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frank1956 avatar

I now will need to decide on SBRT or Brachytherapy

Prostate Cancer | Last Active: Jan 18 4:06pm | Replies (28)

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@climateguy LOL - not really skeptical, in fact it’s a great story…just that we’ve all been told to compare apples to apples so it’s surprising to see an expert not doing the same, right?
BTW, my first consult about radiation was with Dr Nagar at Weil Cornell; a fairly young guy, he’d been trained extensively in brachytherapy. However, he only spoke about the MRIdian Linac and how great it was.
He’s no longer at Cornell, but he does lecture so maybe Youtube or Google him; I wonder if he’s back in the brachy game now that the ‘boost’ procedure has become mainstream…Best,
Phil

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Replies to "@climateguy LOL - not really skeptical, in fact it’s a great story…just that we’ve all been..."

@heavyphil I like the sound of MRI Linac. I think it is Zelefsky who has a video up showing how during the administration of the radiation beam, if the MRI detects that the prostate has moved so the radiated margin will be beyond whatever limit they set, the beam is automatically shut off.

Zelefsky said he was astonished when he first used MRI during the procedure as he saw the prostate move, in an extreme case, as much as 5 cm. MRI Linac sounds like the only EBRT anyone would want.