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MSK Experience - RO vs Surgeon
Prostate Cancer | Last Active: Apr 13 5:36am | Replies (24)Comment receiving replies
@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.
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@cadaddy
It would be an interesting comparison between an Mri based Machine, and a machine like the Ethos that you are describing. As I understand it, the Ethos Machine is using AI to improve the Imaging, Both in terms of what the doctor sees size wise and the clarity.
Fiducials were not required for the Mridian but my oncologist inserted them anyway and I had no problem with that since she did it at the time that I was also getting space oar. A side discussion I had with one of the technicians indicated to me that sometimes the fiducials were added in case there was a breakdown of The Mri based Machine and that patient could be moved over to another non mri one, which didn’t happen very often at all, but still, I was OK with it.
It will be very interesting to watch real time CT and real time Mri Imaging, and how it gets used for prostate cancer and other cancer as well , as AI progresses.