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Looking for info on HDR Brachytherapy to ask Radiation Oncologist
Prostate Cancer | Last Active: May 28 6:15am | Replies (27)Comment receiving replies
Did your biopsy mention whether or not cribriform was found? If so the 5 sessions of proton therapy (SBRT) may not be sufficient and you might need to add HDR. Ask the RO.
IMRT is a lot more sessions and you only need the prostate radiated from what you say. SBRT is preferred by many.
Replies to "Did your biopsy mention whether or not cribriform was found? If so the 5 sessions of..."
No cribriform. Localized to prostate. My main concern is urinary long-term problems. I guess he thinks smaller doses over a longer period of time reduces that possibility. Not to mention they make more money He did suggest HDR Brachytherapy was and option but they don’t do it there. It is also more invasive.
No cribriform. Everything looks clean only 2 cores. The Proton technology, according to an RO suggesting CT guided IMRT thinks it doesn’t have the degrees of freedom in getting to the cancer. I’m also worried about higher risk of side effects with 5 fractions vs IMRT.
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No cribriform, My RO says he won’t do SBRT, Thinks he can be curative with IMRT. Uses CT guided Linac. Claims Proton therapy has less movement planes and radiates the pelvic area more.