PT - JOURNAL ARTICLE AU - YUKIHIRO HAMA AU - TATSUMI KAJI TI - Long-term Follow-up Results of CT-guided Daily Adaptive Radiation Therapy for Localized Prostate Cancer AID - 10.21873/anticanres.12942 DP - 2018 Oct 01 TA - Anticancer Research PG - 5959--5962 VI - 38 IP - 10 4099 - http://ar.iiarjournals.org/content/38/10/5959.short 4100 - http://ar.iiarjournals.org/content/38/10/5959.full SO - Anticancer Res2018 Oct 01; 38 AB - Background/Aim: To examine whether CT-guided daily adaptive radiation therapy (ART) can be safely administered against localized prostate cancer. Patients and Methods: Twenty-six patients with localized prostate adenocarcinoma were irradiated through opposed AP/PA fields up to 46 Gy, then CT-guided daily ART was performed through opposed lateral fields until 76 Gy at 2 Gy/fraction. Results: Biochemical relapse-free survival was 89% at 3 years and 85% at 5 years and 76% at 7 years after ART, respectively. The 3-, 5- and 7-year local relapse-free survival rates were 100%, 100% and 95%, respectively. The 5-year incidence rates of grade 1 and 2 late gastrointestinal adverse events were 15.4% (n=4) and 3.8% (n=1), respectively, and those of grade 1 and 2 late genitourinary adverse events were 3.8% (n=1) and 0% (n=0), respectively. Conclusion: CT-guided daily ART was well tolerated and suggested a good long-term tumor control with minimal adverse events.