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@heavyphil

Ahhh, now I see….You learn something new on this forum every day. I had only seen fiducials used in Cyberknife. My sessions were salvage - NO PROSTATE. So they did a cone beam Xray every day (built into the TruBeam) before treatment to check for rectal gas, bladder fullness, and proper positioning.
I had no gel spacer since there could be cells near the rectum and they had to hit those too. My PET was also “clear”, but we all know what that means.
Glad you are doing well.
Phil

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Replies to "Ahhh, now I see….You learn something new on this forum every day. I had only seen..."

I don’t believe a spacer is ever used for salvage radiation. The spacer goes between the prostate and the rectum, so without a prostate there is no place to put the spacer.

I did Spaceoar, I did not like the shape of it as it only came about 60% down the prostate. I had my urologist review ( Spaceoar recommended ) and a Hopkins trained RO walk through individual dosage to every part of my body. I still think about it but I was at a center of excellence. My point is to make sure and review your CT/MRI and ask questions, it needs to be in properly not just injected.