There are reasons that centers of excellence such as Cornell Weill, MD Anderson, John Hopkins, and others are choosing an Mri based Radiation machine. The margins of exposure of healthy tissue is less, and therefore the side effects are less. It is worth asking your doctor whether you can have that type of machine and whether it is available. The two machines are the Mridian and the Elekta Unity. What they can see, they can treat. You might also want to consider a quick, second opinion via telehealth with a center of excellence.

Doctors are dedicated and do their best, but hospital institutions are competitive and make their choices accordingly and sometimes the in house machines are not the best choice for that particular patient. Outcomes may be the same, but side effects can vary significantly for a number of reasons, including the type of machine.