Hi, I have another radiation question if anyone has any opinions or help that would be greatly appreciated! The mapping is complete now for my dad and the tumor next to his heart causing the SVC syndrome. The verdict came back that on paper it shows IMRT would be slightly less radiation to the heart vs proton therapy. This is not at all what I had thought. IMRT on paper after the imaging and models and mapping show slightly more radiation to the lungs and less to the heart and proton shows less to lungs and slightly more to his heart. This is all on paper after the mapping and a weeks worth of the doctor figuring it out. All the studies I have read show proton spares the heart more than IMRT so I am some kind of confused on this. The doctor left it up to my dad to decide which one he wanted to go with but said it may be harder for insurance to approve proton now that his mapping shows IMRT spares the heart slightly more than proton, on paper.
I spoke to patient intake at Jacksonville proton therapy center for Dr Bradford Hoppe as recommended on here and was told by the lady since dad’s cancer is metastatic he is absolutely not eligible for proton therapy, but SBRT. This is all so confusing but something needs to be done quickly as his tumor has enlarged next to his heart. Do we push for proton despite what the radiation oncologist said his mapping outcome shows or go with what he’s recommending which is IMRT?