Radiation with bilateral hip replacement

Posted by kfritz0627 @kfritz0627, Feb 7 6:15pm

Has anyone had any experience with MRIs or radiation treatment with bilateral hip replacement? I have read that some treatments aren’t available if you had had a hip replacement, and that also the MRI might not produce a great scan because of the replacements.

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Good Morning,
I had one hip replaced in 2015 and one in 2021. I'm 74 and just finished 5 treatments of high dose SBRT.
Of all the other radiation treatments out there, proton beam therapy is about the only one you can't do. It is devivered through the hip area
As to MRI's, you should have no problem. If you're dealing with prostate cancer, I also HIGHLY recommend a 3T MRI. Don't let them talk you into anything less.
Good Luck

REPLY

Bilateral hip replacements 2011/2012
PCa diagnosis (dx) July 2022
Surgery Aug 2022
Biochemical recurrence (BCR). 20 - 30% BCR rate of recurrence.
Salvage radiation & 4 mos ADT Feb - June 2023
1st post tx PSA not detectable

MRI and 2 PSMA PET scans all noted "artifacts" from hip replacements.

1st mapping for salvage radiation "failed" because of hip replacement interference w/ safe radiation delivery

2d mapping using rectal balloon successful

So my experience was yes, the hip replacements were a factor in dx and treatment (tx), but not an obstacle

Best wishes to you

REPLY
@michaelcharles

Bilateral hip replacements 2011/2012
PCa diagnosis (dx) July 2022
Surgery Aug 2022
Biochemical recurrence (BCR). 20 - 30% BCR rate of recurrence.
Salvage radiation & 4 mos ADT Feb - June 2023
1st post tx PSA not detectable

MRI and 2 PSMA PET scans all noted "artifacts" from hip replacements.

1st mapping for salvage radiation "failed" because of hip replacement interference w/ safe radiation delivery

2d mapping using rectal balloon successful

So my experience was yes, the hip replacements were a factor in dx and treatment (tx), but not an obstacle

Best wishes to you

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Was your mri 3t?

REPLY
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