clinical utility and reducing cost
The purpose of Dual Energy Plan (DMP) is to remove the limitations of conventional treatments, most especially in the area of radiation therapy. Methods: A patient with cervical metastases was defined and the target volume of each vertebrae in T9-L5 was identified. Five different RT methods were then planned: 1} a posterior/anteroposterior (PA), 2) anterior/posterior (AP), 3) transverse/axillary (TA), 4) Spinal radioactive energy modulator (SMR). The patient was advised of the procedures and was asked to prepare for the procedures. Before and after the procedures the target areas of radiation (T) and energy (E) were measured and then the clinical utility of DMP was calculated.
The goal of DMP is to increase the clinical utility of DMP by increasing the quality of evidence for clinical utility and reducing cost of treatment. To achieve these goals several modifications were made to the treatment protocol. First, in the case of patients with a high grade prostatic intraepithelial neoplasia (PIPN), the PIPN was removed due to malignancy and replaced with a benign resection approach which involves making an incision in the transverse wall and extending the prostatic resection through this fold and into the medial rectum. The resection technique has had limited success and in some cases has resulted in multiple failed attempts at prostatectomy.
comparisons between standard therapies
The second modification consisted of extending the resection of the PIPN from the transverse wall to the anterior wall to the vena cava. This procedure has had limited success and is no longer included in standard DMP+ and was therefore not compared with dual fuel tariffs. Another surgical approach to treat benign prostatic hyperplasia is a resection of the prostate gland known as the castration procedure. In this procedure the testes are clipped and thus control of testosterone is achieved. Unfortunately this procedure has also had limited success and thus is not typically included in comparisons between standard therapies.
The third therapeutic modality to be compared was found in the realm of alternative energy. There are currently four types of energy provided through electrical power companies. These include hydropower, solar, wave and biomass. Due to the fact that DMPs do not provide energy of any kind, comparisons between standard therapies and DMPs should be based on value for money alone. That said, DMPs are more cost effective than standard therapies and can often deliver desired outcomes more quickly than standard therapies.
The last modality to be explored was geothermal energy. Although it has not been widely accepted within the scientific and medical community, the application of DMP for treatment of prostate cancer has been successfully achieved. A DMP involves six MPa or higher temperatures being applied to the prostate’s tissue. As a result of these temperatures penetrating the surrounding tissue, there is a release of energy that is then channeled into the lower levels of the body. Within a few days the energy is used to heat living tissue and this process has been shown to reduce the size of prostate tumors.
Based on the results from these investigations it is clear that the combination of DMP, energy modulated photon radiotherapy and dose based therapy is an effective treatment for patients suffering from benign prostatic hyperplasia. Although this technology is still in development there are already some clinics worldwide using it for the treatment of this condition. A positive future for this modality appears to be in its use in the treatment of secondary progressive prostate cancer. As more clinical trials are conducted and other experimental treatments are tried, it is possible that this treatment will gain wider acceptance as a useful treatment.