Has the cancer spread beyond your prostate? If not IMRT is only one of multiple radiation treatments that you should be considering. Find yourself another radiation oncologist. If you have a mayo clinic in your neighborhood, you should definitely consider going there instead of the doctor you are seeing now.

If it has spread beyond the prostate, then a combination of IMRT and SBRT is frequently used and reduces the number of visits.

@daveinflorida

I spoke with 4 radiation oncologists in Florida (plus one in NY city) that had experience with the MRIdian.

I was treated by Dr. Kaitlin Christopherson at the Orlando Cancer center, which is part of the Orlando Health Hospital system. They have both the Mridian and Proton therapy available. The Mridian machine is in Ocoee and their Proton machine is in Downtown Orlando.

I also spoke with the Moffit cancer center, whose vice chairman told me that if I was interested in potentially utilizing the adaptive dynamic planning capability of the MRIdian that I should go some place else, which I did.

I also spoke with the Miami Cancer institute and chose them as a second choice for treatment with the MRIdian. They also had an on site hotel for convenience of treatment.

All the Florida radiation oncologists that I spoke with were trained and/or had practical experience at centers of excellence as well as the MRIdian machine.

Any more questions, please feel to ask or private message me if you need more details behind the nuts and bolts of the experience.

First have to read Dr. Patrick Walsh's book " Guide to Surviiving Prostate Cancer " ?
An A to Z educational book all about prostate cancer . Diagnosis , Treatment options , side effects etc . Educate yourself before making a knee jerk decision you may regret . This is common . Many patients panic thinking OH my God - Cancer . I'm going to die tomorrow .
No you probably had it for 10 yeras or more . Ask yourself the question . " If you did not know you had cancer - DO YOU FEEL ANY DIFFERENT ?
I would ask your Radiation Oncologist about Monotherapy HDR Brachytherapy . This is a 2 treatment plan . One treatment one week and the second treatment two weeks later.
OR - Monotherapy SBRT . 5 treatments , approximately 30 minuttes each .
Week one on Mon - Wed & Fri. Week two on Mon & Wed . FINISHED .
Finally , it's not uncommon for Gleason 3 + 4 = 7 cancer patients to go on Active Surveillance -- Many for years before having to have treatment . It's all in the book .
Good Luck .