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Table 2 A summary of the modifications for the T stage, risk group and CTV following prostate MRI studies in 157 evaluable patients

From: Definitive 3D-CRT for clinically localized prostate cancer: modifications of the clinical target volume following a prostate MRI and the clinical benefits

 

No. of patients (%)

No. of patients with modifications of the risk group after prostate MRI (%) (change of risk)

No. of patients with modifications of the CTV in 3D-CRT planning based on the prostate MRI findings (targets added at upstaging or deleted at downstaging)

No change

118 (75)

–

–

Upstaging

33 (21)

10 (6)

11 (7)

 T1c to T2a

10

0

0

 T1c to T2b

10

1 (L → IM)

1 (pSV in CTV1)

 T1c to T2c

3

2 (L → IM)

2 (pSV in CTV1)

 T1c to T3a

2

1 (L → H)

1 (pSV and GED in CTV1, GED in CTV2)

 T2a to T3a

1

0

1 (pSV and GED in CTV1, GED in CTV2)

 T2a to T3b

2

2 (H → VH)

2 (eSV and GED in CTV1, GED in CTV2)

 T2b to T2c

1

0

0

 T2b to T3a

1

1 (IM → H)

1 (GED in CTV1, CED in CTV2)

 T2b to T3b

1

1 (H → VH)

1 (eSV and GED in CTV1, GED in CTV2)

 T3a to T4

2

2 (H → VH)

2 (eSV and GED in CTV1, GED in CTV2)

Downstaging

6 (4)

4 (3)

2 (1)

 T3a to T2a

1

1 (H → IM)

0a

 T3a to T2b

2

1 (H → IM)

0a

 T3a to T2c

1

0

0

 T3b to T2c

1

1 (VH → H)

1a (eSV in CTV1)

 T4 to T2a

1

1 (VH → H)

1a (eSV in CTV1)

  1. L low risk, IM intermediate risk, H high risk, VH very high risk, pSV proximal seminal vesicles, eSV entire seminal vesicles, GED gross extracapsular disease, CTV clinical target volume.
  2. aA contour of the GED could not be depicted, because the GED confirmed or suspected in TRUS was not recognized in the prostate MRI study or by CT.