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MSK Experience - RO vs Surgeon

Prostate Cancer | Last Active: Apr 13 5:36am | Replies (24)

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@broderbund1
I had Dr. Nagar as a consult in 2022. He was using the Mridian machine at Cornell Weill. Now he is using a similar Mri based SBRT Machine, the Electa unity, which also has a built-in Mri. I found him to be highly knowledgeable, professional and experienced. I was able to call him after one of my other Radiation oncologist consults to get some feedback which he was willing to do. If I was living in New York City again, I would definitely use him.

Most of the doctors I spoke with talked about whichever choice you make ,the outcomes will be the same, but few of them volunteered additional information related to side effects and quality of life. My wife is in the habit of always asking doctors. What would they do if she was that Dr‘s mother. Sometimes it works, sometimes it doesn’t.

I did not want to take a chance with the potential side effects of having my prostate removed so then I spent my time researching the different types of Radiation machines. The two machines that Dr. Nagar has experience with, will use smaller margins around the Prostate and for me that meant less side effects and better quality of life.

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Replies to "@broderbund1 I had Dr. Nagar as a consult in 2022. He was using the Mridian machine..."

@bens1
I went to Dr. Nagar at MSK for a second opinion last year and decided to use him for treatment. He chose to use an Ethos machine for SBRT which doesn't have MRI guidance. Instead, it adapts treatment every day based on a real-time CT scan which shows if any of the organs have shifted and adjusts the radiation accordingly. My results were fine but I'm still curious as to the advantages of one machine to the other. I did have fiducials inserted which I don't believe are required for the machines with MRI guidance.