Radical treatment (2) High-intensity focused ultrasound (HIFU) and cryotherapy Not recommended other than in controlled clinical trials NICE has had discussions with the British Association of Urological Surgeons (BAUS) and relevant research bodies HIFU trial recruiting (June 2008) Cryotherapy trial currently in design (June 2008)
{"Image DocumentName": "Radical treatment (1)", "Image ImageDescription": "Men undergoing radical external beam radiotherapy for localised prostate cancer should receive a minimum dose of 74 Gy to the prostate at no more than 2 Gy per fraction. This may also apply to some men with locally advanced prostate cancer. NOTES FOR PRESENTERS: Key points to raise: All candidates for radical treatment should have the opportunity to discuss their treatment options with a surgical oncologist and a clinical oncologist. Key recommendation in full: as shown on slide [1.3.15, NICE guideline] Additional information: The radical treatment recommendations are given in \u22121.3.17, NICE guideline (refer back to \u2018Treatment options\u2019 slide here for the full range of radical treatment options). Offer radical radiotherapy (conformal) or radical prostatectomy to men with intermediate-risk localised prostate cancer and to men with high-risk localised disease if there is a realistic prospect of long-term disease control. [ and , NICE guideline] Brachytherapy is not recommended for men with high-risk localised disease.[ , NICE guideline] Clinical oncologists should use conformal radiotherapy for men with localised prostate cancer receiving radical external beam radiotherapy. (This may also apply to some men with locally advanced prostate cancer). [ , NICE guideline] Offer adjuvant hormonal therapy for a minimum of 2 years to men receiving radiotherapy who have a Gleason score of \u2265 8. [ , NICE guideline] External beam radiotherapy: radiotherapy given by using ionising radiation (high energy X-rays) produced in a machine and directed at the tumour from outside the patient. Radiotherapy is usually given over an extended period of time. The dose delivered at each treatment is known as a fraction; therefore 74 Gy at no more than 2 Gy per fraction is equal to 37 outpatient attendances.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}