cstrutt62 commented " I believe that HDR is generally believed to do a better job than LDR, but you might check that out." It is an intensive doctor facility activity which presumably is far more lucrative than a 20-30 minutes procedure in performing permanent interstitial radiotherapy. The study at Keiser described as well as those mentioned by Bansky and Grimm that permanent seeds are best. thanks to pdcard 4756 for the linked video below. Maybe the $$ incentivized HDR will prove equi-effective without the symptomless but life long burden of dealing with seeds sliding around.

Part 2 If HDR brachytherapy may provides Optimal and safe radiotherapy would it not make sense to use it first and then EBRT as a boost.?