Need help deciding which radiation treatment system i should go with.

Posted by ngershon @ngershon, Jul 1 10:39am

Hi. Recently diagnosed with PC. GL 7(3+4). PSA around 19. High intermediate group risk. Minimal extra capsular extension. PET shows no detectable metastasis. Been on Orgovyx since mid April, but for various reasons haven’t started RT.
I have choice of systems here and looking at TrueBeam as an accurate RT system. But I don’t think it has real time monitoring and adjustment for target position changes during a session. Also the radiation oncologist doesn’t think i need fiducials or hydrogel because he says system is so accurate. Without real time adjustments and no hydrogel and fiducials, is that basically ok to go with? Would CyberKnife be much better?

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Profile picture for jeff Marchi @jeffmarc

@packman7
My brother had the five session SBRT treatment. Four years later, he’s 80 and still around and doing just fine. He had a Gleason 4+3 and no spread.

I know a lot of other people that have had it and it worked well for them.

At the latest PCRI conference there was an RO Who discussed SBRT in detail and went into the fact that it really works better than other radiation treatments because the higher dosage kills the cancer more effectively.

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@jeffmarc
Thanks , that’s what my RO is saying . Just to pass in to others that aren’t hearing that . Pat D

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Profile picture for tjp1958 @tjp1958

@jeffmarc I believe this is also known as AZO and it is fantastic. I used it twice in the month following radiation and it cured.

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@tjp1958 didn’t work for me it just colored my pee. I forgot what color but it was quite intense.

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I would go with proton, I had 34 fractions in 2022, psma/pet in 2025, all cancer destroyed no avid uptake of tracer in prostate. I had G6, G7,G8. Very minimal side effects if any, extremely effective in killing cancer cells, plus highly precise sparing other tissue damage as well.

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