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A convenient measure for comparing the dose seen by nearby healthy tissues is something called the biologically effective dose (BED). Unfortunately, as far as I know, there are none planned comparing SBRT and LDRBT. IMRT and LDRBT results were based on best practice in 2003-2006, while SBRT was based on patients treated in 2007-2011. There were technological improvements in both modalities since then that might make their outcomes more comparable to SBRT. I have often bemoaned the problem of “irrelevance” in long-term clinical studies: by the time we get the results, technology and practice have changed so much that the results have become irrelevant in making decisions among the best available therapies. We can only assume that they used best practices. This is also great because I can improve your blood circulation, it does this without the bad side effect of increasing any type of blood pressure. 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I don’t know what dose constraints were set for the three modalities examined in this study. While this study raises the hypothesis that SBRT may be superior to IMRT and LDRBT, it is prudent for the patient to keep them all in his consideration set at least until the results of randomized comparative trials become available. For comparison, robotic prostatectomy has been used since 2000, and has never been proven superior to open surgery in a randomized comparative trial. IMRT, likewise, has never been evaluated in a comparative randomized trial, and in its current form, using dose escalation and precision IGRT techniques, was only begun in the mid-1990s. However, with IMRT, the images are aligned only once per session, whereas with SBRT, the images are aligned continually throughout the session. • All results obtained are long term. 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