Nat. Rev. Urol. doi: /nrurol

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Nat. Rev. Urol. doi:10.1038/nrurol.2016.106 Figure 1 Radiotherapy fractionation schedules for the management of patients with prostate cancer Figure 1 | Radiotherapy fractionation schedules for the management of patients with prostate cancer. Fractionation of a prescribed radiation dose over several treatment sessions is used to protect nonmalignant tissues adjacent to the tumour. Technological developments have improved the precision of radiation delivery, enabling increased fraction doses and shorter treatment schedules without compromising efficacy but increasing patient compliance. Conventionally fractionated radiotherapy is usually delivered in 38–40 sessions of single 1.8–2 Gy fractions, resulting in an 8–9-week treatment duration. In moderate hypofractionation, 19–30 sessions of single 2.4–4 Gy fractions are given over a total of 4–6 weeks. Extremely hypofractionated radiotherapy consists of 4–5 treatment sessions of 6–10 Gy doses each and treatment is usually concluded after 1–2 weeks. Arcangeli, S. & Greco, C. (2016) Hypofractionated radiotherapy for organ-confined prostate cancer: is less more? Nat. Rev. Urol. doi:10.1038/nrurol.2016.106