G9, PSA13 no met. Tolerating Zoladex ok. Start IMRT July to include pelvis and lymph nodes. Followed by LD brachy based on confirmatory TRUS. I can see no advantage to SBRT over IMRT? Clinic does not do MRI !! (Canada healthcare system). I will get privately and provide for OAR boundary definition. Dr says unnecessary but will use. Does the real-time CT scanning during RT provide sufficient definition to adjust for prostate movement and OAR movement?
Trimodal Therapy: G9, PSA13 no met... - Advanced Prostate...
Trimodal Therapy
![Qiviut profile image](https://images.hu-production.be/avatars/21f27242477f3aba93c715ccca555f0e_small@2x_100x100.jpg)
Written by
![Qiviut profile image](https://images.hu-production.be/avatars/21f27242477f3aba93c715ccca555f0e_small@2x_100x100.jpg)
Qiviut
To view profiles and participate in discussions please or .
Read more about...
4 Replies
•
Yes. Certainly good enough for IMRT. CTs have gotten very good, and does not show artifacts like MRI.
Thanks. I am getting the MRI done for better gland definition and target planning for the brachy. Our system is short on MRI machines but I can get it done privately, for the record. TRUS is used for brachy seed placement but the MRI images will not come amiss. I realize this is all an art as well as a science.
Not what you're looking for?
You may also like...
damage control of Radio therapy
I am going to have RT coupled with ADT for Oligo metastasis....
Can our friends share their...
Should I insist on Whole Pelvic Radiation Therapy (WPRT)?
Given my condition (see profile), should I ask for Whole Pelvic Radiation Therapy (WPRT)? Multiple...
Happy New Year and Update
Update: I took what I hope will be my last Lupron shot which will work until March 5 /24. I will...
Proton therapy 20 treatment
Had markers and space oar vue installed today, dr asked if I wanted 20 treatments or 28. Anyone...
SBRT for whole pelvis radiation therapy?
I have seen 2 different radiation oncologists (ROs) in the Seattle area, and both have told me that...