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@robertov

Sorry for delay, traveling with limited connectivity.
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.

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Replies to "Sorry for delay, traveling with limited connectivity. No cribriform, My RO says he won’t do SBRT,..."

You need to get a 2nd opinion from a center of excellence RO or from a Genito Urinary Oncologist. Using IMRT was the industry standard when I had salvage radiation 12 years ago. SBRT is even used for that now.

SBRT is a pretty common technique to use, ask your RO if the reason he doesn’t want to use it is because he also wants to radiate the prostate bed, and suspects the cancer has gotten out of the prostate. That’s what it sounds like.

Another doctor may have a different opinion,