Stereotactic Radiosurgery in Treating... - Advanced Prostate...

Advanced Prostate Cancer

20,784 members25,890 posts

Stereotactic Radiosurgery in Treating Patients with Oligometastatic Disease

6357axbz profile image
14 Replies

For anyone who may have an interest I spoke with the manager of radiation research at UPMC Shadyside Hospital to clarify eligibility for the subject trial (thank you NPFisherman). They arm they are currently recruiting for is for newly diagnosed patients who have had no previous treatment. I did ask if they did Stereotactic Radiosurgery outside of the trial to treat individual Mets and was told yes they did, as SOC, but depending on the met, insurance may require radiation prior to doing Radiosurgery if the radiation was ineffective. Anyone know what the distinction is between radiation and Radiosurgery?

Written by
6357axbz profile image
6357axbz
To view profiles and participate in discussions please or .
Read more about...
14 Replies
GP24 profile image
GP24

Radiation is the normal IMRT radiation which takes several weeks. Radiosurgery is stereotactic radiation done with CyberKnife or a different radiation machine which can do stereotactic radiation.

I wonder how they want to determine whether the IMRT radiation was ineffective.

6357axbz profile image
6357axbz in reply to GP24

I guess if the tumor is eliminated, gone, it was effective

GP24 profile image
GP24 in reply to 6357axbz

What type of imaging will you use to determine that?

I think you should have a PSMA PET/CT before radiating your mets. Otherwise you will radiate just a few of the existing mets.

6357axbz profile image
6357axbz in reply to GP24

Good point

GranPaSmurf profile image
GranPaSmurf

My wife had stereotactic ablation radiation for lung cancer. The convergence of moving beams allows extremely tiny focus points - so as not to damage adjacent lung tissue during treatment. BTW - she is cancer free for 6 years.

j-o-h-n profile image
j-o-h-n in reply to GranPaSmurf

Good for her, Congrats.....

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 07/06/2019 7:58 PM DST

NPfisherman profile image
NPfisherman

Thank you for acknowledging my information contribution. George71 and tango65 have also posted on this I believe and endorse--some info below on the differences:

cancer.stonybrookmedicine.e...

I guess it will be Dr. Heron for this trial. I believe Dr. Burton from the same group is doing the trial for recurrent PCa post treatment. Dr. Burton did my stereotactic radiation and it is not for the claustrophobic. After they get your "mask"--not the term--a see through mold that they make while isolating your tumors---that you will be strapped down with to insure that the radiation is focused on the tumors. You are then placed on the table and hit with the highly focused radiation. Takes about 5-15 minutes per treatment. I had no pain and no issues. Not the same for everyone, but Dr. Heron's preliminary release of data looks great.

My insurance would not cover initially, and so the RO had to appeal and won. I like UPMC Hillman Radiation group--I hope that I never have to use them again, but would not hesitate to do so if needed.

Fish

6357axbz profile image
6357axbz in reply to NPfisherman

I was informed today that Dr Heron is no longer with them

NPfisherman profile image
NPfisherman

I also spoke with one of the other RO's in the group and he seemed good...Who is doing the trial for them??

Fish

6357axbz profile image
6357axbz

Didn’t ask but Dr Burton is listed as one of the contacts

NPfisherman profile image
NPfisherman

I didn't see anyone that I felt didn't know their "Stuff" when I talked with them--Attendings or Residents. The wife went with me and she agreed. She is a genius and the smartest woman I ever met ... LOL... It is the truth...

Fish

j-o-h-n profile image
j-o-h-n in reply to NPfisherman

Only dumb thing she ever did.... was to marry you...👀

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 07/06/2019 8:00 PM DST

NPfisherman profile image
NPfisherman in reply to j-o-h-n

Dolly said the same thing about taking up with you...that Dolly...she is a gas bag anyway....

Fish

j-o-h-n profile image
j-o-h-n in reply to NPfisherman

Dolly's ego needs deflating..........Two timing wench...🤢🤢🤢

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 07/06/2019 11:35 PM DST

You may also like...

Searching oligometastatic options

DaVinci and salvage radiation 5 years later and now with abdominal lymph node mets. Realize I am...

On treating micro-metastatic disease

locate any cancer and to radiate whatever spots of cancer that are found.This May I will reach the...

Heading for Stereotactic Radiotherapy

the stereotactic radiotherapy is successful in keeping the cancer at bay. I have been told it may...

Stereotactic Body Radiotherapy for Oligometastatic Prostate Cancer Detected via PSMA pet scan

com/recent-abstracts/urologic-oncology/prostate-cancer/113258-stereotactic-body-radiotherapy-for-oli

Oligometastatic

know the doc in Finland suggests only radiation to prostate bed + mets for 7 weeks. MDT. My head is...