Review Article

Hypofractionation in Prostate Cancer: Radiobiological Basis and Clinical Appliance

Table 1

SBRT efficacy in selected experiences.

StudyFractionationStage Low riskHigh risk 5 yr bRFS

Townsend et al. 2011 [64]
48 patients 
(37 monotherapy, 11 boost)
35–37.5 Gy in 5 fractions
(boost 17.6–25 Gy in 2–5 fractions)
69% T1Not reported

King et al. 2012 [63]
67 patients
36.25 Gy in 5 fractionsT1c or T2a/b100%None4-year bRFS 94%

Freeman and King 2011 [62]
41 patients
35–36.35 Gy in 5 fractionsLow riskNone93%

Katz et al. 2010 [61]
304 patients
35–36.25 Gy in 5 fractions92% T1c70%4%1.3% failed so far
(17–30 month FU)

Madsen et al. 2007 [57] 
40 patients
33.5 Gy in 5 fractionsT1c or T2a100%None48 month bRFS 90%

Tang et al. 2008 [58] 
124 patients
33.5 Gy in 5 fractionsT1c or T2a100%None2 years: 90%

Abbreviations: bRFS: biochemical relapse-free survival.