Connect
Comment receiving replies
@xahnegrey40 I had photon radiation but it was with the mridian machine which is one of two machines available (the other being the Elekta Unity) that have the bult in MRI. This means that what the doctor sees in real time (vs fused images from another source), they can treat. It also means the healthy tissue that is exposed is less with a machine that has a built in MRI than one that does not (2 mm margins vs 3-5 mm margins). I had 5 hypo-fractional treatments in February of 2023 and spaceoar.
Replies to "@xahnegrey40 I had photon radiation but it was with the mridian machine which is one of..."
Just completed SBRT yesterday for Gleason 9, Grade 4 localized disease. One PSMA equivocal lymph node was included in the total volume of radiation. My RO was never present in the Viewray MRIdian control room but I was told he was reviewing the digital images before treatment started (at least at the first session).
I was a bit disappointed that I did not meet him in person as my initial consultation was a telehealth visit. When I have my follow up in 3 months I insisted on an in person visit even though I was offered the option of telehealth again. (I live 120 miles from the medical center where I chose to be treated.)
Connect
@bens1
If your radiation works like everybody else’s, the doctor is not directly involved when you get your treatments. So the doctor isn’t going to see the fused images in real time. The people doing the treatment are the ones that see it.
Did you actually see your doctor, in the room where the radiation is controlled, while you were being treated? I know my doctor was never around when I was treated. The same is true with everybody else I’ve heard from having radiation.