based recommendations for risk stratification, the role of image-guided and intensity-modulated radiation therapy, prescribed dose, simulation and treatment planning, the role and duration of neo-adjuvant/adjuvant androgen deprivation therapy and outcome reporting are presented. Central to the guidelines is the recommendation that image-guided radiation therapy should be used when definitive external beam radiotherapy for prostate cancer is prescribed. The consensus guidelines provide a co-operatively developed, evidence-based framework for contemporary treatment of prostate cancer with external beam radiotherapy.