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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
Well, HDR brachy is a one shot deal - seeds in and out in 45 -60 mins to blast the G4+4. It is then followed by either IMRT or SBRT to treat the remainder of the gland/bed.
It is possible - and please get clarification on this - that your RO wants to treat your pelvic nodes as well and that’s why he wants to use IMRT.
Not sure if SBRT is suitable for that? But if you only have the one small area of G4, no cribriform and a low (?) Decipher I can’t see why 5 fractions wouldn’t be preferable. Best,
Phil
Replies to "Well, HDR brachy is a one shot deal - seeds in and out in 45 -60..."
You are exactly right. My RO wants to treat the pelvic nodes. You bring up a distinction that i have missed: whether SBRT or Proton therapy can do the pelvic nodes. Now I’m not sure.
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No Decipher score as no cells taken during the biopsy. Urologist never mentioned it. I understand? that SBRT is suitable, but my RO thinks he can ‘cure’ me with IMRT.
My thinking now is that maybe it has less side effects than SBRT, which is, of course, my main concern now. I was also offered CT-guided Proton Therapy in 5 fractions. The IMRT RO thinks it is more gimmicky and the degree of rotation not as good as in IMRT. Struggling with those choices.