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MRI-Guided Radiation Therapy Reduces Long-Term Side Effects in Prostate Cancer Patients

By MedImaging International staff writers
Posted on 19 Nov 2024
Image: Dr. Amar Kishan notes that MRI-guided approach enables the use of significantly narrower planning margins when delivering radiation (Photo courtesy of UCLA)
Image: Dr. Amar Kishan notes that MRI-guided approach enables the use of significantly narrower planning margins when delivering radiation (Photo courtesy of UCLA)

Stereotactic body radiotherapy (SBRT) is a standard treatment for localized prostate cancer. However, the side effects of this treatment can be severe and long-lasting, impacting a patient’s urinary, bowel, and sexual functions. To protect healthy tissue, imaging scans are used to plan radiation therapy, creating small margins around the tumor. Magnetic resonance imaging (MRI) guidance allows for more precise treatment, reducing the margins around the prostate, which means less exposure to surrounding healthy tissue. The primary goal in radiation oncology research is to optimize radiation delivery to the tumor while minimizing damage to surrounding structures. Previous studies have indicated that MRI guidance for aggressive margin-reduction (AMR) in SBRT for prostate cancer reduces acute toxicity, but the long-term benefits remained unclear. A two-year analysis has now confirmed that MRI-guided SBRT not only reduces acute treatment toxicity but also offers sustained benefits for patients' quality of life.

In a two-year follow-up study, researchers from the UCLA Health Jonsson Comprehensive Cancer Center (Los Angeles, CA, USA) discovered that MRI-guided SBRT significantly reduced long-term side effects and enhanced quality of life, particularly in terms of bowel and sexual health, compared to traditional CT-guided treatment. This study was a secondary analysis of the phase 3 MIRAGE clinical trial, which assessed the impact of MRI guidance in delivering high-precision radiation therapy for prostate cancer, as opposed to the standard CT-guided SBRT that requires larger treatment margins.

The results revealed that patients receiving MRI-guided SBRT experienced fewer urinary and bowel side effects. Specifically, 27% of MRI-guided patients reported moderate or severe urinary issues, such as incontinence and irritation, compared to 51% of those receiving CT guidance. Furthermore, gastrointestinal toxicity, including bowel problems, was observed in only 1.4% of MRI-guided patients, a significant reduction compared to 9.5% in the CT-guided group. MRI guidance also led to improved scores on quality-of-life assessments, particularly in bowel function and sexual health. These findings, published in European Urology, suggest a promising shift in prostate cancer treatment, highlighting the potential of MRI-guided radiation therapy to improve patient outcomes.

“This study adds strong evidence that the enhanced precision and accuracy afforded by MRI-guided SBRT leads to significantly fewer urinary, bowel, and sexual side effects for men receiving prostate SBRT,” noted Dr. Amar Kishan, executive vice chair of radiation oncology at the David Geffen School of Medicine at UCLA and first author of the study. “The MRI-guided approach, which includes real-time tracking of the prostate itself and the use of a built-in MRI to help deliver the radiation, allows us to use significantly narrower planning margins when delivering radiation, leading to less radiation to normal tissues. This in turn reduces the risk of enduring side effects that can impact a patient’s quality of life."

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92 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
105 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
106 (82.015991210938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (72.956085205078): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
109 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
110 (81.062316894531): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (762.2241973877): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (592.94700622559): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (385.04600524902): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
115 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
116 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
118 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
120 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
122 (315.90461730957): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 27420.043945312): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (541.92543029785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803176 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803176 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 8038.0439758301): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (116.10984802246): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (57.93571472168): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (72.956085205078): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (336.1701965332): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (534.0576171875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (405.07316589355): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=212
138 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=212
139 (540.01808166504): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (463.00888061523): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
142 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
143 (!!!!! 10756.015777588): TRUNCATE TABLE jos_trademed_module
144 (120.87821960449): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (73.909759521484): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294803176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (553.13110351562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
150 (!!!!! 1587.8677368164): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (81.777572631836): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
152 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
153 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803176 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803176 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
155 (37.908554077148): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
156 (41.007995605469): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
158 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803176 AND published='1' LIMIT 1
159 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10
160 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10
161 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10
162 (34.809112548828): select jos_linkedin.link from jos_linkedin where cat=10
163 (372.17140197754): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1522.0642089844): insert into jos_banners_delta values (14615,'2025-08-01 09:43:12','216.73.216.8','view'),(14202,'2025-08-01 09:43:12','216.73.216.8','view'),(14203,'2025-08-01 09:43:12','216.73.216.8','view')