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@frank1956

Kaspar,

What was your criteria deciding UCLA MRIdian SBRT over Loma Linda Proton therapy.

I understand that SBRT is 5 treatments over 10 days. Proton treatment might be 30, 40 treatments. Is that the deciding factor in your case?

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Replies to "Kaspar, What was your criteria deciding UCLA MRIdian SBRT over Loma Linda Proton therapy. I understand..."

The Proton at Loma Linda even though pioneers is long in the tooth. It’s older tech. If I was going to do Proton San Diego would probably do better. After doing research more I felt the MRI tracking of the prostate at 4-8x a second was superior. Proton isn’t as accurate as it is sold to be and is easily deflected by calcifications, it has lateral scatter and in studies I read MRLinac SBRT was superior in saving OAR especially the nerve bundle. Then add to that 5 treatments in a row compared to I believe they said 39. The very low side effects from MRLinac and I was tested as low risk to side effects from SBRT at UCLA. Plus I like the UCLA institution, they were way more pro active, on the ball and communicative. It was the right choice for me. Everything is on track and my life is better than it was before treatment. I feel great and according to my doctor who is the chair of RO at UCLA I should not expect to have any side effects or reoccurrence. 90-95%. I’m happy I didn’t have to go for 39 days was definitely a factor but a bigger factor was I believe in the tech, being able to adjust the treatment on the fly and the gating and tracking of the MRLinac MRidian machine in which they can see all the soft tissues, colon bladder and prostate during the actual treatment. It was super easy (I didn’t need ADT) and it couldn’t possibly have gone better.