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MRI-Guided SBRT vs Proton Therapy (5-fraction)

Prostate Cancer | Last Active: Feb 24 6:35am | Replies (15)

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@seasuite

@chaimkugel I also closely evaluated the position of my core 16 L1 - Left Posterior Apex Peripheral Zone that was 4+3; the other 5 cores with prostatic adenocarcinoma, 3+4, were all located in adjacent zones (the remaining 10 cores showed no cancer). You can then speak to ROs who, typically, don't delve into PCa position conversations without prompting. I found it highly useful to consult with a retired urologist friend who spoke to me under 'cone of silence' in addition to several other ROs and urologists who gave formal opinions largely representative of their institutions.

As has been mentioned, the Decipher Grid is one of the best predictive tools available and a PSMA PET can provide an additional layer of reassurance. As far as future treatments, that hopefully will never be needed, I am confident that with AI driven and other advancements, what we have available in 10 years will make the current offerings 'primitive'.

Best of luck to you! It was certainly reassuring to know that I did my best to evaluate alternatives.

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Replies to "@chaimkugel I also closely evaluated the position of my core 16 L1 - Left Posterior Apex..."

Thanks SeaSuite. I've learned that ROs don't delve into a lot without prompting. I've had a PSMA Pet Scan (because of three slight small bone lesions MSK says are probably benign and are treating them as such; getting a second opinion on all my imaging- CT, MRI, Bone Scan and PSMA Pet Scan- from John Hopkins) and am getting Decipher. Have reached out to my sister's MO (she died at age 57 from metastasized triple negative breast cancer) and the Urologist-in-Chief at a top COE (friend of a family member) who replied to this question: "My preference would be SBRT but it is a slight push in that direction. It is close to a 50:50 decision but I lean SBRT. More data regarding safety IMO. Hope this helps but reassuring that you really cant go wrong." It's a close call.
All my research is a way to control what I can. And it leads me to believe, as you do, that there are significant technological advances occurring in this field.