Urinary Outcomes for Men With High Baseline International Prostate Symptom Scores Treated With Prostate SBRT.

Purpose: There are limited data regarding high-dose stereotactic body radiation therapy (SBRT) for prostate cancer in patients with poor baseline urinary function. The purpose of this study was to evaluate genitourinary (GU) toxicity and changes in patient-reported symptom severity scores after prostate SBRT in men with a high pretreatment International Prostate Symptom Score (IPSS).

Methods And Materials: Seven hundred fifty-three patients treated with prostate SBRT at our institution from 2012 to 2019 were identified, of whom 72 consecutive patients with baseline IPSS ≥15 were selected for this study.

Four core properties of the human brain valuation system demonstrated in intracranial signals.

Estimating the value of alternative options is a key process in decision-making. Human functional magnetic resonance imaging and monkey electrophysiology studies have identified brain regions, such as the ventromedial prefrontal cortex (vmPFC) and lateral orbitofrontal cortex (lOFC), composing a value system. In the present study, in an effort to bridge across species and techniques, we investigated the neural representation of value ratings in 36 people with epilepsy, using intracranial electroencephalography.

Primate Ventromedial Prefrontal Cortex Neurons Continuously Encode the Willingness to Engage in Reward-Directed Behavior.

To survive in their complex environment, primates must integrate information over time and adjust their actions beyond immediate events. The underlying neurobiological processes, however, remain unclear. Here, we assessed the contribution of the ventromedial prefrontal cortex (VMPFC), a brain region important for value-based decision-making.

Automatic integration of confidence in the brain valuation signal.

A key process in decision-making is estimating the value of possible outcomes. Growing evidence suggests that different types of values are automatically encoded in the ventromedial prefrontal cortex (VMPFC). Here we extend this idea by suggesting that any overt judgment is accompanied by a second-order valuation (a confidence estimate), which is also automatically incorporated in VMPFC activity.