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Modern external beam radiotherapy to the prostate relies on intensity modulated technologies (IMRT), technology that can alter the “fluence” across the radiation field during treatment, thereby allowing the most exact deposition to the contours of an individual’s prostate (bespoke conformity), at the edge of which the dose gradient gives a sharp “fall-off” in dose. CT scanning is used to plan the treatment and daily CT verification scan (low dose scan) ensures accuracy of patient positioning. Unlike most other IMRT techniques, Tomotherapy accuracy does not depend and does not require implanted fiducials into the prostate, giving it a real advantage over other IMRT techniques. Axial CT scan through pelvis with an IMRT isodosimetric plan superimposed and the high dose regions dose-washed in turquoise and red.
There is no risk of incontinence following radiotherapy and two thirds of men maintain potency (but not fertility). Elderly patients and those with capsular breach (T3 disease) are usually advised to receive this therapy. The fight against cancer continues to wage, boosted by Harris’ announcement this week of a partnership with Cancer Treatment Services International.
The partnership seeks to bring quality, cost-effective cancer treatments to patients across the globe.


Founded by Pittsburgh-based physicians and healthcare professionals, CTSI’s provides treatments to patients in areas where cancer treatment is minimal or nonexistent. Founded in May 2009, GovCon Executive is a news blog published by Executive Mosaic Media that covers the dedicated individuals who serve our government through private industry and the officials who affect the government contracting industry at the federal and state levels. Where the rectum is intruding into the prostate volume, IMRT allows a concavity in the high dose volume to the prostate to minimise collateral damage to the rectum. Tomotherapy has been used for all prostate radiotherapy treatments at the BUPA Cromwell Hospital for the last eight years.
Note the ability of the IMRT technique to cause a concavity in the high dose region such that the rectum (pink) is spared from the high dose radiotherapy. The patient lies on the treatment couch, the position is verified by CT and then treatment delivered. Those with T3 disease, usually have anti-hormone therapy first (for 1-3 months) to shrink the tumour back inside the gland prior to radiotherapy and often continue the anti-hormone therapy after radiotherapy for two years. Harris will provide technology for CTSI’s oncology clinics and work to develop healthcare IT and clinical solutions.


External beam radiotherapy is also treatment of choice in the elderly, as it is the least invasive method of curing the cancer and has equivalent cure chance.
The treatment is not “sensed” by the body and after the treatment is over (10 minutes)the patient departs hospital unaware of any therapy related effects. The part where cancer is affected is treated with rays that are the affected part is burned so that the germ does not stay deep and does not do any sort of cell division and multiply its own existence. However, towards the end of the 7.5 weeks, urinary frequency and slowing occur and often some tiredness and increased call to stool. Pharmacists are constantly into the research to invent new drugs which can be applied in the therapy and keep the patient alive for a longer time.



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