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Intensity modulated radiation therapy (IMRT)
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Trimodal Therapy
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.
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.
Qiviut
in
Advanced Prostate Cancer
3 years ago
Rising PSA despite salvage radiotherapy.
I went through salvage
IMRT
in Oct 2020 of the prostate bed. But there was no reduction of PSA whatsoever. They came back to be 0.033(Oct2020), 0.040(Jan2021), 0.045(Apr2021) and now 0.061(Jul2021). During all the while, I went through about four UTI's whereas I never had one before.
I went through salvage
IMRT
in Oct 2020 of the prostate bed. But there was no reduction of PSA whatsoever. They came back to be 0.033(Oct2020), 0.040(Jan2021), 0.045(Apr2021) and now 0.061(Jul2021). During all the while, I went through about four UTI's whereas I never had one before.
HKKWL
in
Advanced Prostate Cancer
3 years ago
Change in PSA testing method
I'm been tracking the failure of RP and
IMRT
with rising PSA and plan to independently schedule PSMA in Europe. My UO has me waiting, doing nothing. What does the new method tell me ? Is my PSA increasing at a high rate ? Its doubling every 12 -15 weeks. At what point should there be treatment ?
I'm been tracking the failure of RP and
IMRT
with rising PSA and plan to independently schedule PSMA in Europe. My UO has me waiting, doing nothing. What does the new method tell me ? Is my PSA increasing at a high rate ? Its doubling every 12 -15 weeks. At what point should there be treatment ?
SoonerMark
in
Advanced Prostate Cancer
3 years ago
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New to the prostate cancer community
His suggested course of treatment is 5 weeks of
IMRT
followed by brachytherapy. Lupron would start two months before radiation and last a total of 24 months. No scans yet. PSMA PET scan would be possible, but it would mean waiting 3 to 4 months because of backlog at UCSF.
His suggested course of treatment is 5 weeks of
IMRT
followed by brachytherapy. Lupron would start two months before radiation and last a total of 24 months. No scans yet. PSMA PET scan would be possible, but it would mean waiting 3 to 4 months because of backlog at UCSF.
bigdoggatto
in
Prostate Cancer Network
3 years ago
Swedish Radiosurgery Center in Seattle, WA.
Considering SBRT vs
IMRT
. Is the Space OAR beneficial? Toxicity pros and cons for either technology?
Considering SBRT vs
IMRT
. Is the Space OAR beneficial? Toxicity pros and cons for either technology?
Qiviut
in
Advanced Prostate Cancer
3 years ago
Ductal PCA - Avoid T.U.R.P. and Self Cath
Going to be proton
IMRT
. Also to add some other cocktails. I have yet to speak with my oncologist for his thoughts. Maybe he will recommend another TURP!
Going to be proton
IMRT
. Also to add some other cocktails. I have yet to speak with my oncologist for his thoughts. Maybe he will recommend another TURP!
DMohr011
in
Advanced Prostate Cancer
3 years ago
Rising PSA post IMRT and ADT
It's my understanding that an increase in PSA post radiation is an indicator of recurrence. The PSA "cut score" is 2.0. Anyone know why 2.0 is considered a recurrence metric? Typically, what happens next? Treatment options? Indicators of success? Many thanks, EdinBaltimore
It's my understanding that an increase in PSA post radiation is an indicator of recurrence. The PSA "cut score" is 2.0. Anyone know why 2.0 is considered a recurrence metric? Typically, what happens next? Treatment options? Indicators of success? Many thanks, EdinBaltimore
EdinBmore
in
Prostate Cancer And Gay Men
3 years ago
Can patients with low-risk PCa benefit from radical treatment?
New (disturbing) meta-analysis below [1]. "Radical prostatectomy, radiotherapy and active surveillance are three widely used treatment options for patients with low-risk prostate cancer, but the relative effects are controversial." "Twenty-two studies containing 185,363 participants were pooled for the
New (disturbing) meta-analysis below [1]. "Radical prostatectomy, radiotherapy and active surveillance are three widely used treatment options for patients with low-risk prostate cancer, but the relative effects are controversial." "Twenty-two studies containing 185,363 participants were pooled for the
pjoshea13
in
Advanced Prostate Cancer
3 years ago
My Journey
My PSA dropped to .26 (t=7)after two months on Lupron and I start
IMRT
/SRT later this month. Thanks to y'all for sharing your stories. I look forward to being an active member of the community and sharing my journey. Blessings, Lasered
My PSA dropped to .26 (t=7)after two months on Lupron and I start
IMRT
/SRT later this month. Thanks to y'all for sharing your stories. I look forward to being an active member of the community and sharing my journey. Blessings, Lasered
Lasered
in
Prostate Cancer Network
3 years ago
Hmm... So in 2/20 my RO says I'm "cured", however, my MO butts in and declares...not so fast Bozo!!
After HDR Brachy and 25 days of
IMRT
(2019), RO does a brief DRE, looks me in the eye and states " you are not going to die from APC"! GREAT!! No more Lupron and I can taper off Z and P!! Well, MO reminds me that I still meet 2/3 of the Stampede Trial criteria (G9 and PSA>20.
After HDR Brachy and 25 days of
IMRT
(2019), RO does a brief DRE, looks me in the eye and states " you are not going to die from APC"! GREAT!! No more Lupron and I can taper off Z and P!! Well, MO reminds me that I still meet 2/3 of the Stampede Trial criteria (G9 and PSA>20.
westof
in
Advanced Prostate Cancer
3 years ago
PRD after IMRT?
Has anyone here developed PRD after intensity-modulated RT given in the last few years? I am wondering if the incidence is truly sharply lower with the more refined RT of recent use
Has anyone here developed PRD after intensity-modulated RT given in the last few years? I am wondering if the incidence is truly sharply lower with the more refined RT of recent use
Rainylake
in
Pelvic Radiation Disease Association
3 years ago
ADT + SBRT + IMRT treatment for Unfavorable Intermediate Risk PCa
He recommends SBRT/
IMRT
& 4 months ADT! He will do SBRT, and
IMRT
will be done by Dr. Valicenti @ UC Davis (closer to where I live). He also felt a shorter course of ADT was in order in my case.
He recommends SBRT/
IMRT
& 4 months ADT! He will do SBRT, and
IMRT
will be done by Dr. Valicenti @ UC Davis (closer to where I live). He also felt a shorter course of ADT was in order in my case.
jimalong51
in
Prostate Cancer Network
3 years ago
Thank you!
After firing my first RO, I had
IMRT
done with Dr. Wahlen, at Enloe Cancer Center, Chico, Ca. He was willing to follow Dr. Hsu's treatment recommendations, including only 6 months of Lupron, and everything was finished by 12/21/20. I just got my first PSA, .05, and couldn't be happier.
After firing my first RO, I had
IMRT
done with Dr. Wahlen, at Enloe Cancer Center, Chico, Ca. He was willing to follow Dr. Hsu's treatment recommendations, including only 6 months of Lupron, and everything was finished by 12/21/20. I just got my first PSA, .05, and couldn't be happier.
Smallfall
in
Prostate Cancer Network
3 years ago
Any benefit to RP given likely extracapsular extension
My 70 year old father is currently on ADT since March after gleason 9 diagnosis, awaiting
IMRT
likely starting in June (details in profile).
My 70 year old father is currently on ADT since March after gleason 9 diagnosis, awaiting
IMRT
likely starting in June (details in profile).
mooman80
in
Advanced Prostate Cancer
3 years ago
Considering HDR Brachy, any recommendations for doctors in the San Francisco Bay Area?
Met with one Dr. who recommended one day HDR Brachy and 5 weeks
IMRT
. Hearing CarverD's positive experience and noting slightly higher cure rates than EBRT, I want to take a closer look at this option. Any recommendations for doctors who specialize in this located in the San Francisco Bay Area?
Met with one Dr. who recommended one day HDR Brachy and 5 weeks
IMRT
. Hearing CarverD's positive experience and noting slightly higher cure rates than EBRT, I want to take a closer look at this option. Any recommendations for doctors who specialize in this located in the San Francisco Bay Area?
JDL_Coffee
in
Prostate Cancer Network
3 years ago
Prostate-Specific Antigen: Predicting for Biochemical Failure During Salvage Radiation Therapy After Prostatectomy
. - Patients received 68 Gy in 34 fractions (2 Gy per fraction, 5 fractions per week) using a 3-dimensional conformal external beam radiation therapy (EBRT) technique (2010-2014) or - an intensity modulated radiation therapy (
IMRT
) /volumetric modulated arc therapy (VMAT) external beam radiation therapy
. - Patients received 68 Gy in 34 fractions (2 Gy per fraction, 5 fractions per week) using a 3-dimensional conformal external beam radiation therapy (EBRT) technique (2010-2014) or - an intensity modulated radiation therapy (
IMRT
) /volumetric modulated arc therapy (VMAT) external beam radiation therapy
RMontana
in
Active Surveillance - Prostate Cancer
3 years ago
Possible Treatments with Recurrence after Radiation?
after one of the radiation treatments (
IMRT
/SBRT/Brachy/etc) what are the choices of available treatments and their success rates?
after one of the radiation treatments (
IMRT
/SBRT/Brachy/etc) what are the choices of available treatments and their success rates?
redonthehead
in
Prostate Cancer Network
3 years ago
Proton Radiation to Thoracic Vertebra
I seem to have a recurrence after 2006 seeds and
IMRT
. After an Axumin scan, rhPSMA scan, and whole-body mpMRI, the only spot found is on the left pedicle (a small bone off the back of the vertebra) of the T8 vertebra. I am completely asymptomatic. My RO does both SBRT and Proton.
I seem to have a recurrence after 2006 seeds and
IMRT
. After an Axumin scan, rhPSMA scan, and whole-body mpMRI, the only spot found is on the left pedicle (a small bone off the back of the vertebra) of the T8 vertebra. I am completely asymptomatic. My RO does both SBRT and Proton.
LeeLiam
in
Advanced Prostate Cancer
3 years ago
I'm new here, High Decipher Score still good for SBRT
RO wants to do ST hormone and
IMRT
. I asked about SBRT and both my Urologist and RO (same Company,
IMRT
only) said the high risk does not make me a good candidate.
RO wants to do ST hormone and
IMRT
. I asked about SBRT and both my Urologist and RO (same Company,
IMRT
only) said the high risk does not make me a good candidate.
JDL_Coffee
in
Prostate Cancer Network
3 years ago
Trying to decide if I will continue ADT after 9 months.
Started on bicalutimide and
IMRT
. Then added Lupron and 28 sessions ofIMRT last 2 with brachy boost. Then did HDR brachytherapy two separate days, two treatments each day. Had follow up visit three months later at which time PSA was .03. Am now scheduled for a 3 month Lupron injection April 1st.
Started on bicalutimide and
IMRT
. Then added Lupron and 28 sessions ofIMRT last 2 with brachy boost. Then did HDR brachytherapy two separate days, two treatments each day. Had follow up visit three months later at which time PSA was .03. Am now scheduled for a 3 month Lupron injection April 1st.
Ernbud
in
Prostate Cancer Network
3 years ago
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