← Return to SpaceOAR causing issues
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Prostate Cancer | Last Active: May 1 10:25am | Replies (59)
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Replies to "Thanks, Phil. I had 8 Gy per treatment x 5 = 40 Gy cumulative. If this..."
← Return to SpaceOAR causing issues
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Hey Vircet, the Linac doesn’t need fiducials because it tracks the prostate in 3D with realtime MRI. Cyberknife uses tomography to track the fiducials which are placed at 3 points on the gland - but it follows the fiducials regardless of gas bubbles or peristalsis moving delicate structures into the path of the beam.
The Linac shuts off if the gland/margin moves out of the target area but the CAT doesn’t - very clear advantage to avoiding tissue damage.
Also, MRI is not - as far as I know - compatible with metal so if you had fiducials placed I cannot imagine that they used an MRI based machine.
Only proton radiation has beams which STOP at the target - all photonic technologies use electrons that pass thru the target. When I first consulted with an RO who used MRIdian he said I would need a spacer.
As far as my radiation I would have to check but I saw a post treatment report which said 6000 to prostate bed and 4500 to pelvic nodes. Don’t think it was expressed in Gy, however.
Phil