Hybrid optimal scheduling for intermittent androgen suppression of prostate cancer
Author(s) -
Yoshito Hirata,
Mario di Bernardo,
Nicholas Bruchovsky,
Kazuyuki Aihara
Publication year - 2010
Publication title -
chaos an interdisciplinary journal of nonlinear science
Language(s) - English
Resource type - Journals
eISSN - 1089-7682
pISSN - 1054-1500
DOI - 10.1063/1.3526968
Subject(s) - prostate cancer , schedule , population , medicine , androgen suppression , piecewise linear function , prostate , prostate specific antigen , computer science , oncology , cancer , urology , mathematics , environmental health , operating system , geometry
We propose a method for achieving an optimal protocol of intermittent androgen suppression for the treatment of prostate cancer. Since the model that reproduces the dynamical behavior of the surrogate tumor marker, prostate specific antigen, is piecewise linear, we can obtain an analytical solution for the model. Based on this, we derive conditions for either stopping or delaying recurrent disease. The solution also provides a design principle for the most favorable schedule of treatment that minimizes the rate of expansion of the malignant cell populatio
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