Evidence map›Paper›PMID 42006527›Full record

ArticleCureus2026

Optimising Radiotherapy for Prostate Cancer: Comparison of Treatment Schedules and Toxicities.

Kanumuri Asha, Lakshmi Js, Sathya Narayanan Ms, Hemavathi Tm, Satish Srinivas, Christopher John

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kanumuri AshaRadiation Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Lakshmi JsRadiation Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Sathya Narayanan MsSurgical Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Hemavathi TmRadiation Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Satish SrinivasRadiation Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Christopher JohnRadiation Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Prostate cancer is one of the most common malignancies diagnosed among men worldwide, ranking second in terms of incidence, and is managed using a multimodality treatment approach. Radiotherapy remains a cornerstone in the management of localized and locally advanced disease. Although conventional fractionated radiotherapy (C-RT) has historically been the standard of care, accumulating radiobiological evidence supports the use of hypofractionated regimens. Prostate cancer exhibits a low α/β ratio (typically 1.5-3 Gy), indicating greater tumor sensitivity to larger fraction sizes and providing a strong radiobiological rationale for hypofractionated radiotherapy (hypo-RT) without escalating late toxicity to surrounding normal tissues. Aim This study aimed to compare biochemical recurrence-free survival (bRFS) and toxicity profiles between moderate hypo-RT and C-RT. Materials  In our study, we analysed the data of 20 patients treated between January 2022 and January 2024. Patients received either moderate hypo-RT (70 Gy in 28 fractions) with an EQD2 of 77 Gy or C-RT (80 Gy in 40 fractions). Treatment planning involved daily cone beam CT (CBCT)-based image guidance and strict bladder-rectal protocols. Target delineation adhered to the European Society for Radiotherapy and Oncology (ESTRO)-European Organisation for Research and Treatment of Cancer (EORTC) contouring guidelines. Toxicities were assessed using the Radiation Therapy Oncology Group (RTOG) criteria and quality of life (QoL) by the International Prostate Symptom Score (IPSS). Results At a median follow-up of 24 months, bRFS was comparable between the two treatment groups. Grade ≥2 gastrointestinal (GI) and genitourinary (GU) toxicities did not differ significantly between hypo-RT and C-RT arms (p>0.05). Urinary symptom-related outcomes were similar across groups, with no statistically or clinically meaningful differences observed. Conclusion Moderate hypo-RT takes advantage of the radiobiological properties of prostate cancer with its low α/β ratio in achieving comparable oncologic outcomes with minimal early and late toxicities in intermediate-risk and high-risk prostate cancer without affecting the QoL.

Indexed as

biochemical controlprostate cancer radiation therpayprostate hypofractionationradiation-induced toxicityvmat radiotherapyvolumetric-modulated arc therapy

Identifiers

PMID42006527
PMCPMC13090044

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.