1. < Prostate Cancer
Profile picture for tjp1958

Any experience w MRI-guided stereotactic adaptive radiotherapy SMART

Posted by tjp1958 @tjp1958, Jul 3, 2025

Hello, I am 67 years old, very fit and sexually sctive and have been on active surveillance since age 62. Although my PSA hasn’t changed and has been steady at 4-5 over the period, my latest biopsy showed 80% of the cores had cancer. Decipher showed high risk and Polaris showed low risk. Concurrence of urologists at first second and third opinions at major facilities was to pursue whole gland treatment. I ran across MRI – LINAC or MRI guided SBRT adaptive therapy. It seems the machines and the technology are scarce and only at centers of excellence. However, cure outcomes and limited side effects are excellent. Anyone have any thoughts, experiences, input vs RARP?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for erbill
erbill | @erbill | Jul 6, 2025
In reply to @ucfron "@bens1 Was it Orlando Health MD Cancer or was it Advent Health Cancer? I’m in Orlando..." + (show)
Profile picture for WingNut @ucfron

@bens1 Was it Orlando Health MD Cancer or was it Advent Health Cancer? I’m in Orlando as well. If you would recommend using the same could you please share your Drs name with me? You can DM me direct (if that’s possible) if you don’t want to go public with it.

Jump to this post

I had a consultation with a Moffit RO in May 2025 and he indicated that the facility will stop using the mridian viewray on may 30,2025. He said the elekta unity (mri-linac)has been ordered. I was offered HDR brachytherapy.
Additionally, I had a consultation with an RO at Orlando Cancer Center in early June 2025.
She indicated that the Mridian Viewray machine has been down since April 2025 and that the elekta unity has not been budget approved. I was offered sbrt with Ethos. Subsequently, I received a portal message from her NP indicating that the mridian mri-linac may be back online 8/1/25 but will be limited to liver and pancreas cancer.

also, note both of these facilities continue to advertise mri linac treatment.

REPLY
1 reply
Profile picture for WingNut
WingNut | @ucfron | Jul 6, 2025
In reply to @erbill "I had a consultation with a Moffit RO in May 2025 and he indicated that the..." + (show)
Profile picture for erbill @erbill

I had a consultation with a Moffit RO in May 2025 and he indicated that the facility will stop using the mridian viewray on may 30,2025. He said the elekta unity (mri-linac)has been ordered. I was offered HDR brachytherapy.
Additionally, I had a consultation with an RO at Orlando Cancer Center in early June 2025.
She indicated that the Mridian Viewray machine has been down since April 2025 and that the elekta unity has not been budget approved. I was offered sbrt with Ethos. Subsequently, I received a portal message from her NP indicating that the mridian mri-linac may be back online 8/1/25 but will be limited to liver and pancreas cancer.

also, note both of these facilities continue to advertise mri linac treatment.

Jump to this post

Wow good info thanks. Advent recommended HDR Brachytheropy to me as well. Was looking for alternative. Does anyone know if Mayo in Jacksonville has MRI Guided SBRT?

REPLY
Please sign in or register to post a reply.