Patient-reported health-related quality of life for men treated with low-dose-rate prostate brachytherapy as monotherapy with 125-iodine, 103-palladium, or 131-cesium: Results of a prospective phase II study.

Title Patient-reported health-related quality of life for men treated with low-dose-rate prostate brachytherapy as monotherapy with 125-iodine, 103-palladium, or 131-cesium: Results of a prospective phase II study.
Authors P. Blanchard; T.J. Pugh; D.A. Swanson; U. Mahmood; H.C. Chen; X. Wang; W.J. Graber; R.J. Kudchadker; T. Bruno; T. Feeley; S.J. Frank
Journal Brachytherapy
DOI 10.1016/j.brachy.2017.11.007
Abstract

PURPOSE: To compare quality of life (QoL) after brachytherapy with one of the three approved radioactive isotopes.

METHODS AND MATERIALS: Patients with mostly favorable intermediate-risk prostate cancer were treated on this prospective phase II trial with brachytherapy as monotherapy, without hormonal therapy. QoL was recorded at baseline and each follow-up by using the Expanded Prostate Cancer Index Composite instrument. The minimal clinically important difference was defined as half the standard deviation of the baseline score for each domain. Mixed effect models were used to compare the different isotopes, and time-driven activity-based costing was used to compute costs.

RESULTS: From 2006 to 2013, 300 patients were treated with iodine-125 (I-125, n = 98, prescribed dose [PD] = 145 Gy), palladium-103 (Pd-103, n = 102, PD = 125 Gy), or cesium-131 (Cs-131, n = 100, PD = 115 Gy). Median age was 64.9 years. Median follow-up time was 5.1 years for the entire cohort, and 7.1, 4.8 and 3.3 years for I-125, Pd-103, and Cs-131 groups, respectively. All three isotope groups showed an initial drop in QoL at first follow-up, which gradually improved over the first 2 years for urinary and bowel domains. QoL profiles were similar between I-125 and Pd-103, whereas Cs-131 showed a statistically significant decrease in QoL regarding bowel and sexual function at 12 months compared with Pd-103. However, these differences did not reach the minimal clinically important difference. Compared with I-125, the use of Pd-103 or Cs-131 resulted in cost increases of 18% and 34% respectively.

CONCLUSIONS: The three different isotopes produced a similar QoL profile. Statistically significant differences favored Pd-103/I-125 over Cs-131 for bowel and sexual QoL, but this did not reach clinical significance.

Citation P. Blanchard; T.J. Pugh; D.A. Swanson; U. Mahmood; H.C. Chen; X. Wang; W.J. Graber; R.J. Kudchadker; T. Bruno; T. Feeley; S.J. Frank.Patient-reported health-related quality of life for men treated with low-dose-rate prostate brachytherapy as monotherapy with 125-iodine, 103-palladium, or 131-cesium: Results of a prospective phase II study.. Brachytherapy. 2017. doi:10.1016/j.brachy.2017.11.007

Related Elements

Cesium

See more Cesium products. Cesium (or Caesium) (atomic symbol: Ce, atomic number: 55) is a Block S, Group 1, Period 6 element with an atomic weight of 132.9054519. The number of electrons in each of Cesium's shells is 2, 8, 18, 18, 8, 1 and its electron configuration is [Xe]6s1. Cesium Bohr ModelThe cesium atom has a radius of 265 pm and a Van der Waals radius of 343 pm. Cesium is a member of the alkali group of metals. It is one of three metals that occur as a liquid at room temperature, the others being mercury and gallium. Elemental CesiumCesium's main commercial source is pollucite ore; however, it is also found in beryl, avogadrite, pezzottaite, and londonite. Cesium was discovered by Robert Bunsen and Gustav Kirchhoff in 1860 and first isolated by Carl Setterberg in 1882. In its elemental form, cesium has a silvery gold appearance. The word Cesium originates from the Latin word "caesius," meaning "sky blue," which refers to the vibrant blue lines in its spectrum.

Iodine

See more Iodine products. Iodine (atomic symbol: I, atomic number: 53) is a Block P, Group 17, Period 5 element with an atomic radius of 126.90447. The number of electrons in each of Iodine's shells is 2, 8, 18, 18, 7 and its electron configuration is [Kr] 4d10 5s2 5p5. The iodine atom has a radius of 140 pm and a Van der Waals radius of 198 pm. In its elemental form, iodine has a lustrous metallic gray appearance as a solid and a violet appearance as a gas or liquid solution. Elemental IodineIodine forms compounds with many elements, but is less active than the other halogens. It dissolves readily in chloroform, carbon tetrachloride, or carbon disulfide. Iodine compounds are important in organic chemistry and very useful in the field of medicine. Iodine was discovered and first isolated by Bernard Courtois in 1811. The name Iodine is derived from the Greek word "iodes" meaning violet.

Palladium

Palladium Bohr ModelSee more Palladium products. Palladium (atomic symbol: Pd, atomic number: 46) is a Block D, Group 10, Period 5 element with an atomic weight of 106.42. The number of electrons in each of palladium's shells is 2, 8, 18, 18 and its electron configuration is [Kr] 4d10. The palladium atom has a radius of 137 pm and a Van der Waals radius of 202 pm. In its elemental form, palladium has a silvery white appearance. Palladium is a member of the platinum group of metals (along with platinum, rhodium, ruthenium, iridium and osmium). Elemental PalladiumPalladium has the lowest melting point and is the least dense of the group. Palladium can be found as a free metal and alloyed with other platinum-group metals. Nickel-copper deposits are the main commercial source of palladium. Palladium was discovered and first isolated by William Hyde Wollaston in 1803. Its name is derived from the asteroid Pallas.

Related Forms & Applications