PMID- 35780303 OWN - NLM STAT- MEDLINE DCOM- 20220725 LR - 20220725 IS - 1349-9157 (Electronic) IS - 0449-3060 (Print) IS - 0449-3060 (Linking) VI - 63 IP - 4 DP - 2022 Jul 19 TI - Comparing the toxicity and disease control rate of radiotherapy for prostate cancer between salvage settings after high-intensity focused ultrasound therapy and initial settings. PG - 675-683 LID - 10.1093/jrr/rrac039 [doi] AB - The purpose of this retrospective study was to compare the toxicity and disease control rate of radiotherapy for prostate cancer in salvage settings after high-intensity focused ultrasound (HIFU) therapy (HIFU cohort) with those in radical settings (non-HIFU cohort). From 2012 to 2020, 215 patients were identified for this study and 17 were treated in the salvage settings after HIFU. The median follow-up time was 34.5 months (range: 7-102 months, inter-quartile range [IQR]: 16-64 months). Genitourinary (GU) and gastrointestinal (GI) adverse events were evaluated in acute and late periods with Common Terminology Criteria for Adverse Events version 5, and the rates of biochemical-clinical failure free survival (BCFS) and overall survival (OS) were estimated. The cumulative incidence of late GU Grade 2 or greater toxicity after five years was significantly different between the non-HIFU and HIFU cohorts with rates of 7.3% and 26.2%, respectively (P = 0.03). Regarding GI Grade 2 or greater toxicity, there was no significant difference between the two cohorts. The 5y-BCFS was 84.2% in the non-HIFU cohort and 69.5% in the HIFU cohort with no significant difference (P = 0.10) and the 5y-OS was 95.9% and 92.3%, respectively (P = 0.47). We concluded that the possibility of increased late GU Grade 2 or greater should be considered when applying salvage radiotherapy for local recurrence after HIFU. CI - (c) The Author(s) 2022. Published by Oxford University Press on behalf of The Japanese Radiation Research Society and Japanese Society for Radiation Oncology. FAU - Kuroki, Toshihisa AU - Kuroki T AD - Department of Radiation Oncology, Tokai University Hachioji Hospital, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan. FAU - Shoji, Sunao AU - Shoji S AD - Department of Urology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Uchida, Toyoaki AU - Uchida T AD - Department of Urology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Akiba, Takeshi AU - Akiba T AD - Department of Radiation Oncology, Tokai University Hachioji Hospital, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan. FAU - Kabuki, Shigeto AU - Kabuki S AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Nagao, Ryuta AU - Nagao R AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Fukuzawa, Tsuyoshi AU - Fukuzawa T AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Matsumoto, Yoshitsugu AU - Matsumoto Y AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Katsumata, Tomomi AU - Katsumata T AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Futakami, Natsumi AU - Futakami N AD - Department of Radiation Oncology, Tokai University Hachioji Hospital, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan. FAU - Mikami, Tatsuya AU - Mikami T AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Nakano, Yoji AU - Nakano Y AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Toyoda, Yuri AU - Toyoda Y AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Takazawa, Tsuyoshi AU - Takazawa T AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Kunieda, Etsuo AU - Kunieda E AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. FAU - Sugawara, Akitomo AU - Sugawara A AD - Department of Radiation Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. LA - eng PT - Journal Article PL - England TA - J Radiat Res JT - Journal of radiation research JID - 0376611 SB - IM MH - *Extracorporeal Shockwave Therapy MH - Humans MH - Male MH - Neoplasm Recurrence, Local/radiotherapy MH - *Prostatic Neoplasms/radiotherapy MH - Retrospective Studies MH - Salvage Therapy MH - Treatment Outcome PMC - PMC9303605 OTO - NOTNLM OT - high-intensity focused ultrasound (HIFU) OT - prostate OT - radiotherapy OT - salvage EDAT- 2022/07/04 06:00 MHDA- 2022/07/26 06:00 PMCR- 2022/07/02 CRDT- 2022/07/03 02:12 PHST- 2022/02/17 00:00 [received] PHST- 2022/04/18 00:00 [revised] PHST- 2022/07/04 06:00 [pubmed] PHST- 2022/07/26 06:00 [medline] PHST- 2022/07/03 02:12 [entrez] PHST- 2022/07/02 00:00 [pmc-release] AID - 6627562 [pii] AID - rrac039 [pii] AID - 10.1093/jrr/rrac039 [doi] PST - ppublish SO - J Radiat Res. 2022 Jul 19;63(4):675-683. doi: 10.1093/jrr/rrac039.