{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:10:46Z","timestamp":1784373046941,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to investigate the patterns of practices of radiation oncologists (ROs) and urologists in Australia and New Zealand with respect to the utilisation of post\u2010prostatectomy radiation therapy (RT) and help guide the development of an update to the existing Faculty of Radiation Oncology Genito\u2010Urinary Group post\u2010prostatectomy guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>ROs and urologists with subspecialty practice in prostate cancer from Australia and New Zealand were invited to participate in an online survey comprised of clinical scenarios regarding post\u2010prostatectomy RT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010five ROs and 28 urologists responded to the survey. In the setting of low\u2010risk biochemical relapse, the threshold for initiating RT was lower for ROs than urologists. ROs were more likely than urologists to recommend adjuvant RT for node\u2010positive disease. When salvage RT was advised for a pT3N0R1 recurrence, there was no consensus amongst ROs on whether to add either ADT or nodal treatment over prostate bed RT alone. For a solitary PSMA\u2010avid pelvic lymph node recurrence, whole pelvis RT with androgen deprivation therapy was the preferred treatment option (72% ROs, 43% urologists). Most ROs (92%) recommended conventionally fractionated RT to 66\u201370\u2009Gy, with a boost to any PSMA PET avid recurrent disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This survey highlights the marked discordance in practice for the management of prostate cancer relapse post\u2010prostatectomy. This is seen not only between specialties but also within the radiation oncology community. This emphasises the need for an updated evidence\u2010based guideline to be produced.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13552","type":"journal-article","created":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T00:02:43Z","timestamp":1687478563000},"page":"556-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patterns of practice regarding use of radiation therapy following radical prostatectomy: A survey of Radiation Oncologists and Urologists in Australia and New Zealand"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3811-2916","authenticated-orcid":false,"given":"Anna","family":"Lawless","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Chris O'Brien Lifehouse  Sydney New South Wales Australia"},{"name":"Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-504X","authenticated-orcid":false,"given":"Andrew","family":"Kneebone","sequence":"additional","affiliation":[{"name":"Sydney Medical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Radiation Oncology Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology North Coast Cancer Institute, Lismore Base Hospital  Lismore New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarat","family":"Chander","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5494-8751","authenticated-orcid":false,"given":"David","family":"Christie","sequence":"additional","affiliation":[{"name":"Genesis Care  Gold Coast Queensland Australia"},{"name":"Bond University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Finnigan","sequence":"additional","affiliation":[{"name":"Icon Cancer Centre Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Hayden","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Westmead &amp; Blacktown Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braden","family":"Higgs","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8084-999X","authenticated-orcid":false,"given":"Matthew","family":"Knox","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology St George Hospital  Sydney New South Wales Australia"},{"name":"St George and Sutherland Clinical School The University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Sasso","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Auckland City Hospital, Te Whatu Ora  Auckland New Zealand"},{"name":"Faculty of Medical and Health Sciences University of Auckland, Waipapa Taumata Rau  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Sidhom","sequence":"additional","affiliation":[{"name":"Cancer Therapy Centre Liverpool Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas P","family":"Shakespeare","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Mid North Coast Cancer Institute  Coffs Harbour New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31952-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30454-X"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31553-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30456-3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2017.07.011"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01790-6"},{"issue":"7","key":"e_1_2_8_8_1","first-page":"S808","article-title":"LBA64 \u2013 duration of androgen suppression with post\u2010operative radiotherapy (DADSPORT): a collaborative meta\u2010analysis of aggregate data","volume":"33","author":"Burdett S","year":"2022","journal-title":"Ann Oncol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2008.05.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.04.060"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2011.04.003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12483"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12979"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-018-0071-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50966"},{"key":"e_1_2_8_16_1","unstructured":"ANZUP Cancer Trials Group Limited.2022. Available from URL:https:\/\/anzup.org.au\/clinical-trial\/dipper\/."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000295"},{"key":"e_1_2_8_18_1","unstructured":"National Comprehensive Cancer Network.Prostate Cancer (Version 1. 2023). Available from URL:https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/prostate.pdf."},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12139"},{"key":"e_1_2_8_20_1","unstructured":"US National Library of Medicine.Hypofractionated Radiation Therapy or Conventional Radiation Therapy After Surgery in Treating Patients With Prostate Cancer (ClinicalTrials.gov Identifier: NCT03274687). Available from URL:https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03274687."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2023.109544"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.0763"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T03:33:09Z","timestamp":1692761589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,21]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/1754-9485.13552"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13552","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,21]]},"assertion":[{"value":"2022-12-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}