Connect
← Return to Prostatectomy vs Photon radiation vs Proton Beam Therapy
Discussion
Prostatectomy vs Photon radiation vs Proton Beam Therapy
Prostate Cancer | Last Active: Nov 15, 2025 | Replies (32)Comment receiving replies
@kikito1
In the latest PCRI conference, about a month ago, A radiation oncologist who specialized in SBRT Gave a long talk with a lot of information about the fact that SBRT radiation is better than other types for most cases. The higher dose of radiation that they use causes more cells to die Quickly then if you have IMRT or other types of radiation. You could watch the PCRI conference and see what they were talking about.
Yes brachytherapy Seems to be another really good choice and is used heavily in Europe, but not very much here unfortunately.
Another thing to be aware of is that there is a very small chance of photon radiation, causing future cancers. There was information from a Stanford study.
In a study of about 145,000 men with prostate cancer, the team found that the rate of developing a later cancer is 0.5% higher for those who received radiation treatment than for those who did not. Among men who received radiation, 3% developed another cancer, while among those who were treated without radiation, 2.5% developed another cancer.
https://med.stanford.edu/news/all-news/2022/070/prostate-radiation-slightly-increases-the-risk-of-developing-ano.html
Replies to "@kikito1 In the latest PCRI conference, about a month ago, A radiation oncologist who specialized in..."
Connect
@jeffmarc I've seen others, though I can't remember where, quoting about a 1 in 1000 men who have IMRT / SBRT get another cancer. In any case, Brachy is almost exclusively hitting only the prostate will little over spray. IMRT / SBRT must pass through normal tissue to get to the prostate. We know that the prostate can withstand radiation at much higher doses than normal tissue. That's another reason why I think Brachy, either LDR or HDR, is the best choice. It's not practised as much here because it takes more effort and doesn't pay nearly as well as other modalities of treatment. Mark Sholtz has a segment about that aspect also.