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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)

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@daveinflorida

Thanks. I'm in Fort Lauderdale so Miami is close, although Orlando isn't that far. Is Miami Cancer Institute part of UM or Baptist Health? I like the idea of someplace that has both proton and MRIadian to compare.

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Replies to "Thanks. I'm in Fort Lauderdale so Miami is close, although Orlando isn't that far. Is Miami..."

It is part of Baptist Health. I had Dr. Marcio Fagundez do a prostate consultation by telehealth. I am not sure if they have re-activated their Mridian as the original manufacturer, Viewray, went bankrupt. Another medical company started offering support using original Viewray employees, including software support at what I have heard was $1 Million per year. The Mridian had about 65 machines out there. Orlando Cancer center has re-activated their Mridian, months ago.

The only difference in my treatment suggestion by Dr. Fegundez, with my Gleason 3+4 and low Decipher score diagnosis, was because I had a 10.2 PSA, though my prostate cancer was confined to the prostate (left posterior mid-peripheral) and my prostate was not that enlarged at 48.9 cc's, Dr. Fagundez said he wanted to do short term ADT. I believe nccn.org recommends that for PSA's over 10 but Dr. Christopherson felt otherwise. So far, my PSA results every 3 months since May of 2023 seems to have supported Dr. Christopherson's decision.

You might also want to consider the Elekta Unity machine at the University of Florida. It is also an MRI guided real time machine that uses a stronger tesla, 1.5, than the Mridian but I am unfamiliar with the subtleties of the Elekta but I believe both support 5 hypo-fractional treatments. Here is their web site:
https://ufhealth.org/news/2022/uf-health-unveils-imaging-machine-one-42-world-tackle-difficult-cancers. (Thank you to @5galloncan for the link).

By the way, of the 5 RO's I spoke with, Dr. Fagundez was the only one that suggested ADT.