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An attempt to optimize treatment strategy using a novel risk categorization of prostate cancer

Research Project

Project/Area Number 21791192
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Radiation science
Research InstitutionOsaka University

Principal Investigator

YOSHIOKA Yasuo  大阪大学, 医学系研究科, 准教授 (30379242)

Project Period (FY) 2009 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2012: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2011: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2010: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords放射線治療 / 放射線腫瘍学 / 前立腺癌 / リスク分類
Research Abstract

There are many options in radiotherapy for prostate cancer, including external beam radiotherapy (EBRT), low-dose-rate (LDR) or high-dose-rate (HDR) brachytherapy. However, it is still unclear which patient-group is suitable for which option or its optimal radiation dose. We developed an original risk-grouping method named PRIX (Prostate Cancer Risk Index). In EBRT, PRIX 0 group did not required radiation dose-escalation, while PRIX 1-6 needed it. In brachytherapy, both LDR and HDR showed good results in PRIX 0. HDR also showed satisfactory results in PRIX 1-6, which implied thatescalating the biological effective dose by hypofractionation was associated with better results. We are planning next clinical trials, including LDR brachytherapy for PRIX 1, stereotactic radiotherapy using CyberKnife, and hypofractionated intensity-modulated radiotherapy, based on these findings obtained by this study.

Report

(5 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (46 results)

All 2013 2012 2011 2010 2009 Other

All Journal Article (17 results) (of which Peer Reviewed: 8 results) Presentation (18 results) Book (8 results) Remarks (3 results)

  • [Journal Article] he emerging role of high-dose-rate (HDR) brachytherapy as monotherapy for prostate cancer2013

    • Author(s)
      Yoshioka Y, Yoshida K, Yamazaki H, Nonomura N, Ogawa K
    • Journal Title

      J Radiat Res

    • Related Report
      2012 Final Research Report
  • [Journal Article] Analysis of late toxicity associated with external beam radiation therapy for prostate cancer with uniform setting of classical 4-field 70 Gy in 35 fractions: A survey study by the Osaka Urological Tumor Radiotherapy Study Group.2013

    • Author(s)
      Yoshioka Y, Suzuki O, Nishimura K, Inoue H, Hara T, Yoshida K, Imai A, Tsujimura A, Nonomura N, Ogawa K
    • Journal Title

      J Radiat Res

      Volume: 54 Pages: 113-125

    • Related Report
      2012 Final Research Report
  • [Journal Article] Analysis of late toxicity associated with external beam radiation therapy for prostate cancer with uniform setting of classical 4-field 70 Gy in 35 fractions: A survey study by the Osaka Urological Tumor Radiotherapy Study Group2013

    • Author(s)
      Yoshioka Y
    • Journal Title

      J Radiat Res

      Volume: 54 Issue: 1 Pages: 113-125

    • DOI

      10.1093/jrr/rrs083

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The emerging role of high-dose-rate (HDR) brachytherapy as monotherapy for prostate cancer2013

    • Author(s)
      Yoshioka Y
    • Journal Title

      J Radiat Res

      Volume: - Issue: 5 Pages: 781-788

    • DOI

      10.1093/jrr/rrt027

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Megavoltage cone beam computed tomography dose and the necessity of reoptimization for imaging dose-integrated intensity-modulated radiotherapy for prostate cancer2012

    • Author(s)
      Akino Y, Koizumi M, Sumida I, Takahashi Y, Ogata T, Ota S, Isohashi F, Konishi K, Yoshioka Y
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 82 Pages: 1715-1722

    • Related Report
      2012 Final Research Report
  • [Journal Article] Megavoltage Cone-beam Computed Tomography Dose and Necessity of Reoptimization for Imaging Dose-integrated Intensity-modulated Radiotherapy for Prostate Cancer2012

    • Author(s)
      Akino Y, Koizumi M, Sumida I, Takahashi Y, Ogata T, Ota S, Isohashi F, Konishi K, Yoshioka Y
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 82(5) Issue: 5 Pages: 1715-22

    • DOI

      10.1016/j.ijrobp.2011.03.034

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] onotherapeutic high-dose-rate brachytherapy for prostate cancer: Five-year results of an extreme hypofractionation regimen with 54 Gy in nine fractions2011

    • Author(s)
      Yoshioka Y, Konishi K, Sumida I, Takahashi Y, Isohashi F, Ogata T, Koizumi M, Yamazaki H, Nonomura N, Okuyama A, Inoue T
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 80 Pages: 469-475

    • Related Report
      2012 Final Research Report
  • [Journal Article] Monotherapeutic high-dose-rate brachytherapy for prostate cancer : Five-year results of an extreme hypofractionation regimen with 54 Gy in nine fractions2011

    • Author(s)
      Yoshioka Y, et al
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 80 Issue: 2 Pages: 469-475

    • DOI

      10.1016/j.ijrobp.2010.02.013

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] What is the optimum minimum segment size used in step and shoot IMRT for prostate cancer?2010

    • Author(s)
      Takahashi Y, Koizumi M, Sumida I, Ogata T, Akino Y, Yoshioka Y, Konishi K, Isohashi F, Ota S, Inoue T
    • Journal Title

      J Radiat Res

      Volume: 51 Pages: 543-552

    • NAID

      10026644341

    • Related Report
      2012 Final Research Report 2010 Annual Research Report
  • [Journal Article] Verification of air-kerma strength of 125I seed for permanent prostate implants in Japan2009

    • Author(s)
      Sumida I, Koizumi M, Takahashi Y, Ogata T, Akino Y, Isohashi F, Konishi K, Yoshioka Y, Inoue T
    • Journal Title

      Int J Clin Oncol

      Volume: 14 Pages: 525-528

    • NAID

      10027201323

    • Related Report
      2012 Final Research Report
  • [Journal Article] Correlation between dosimetric parameters and late rectal and urinary toxicities in patients treated with high-dose-rate brachytherapy used as monotherapy for prostate cancer2009

    • Author(s)
      Konishi K, Yoshioka Y, Isohashi F, Sumida I, Kawaguchi Y, Kotsuma T, Adachi K, Morimoto M, Fukuda S, InoueT
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 75 Pages: 1003-1007

    • Related Report
      2012 Final Research Report
  • [Journal Article] External-beam radiotherapy for clinically localized prostate cancer in Osaka, Japan, 1995-2006: Time trends, outcome, and risk stratification2009

    • Author(s)
      Yoshioka Y, Suzuki O, Kobayashi K, Teshima T, Yamada Y, Kotsuma T, Koizumi M, Kagawa K, Chatani M, Shimamoto S, Tanaka E, Yamazaki H, Inoue T
    • Journal Title

      Strahlenther Onkol

      Volume: 185 Pages: 446-452

    • Related Report
      2012 Final Research Report
  • [Journal Article] Current status and perspectives of brachytherapy for prostate cancer2009

    • Author(s)
      Yoshioka Y
    • Journal Title

      Int J Clin Oncol

      Volume: 14 Pages: 31-36

    • NAID

      10025147205

    • Related Report
      2012 Final Research Report
  • [Journal Article] External-beam radiotherapy for clinically localized prostate cancer in Osaka, Japan, 1995-2006 : Time trends, outcome, and risk stratification2009

    • Author(s)
      Yoshioka Y, et al.
    • Journal Title

      Strahlenther Onkol 185

      Pages: 446-452

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Correlation between dosimetric parameters and late rectal and urinary toxicities in patients treated with high-dose-rate brachytherapy used as monotherapy for prostate cancer2009

    • Author(s)
      Konishi K, Yoshioka Y, et al.
    • Journal Title

      Int J Radiat Oncol Biol Phys 75

      Pages: 1003-1007

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Verification of air-kerma strength of 125I seed for permanent prostateimplants in Japan2009

    • Author(s)
      Sumida I, Yoshioka Y, et al.
    • Journal Title

      Int J Clin Oncol 14

      Pages: 525-528

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Monotherapeutic high-dose-rate brachytherapy for prostate cancer : Five-year results of an extreme hypofractionation regimen with 54 Gy in nine fractions

    • Author(s)
      Yoshioka Y, et al.
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: (印刷中)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] Brachytherapy for prostate cancer2012

    • Author(s)
      Yoshioka Y
    • Organizer
      26thInternational Congress and Exhibition of Computer Assisted Radiology and Surgery (CARS)
    • Place of Presentation
      Pisa, Italy
    • Year and Date
      2012-06-27
    • Related Report
      2012 Final Research Report
  • [Presentation] Three year results of HDR-brachytherapy for prostate cancer treated with new regimen of 45.5 Gy in seven fractions2012

    • Author(s)
      Konishi K, Yoshioka Y, Takahashi Y, Ogata T, Isohashi F, Koizumi M, Ogawa K
    • Organizer
      World Congress of Brachytherapy
    • Place of Presentation
      Barcelona, Spain
    • Year and Date
      2012-05-10
    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Presentation] 当院における前立腺癌 IMRT の初期成績2012

    • Author(s)
      吉岡靖生,鈴木修,秋野祐一,尾方俊至,若井展英,大谷侑輝,瀬尾雄二,礒橋文明,小泉雅彦,小川和彦
    • Organizer
      日本放射線腫瘍学会第25回学術大会
    • Place of Presentation
      東京
    • Related Report
      2012 Final Research Report
  • [Presentation] ディベート:前立腺癌 HDR. 低線量率 VS.高線量率ディベート2012

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会小線源治療部会第14回研究会
    • Place of Presentation
      軽井沢
    • Related Report
      2012 Final Research Report
  • [Presentation] ランチョンセミナー:サイバーナイフシステムにおける治療計画~前立腺・肺症例. ランチョンセミナー22012

    • Author(s)
      吉岡靖生
    • Organizer
      第24回日本高精度放射線外部照射研究会
    • Place of Presentation
      横浜
    • Related Report
      2012 Final Research Report
  • [Presentation] Brachytherapy for prostate cancer2012

    • Author(s)
      Yoshioka Y
    • Organizer
      26th International Congress and Exhibition of Computer Assisted Radiology and Surgery (CARS)
    • Place of Presentation
      Pisa, Italy
    • Related Report
      2012 Annual Research Report
  • [Presentation] 当院における前立腺癌IMRTの初期成績2012

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会第25回学術大会
    • Place of Presentation
      東京
    • Related Report
      2012 Annual Research Report
  • [Presentation] シンポジウム:前立腺癌Brachytherapyの最新事情2011

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会第24回学術大会
    • Place of Presentation
      神戸ポートピアホテル(神戸)
    • Year and Date
      2011-11-18
    • Related Report
      2011 Annual Research Report
  • [Presentation] リフレッシャーコース:手技上のコツと落とし穴前立腺癌HDR2011

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会小線源治療部会第13回研究会
    • Place of Presentation
      沖縄コンベンションセンター(沖縄)
    • Year and Date
      2011-05-14
    • Related Report
      2011 Annual Research Report
  • [Presentation] シンポジウム:前立腺癌Brachytherapy の最新事情. シンポジウム:Brachytherapy の最新事情2011

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会第24回学術大会
    • Place of Presentation
      神戸
    • Related Report
      2012 Final Research Report
  • [Presentation] リフレッシャーコース:手技上のコツと落とし穴 前立腺癌 HDR2011

    • Author(s)
      吉岡靖生
    • Organizer
      日本放射線腫瘍学会小線源治療部会第13回研究会
    • Place of Presentation
      沖縄
    • Related Report
      2012 Final Research Report
  • [Presentation] Monotherapeutic high-dose-rate brachytherapy for prostate cancer: 15 years experience of Osaka University2010

    • Author(s)
      Konishi K, Yoshioka Y, Sumida I, Takahashi Y, Ogata T, Isohashi F, Koizumi M, Inoue T
    • Organizer
      52ndAnnual Meeting of the American Society for Radiation Oncology (ASTRO)
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2010-11-02
    • Related Report
      2012 Final Research Report
  • [Presentation] Monotherapeutic high-dose-rate brachytherapy for prostate cancer : 15 years experience of Osaka University2010

    • Author(s)
      Konishi K, Yoshioka Y, et al.
    • Organizer
      52^<nd> Annual Meeting of the American Society for Radiation Oncology (ASTRO)
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2010-11-02
    • Related Report
      2010 Annual Research Report
  • [Presentation] 教育講演:前立腺癌に対する放射線治療の現状2010

    • Author(s)
      吉岡靖生
    • Organizer
      第296回日本医学放射線学会関西地方会
    • Place of Presentation
      大阪
    • Related Report
      2012 Final Research Report
  • [Presentation] 「前立腺がん」~今後の放射線治療の果たす役割~2010

    • Author(s)
      吉岡靖生
    • Organizer
      第98回日本泌尿器科学会総会共催セミナー
    • Place of Presentation
      盛岡
    • Related Report
      2012 Final Research Report
  • [Presentation] 前立腺癌に対する外照射非併用の高線量率組織内照射の治療成績の検討2010

    • Author(s)
      吉岡靖生,小西浩司,隅田伊織,高橋豊,礒橋文明,尾方俊至,小泉雅彦,野々村祝夫,奥山明彦,井上武宏
    • Organizer
      第69回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Related Report
      2012 Final Research Report 2010 Annual Research Report
  • [Presentation] MA-CBCT併用前立腺癌3D-CRTおよびIMRTの初期経験2009

    • Author(s)
      吉岡靖生, 他
    • Organizer
      第68回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2009-04-17
    • Related Report
      2009 Annual Research Report
  • [Presentation] MV-CBCT 併用前立腺癌3D-CRT および IMRT の初期経験2009

    • Author(s)
      吉岡靖生,隅田伊織,高橋豊,尾方俊至,秋野祐一,小西浩司,礒橋文明,井上武宏,小泉雅彦,太田誠一
    • Organizer
      第68回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Related Report
      2012 Final Research Report
  • [Book] 新版 前立腺癌放射線治療のすべて2013

    • Author(s)
      青木学
    • Publisher
      金原出版
    • Related Report
      2012 Annual Research Report
  • [Book] 泌尿器. 日本放射線腫瘍学会編: 放射線治療計画ガイドライン 2012年版2012

    • Author(s)
      吉岡靖生(共執筆、ワーキンググループ委員)
    • Publisher
      金原出版
    • Related Report
      2012 Final Research Report
  • [Book] 8. 泌尿器の放射線治療. がん放射線治療計画ハンドブック. メディカル・サイエンス・インターナショナル2012

    • Author(s)
      小西浩司,吉岡靖生(翻訳)
    • Related Report
      2012 Final Research Report
  • [Book] 放射線治療計画ガイドライン2012年版2012

    • Author(s)
      日本放射線腫瘍学会編
    • Publisher
      金原出版
    • Related Report
      2012 Annual Research Report
  • [Book] がん放射線治療計画ハンドブック2012

    • Author(s)
      小川和彦
    • Publisher
      メディカル・サイエンス・インターナショナル
    • Related Report
      2012 Annual Research Report
  • [Book] 放射線治療学. 改訂 4 版2010

    • Author(s)
      吉岡靖生: 小線源治療. 井上俊彦,ほか編
    • Publisher
      南山堂
    • Related Report
      2012 Final Research Report
  • [Book] 放射線治療学. 改訂 4 版 腎・腎盂・尿管・膀胱・陰茎・尿道・精巣・前立腺2010

    • Author(s)
      井上俊彦,ほか編
    • Publisher
      南山堂
    • Related Report
      2012 Final Research Report
  • [Book] 放射線治療学 改訂4版2010

    • Author(s)
      井上俊彦、吉岡靖生, 他
    • Publisher
      南山堂
    • Related Report
      2010 Annual Research Report
  • [Remarks] ホームページ

    • URL

      http://www.radonc.med.osaka-u.ac.jp/

    • Related Report
      2012 Final Research Report
  • [Remarks]

    • URL

      http://www.radonc.med.osaka-u.ac.jp/

    • Related Report
      2011 Annual Research Report
  • [Remarks]

    • URL

      http://www.radonc.med.osaka-u.ac.jp/

    • Related Report
      2010 Annual Research Report

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Published: 2009-04-01   Modified: 2019-07-29  

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