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Beginning EBRT next week. Do I need to follow a low-fiber diet?
Prostate Cancer | Last Active: 3 days ago | Replies (27)Comment receiving replies
Your numbers are the exact opposite of normal. They would give you five sessions to your prostate and then 20 sessions to other parts of your body. It doesn’t take 20 sessions of SBRT to totally radiate a prostate. It only takes five.
That’s what puzzles me my brother had five sessions SBRT to his prostate and it’s effectively gone. I know many other people that have had those five sessions. I can’t imagine how 20 sessions could be on a prostate.
Replies to "Your numbers are the exact opposite of normal. They would give you five sessions to your..."
I'm doing 25 sessions of salvage with low dose to the prostate bed.
@jeffmarc wrote "Your numbers are the exact opposite of normal. They would give you five sessions to your prostate…"
Mystery solved! It's about billing (at least originally).
According to Dr Walsh's book, the 1-week/5-session limit for SBRT "is likely related to the length of time required for each treatment session, as well as to an odd Medicare rule that decreases the hospital's reimbursement if more than five treatment sessions are given with this particular machine."
According to the book, moderate hypofractionated SBRT (4–5 weeks) has been the global standard of care since about 2018, but extreme hypofractionated (1 week) is getting more support to show that it's also safe, especially for low/intermediate risk PCa, so it's not *just* about the billing. 🙂
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What was your brother's total dose of radiation over those 5 sessions?