Gippsland Prostate Brachytherapy Gippsland Radiation Oncology formerly William

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Gippsland Prostate Brachytherapy Gippsland Radiation Oncology formerly William Buckland Radiotherapy Gippsland Cath Beaufort RT

Gippsland Prostate Brachytherapy Gippsland Radiation Oncology formerly William Buckland Radiotherapy Gippsland Cath Beaufort RT Site Manager LRH

What is prostate brachytherapy? • Implantation of radioactive seeds into the prostate • Radioactive

What is prostate brachytherapy? • Implantation of radioactive seeds into the prostate • Radioactive Iodine – 125 seeds – Low energy, half life 59. 4 days • Average 110 seeds per patient • Suitable for patients with low and intermediate risk disease

Why brachytherapy? • Comparative study - 35 experts from key treating disciplines: Surgery, External

Why brachytherapy? • Comparative study - 35 experts from key treating disciplines: Surgery, External Beam Radiation, Brachytherapy, High Frequency Ultrasound, and Proton Therapy. • • 38, 200+ prostate studies were published between 2000 and 2014. 1, 292 of those studies featured treatment results. 179 of those met the criteria to be included in this review study. 8 criteria for inclusion of article including peer reviewed and pts followed for med. 5 years

Comparative Study

Comparative Study

Why focus on Gippsland? • Monash report for PCFA commissioned by Latrobe’s Biggest Ever

Why focus on Gippsland? • Monash report for PCFA commissioned by Latrobe’s Biggest Ever Blokes BBQ found: – Deaths after prostate cancer diagnosis are at least twice as common in Gippsland as in Melbourne

Why focus on Gippsland? – Many reasons including • lack common curative treatment options

Why focus on Gippsland? – Many reasons including • lack common curative treatment options • Time and distance to get to specialists

Feasibility Study • GRICS funded feasibility study – Urologists interest – support from Gippsland

Feasibility Study • GRICS funded feasibility study – Urologists interest – support from Gippsland health services – suitability of Gippsland hospitals • LRH (Traralgon), Bairnsdale RHS, Bass Coast Health (Wonthaggi) • Funding by DHHS and Latrobe’s Biggest Ever Blokes BBQ for the equipment

How the program will work • Public program run by Alfred Health out of

How the program will work • Public program run by Alfred Health out of LRH – Prostate seed program since 1998 – >1000 patients • Initially volume study and post seed CT at LRH • Equipment transfer between hospitals • Implants performed based on referrals and patient location