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RAVES QOL: severe urinary leakage 16% vs 2% at 5yr with adjuvant RT vs no RT (p=0.01), a real cost to reflexive aRT post-RP.
Prostate carried the day's only signal, and it's a patient-reported one: RAVES QOL puts a magnitude on what adjuvant RT costs post-RP, 16% vs 2% severe urinary leakage at 5yr, while showing timing from RP to RT drives none of it. Reinforces early-salvage-first, since the pts who never needed RT keep continence.
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- TROG 08.03 RAVES QOL SubstudyAt 5yr, 16% vs 2% severe urinary leakage aRT vs no RT (p=0.01); sRT timing had no QOL effect.
- STAMPEDE (abiraterone ± enzalutamide, high-risk non-metastatic)MFS HR 0.53 (6yr 82% vs 69%) and OS HR 0.60 adding 2yr abiraterone to ADT in high-risk M0 prostate (85% also had RT).
- TREASUREmOS 6.7 vs 13.4mo (HR 1.55, ns) adding consolidative TRT to atezo maintenance; halted early for SAEs 61% vs 18%.
- EANO Consensus Statement on Radiation NecrosisDelphi consensus (20 experts): 53/57 statements reached ≥80% agreement; perfusion MRI + amino-acid PET to distinguish RN from recurrence, bevacizumab for steroid-refractory RN.
- HYDRANo PFS difference vs conventional RT for either MHFRT type, but dose-escalated MHFRT alone raised late G2+ GI + bowel-QoL decrement; isodose 60/20 clean.
- ASTRO 2024: SBRT for Unfavorable Intermediate-Risk Prostate CancerModern 5-fraction SBRT (1-2% bothersome toxicity vs 10-30% for 2D-era 45fx) is now NCCN-endorsed for UIR prostate; focal-boost de-escalation is next.
- SUPREMO10yr chest-wall recurrence 1.1% vs 2.5% (HR 0.45), no DFS/OS gain, but trial prohibited RNI so tests incomplete PMRT.
- ESTRO Oral Cavity CTV Delineation GuidelinesNew consensus recipe for post-op CTV: recreate pre-op GTV-P +10mm composited with surgical defect/flap +5mm; standardizes OCSCC delineation at EQD2 60 Gy.
- 10-yr SBRT for Prostate Cancer (Meier Nonrandomized Trial)10-yr OS 84%, RFS 90% (94% LR, 86% IR); late G3 GU/GI ≤1.5%, no G4-5; 40Gy/5fx SBRT, no ADT, 21 centers
- American Radium Society AUC: Intraprostatic Recurrence After RTPSMA PET + mpMRI plus mandatory pre-salvage biopsy, then reirradiation (≤6 fx) over ADT alone, for radiorecurrent intraprostatic disease.
- NRG-GU005DFS superiority not met (HR 1.38, futility crossed); SBRT improved 2y bowel QoL (35% vs 44% MCID decline, p=0.034) vs MH-IMRT.
- SUPREMO10-yr OS 81.4% vs 81.9% (HR 1.04, P=0.80): chest-wall RT gives no OS benefit in intermediate-risk post-mastectomy breast cancer.