SBRT vs EBRT

[Scorpio53]

After lots of research, have decided against surgery and opted for RT. Thank you to everyone in community for views and opinions.

Went to my RO to determine best course of treatment for my PSA 8, 4+3 PCa (single localized tumor). We decided on SBRT + ADT. Found out today that the SBRT supplier has declared bankruptcy and the hospital can no longer offer SBRT. Since my PSA went from 5.5 to 8 in 10 months, my RO felt EBRT + ADT + 1x seeds would be a better option anyway.

Anyone in same boat? Other options? Opinions?

[OldVTGuy]

I expect you will be fine. I did 44 sessions of IMRT (without BT) and it not that big a deal other than the time commitment. Everything went smoothly

ADT sucks and your main decision will be how long to stay on it

[Tall_Allen]

My understanding is that Viewray MRIdian will no longer be supported as of October 25. However, SBRT can be given on a number of devices- it only requires fiducials. I was treated with RapidArc and many are treated with CyberKnife.

HDR brachytherapy has fewer urinary side effects than LDR brachytherapy. Where are you located?

[Scorpio53 in reply to Tall_Allen]

Hi, Located in Oregon. I have read that SBRT supplier, Sorrento, is going into bankruptcy.

[Tall_Allen in reply to Scorpio53]

You can try OHSU. I know you can get it from Robert Meiers at Swedish Health in Seattle.

[Scorpio53 in reply to Tall_Allen]

Will look into this. Am a bit 'tied' to Providence Medicare.

[maley2711 in reply to Scorpio53]

I'm sure Providence offers SBRT, plus HDRB....

providence.org/doctors/radi...

providence.org/doctors/radi...

Perhaps there are more ROs that could do HDRB for you......you've probably already researched this? Is that plan an HMO or PPO?

[maley2711 in reply to Scorpio53]

There are a number of clinics that offer SBRT in Oregon!!!And several that offer HDR brachy.

[maley2711 in reply to Scorpio53]

where in Oregon?

[Scorpio53 in reply to maley2711]

Portland area

[maley2711 in reply to Scorpio53]

This also......

oregonclinic.com/high-dose-...

[tcott54 in reply to Scorpio53]

Stephen Bader in Portland provides SBRT. I had a consult with him last month and he has quite a bit of experience.

[Scorpio53 in reply to tcott54]

He's my RO too and the one that told me about SBRT bankruptcy.

[tcott54 in reply to Scorpio53]

I have also decided to go the RT route when the time comes, I am a 3+3 and have decided on AS for the time being. I have looked into SBRT and HDR Brachytherapy and if I were to get treatment today I would likely go the HDR route. I have heard very good things about Dr. Jing Zeng.

youtu.be/Toj2-PjEhnw?featur...(Not working as expected?)

[Scorpio53 in reply to tcott54]

Thanks. Will check HDR and Dr Zeng as well.

[Scorpio53 in reply to tcott54]

He suggested EBRT with ADT + needles at end.

[Tall_Allen in reply to Scorpio53]

My favorite HDR brachytherapist is Mitch Kamrava at Cedars-Sinai

[maley2711 in reply to Scorpio53]

I have seen studies of an EBRT protocol that includes SIB......simultaneous integrated boost I believe. Perhaps results comparable EBRT + brachy, and I think SE probabilities were very favorable. You might ask about availability as an option. Google and pubmed will give you a number of recent studies......also TA has an article on his blog.

[Photographerhere]

i had SBRT and it was a breeze. The ADT is a hurricane. Start hitting the gym now,lift weights. I bet you can find another practioner who will do SBRT. It only takes five sessions over two weeks.you could fly to Los Angeles, Seattle, of SF, stay in a holiday inn and do it.

[SierraSix]

wonder what UCLA is going to do. They had a Viewray. I was treated there last year. MRI guided SBRT. Is too bad because I think it’s a great technology

[Mike404]

I agree. Smoothest treatment imaginable and great results so far. I’m surprised someone doesn’t buy the assets.

[Scorpio53 in reply to Mike404]

Read on line that Sorrento was offered $1billion buyout but decided to 'weather the storm'. Got a new CEO but things didn't work out.