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urologist and radiation oncologist aren't on the same page
Prostate Cancer | Last Active: Apr 2 10:47am | Replies (23)Comment receiving replies
Hi Heavyphil
Small world. Dr Nagar went from using the Mridian, which is still available to hospitals who want to pay $1 million a year for service updates, to another MRI based radiation machine, Elekta, at Memorial Sloane Kettering.
I wonder how long it will take other hospitals to move to MRI based radiation machines from non-MRI based machines, ROI notwithstanding.
Replies to "Hi Heavyphil Small world. Dr Nagar went from using the Mridian, which is still available to..."
Had a consult with Dr Nagar yesterday….very personable and he seems extremely confident (almost overconfident in some ways) that with SBRT any my profile this can be a one and done treatment (less 10% chance recurrence). Interested to know if he treated you and your overall thoughts…..?
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An RO at Northwell told me that he didn't like MRI based systems because “they took too long”….he said a single treatment could take 45 mins or more due to the fact that beam turns off if the target is shifted even minutely due to gas, peristalsis, etc….that’s the very purpose of the machine! That’s why margins are so precise and peripheral damage minimal.
He said he could treat 3 or more patients with a Cyberknife in the time it might take him to treat one with Meridian/Elekta. Volume is king, Time is money baby, and that’s why, in addition to the maintenance costs, more hospitals are not buying them….a shame….