SBRT versus IMRT for BCR after prostatectomy

Posted by pamperme @pamperme, Jan 11 5:17pm

I am 72 years old and had< .02 PSA for two years after my prostatectomy. My PSA went up to .05 then jumped to .15. My onocologist recommended 35 IMRT sessions and I got a second opinion which agreed with radiation but would do 5 SBRT sessions to the pelvic and lymph node area. I am trying to find out advantages and disadvantages of each one.
My decipher score was .92 and I had two locations with no margins and EPE. I am currently on Orgovyx and am on hold since 3 spots of low emissivity showed up on psma/pet test. They are going to take a second test in 10 weeks after being on Orgovyx and if the emisivity stays the same they will determine it is non cancerous and I will go for radiation. If the emisivity disappears then it will be considered cancerous. I do not think the spots are cancerous. My second opinion recommended doing an MRI also. I would appreciate information on SBRT and IMRT for the reoccurence at 3 years. Thank you everyone for all the information I have learned from this site in the past.

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Profile picture for jeff Marchi @jeffmarc

@islander2025
It really does look like a great way to do this treatment. I have just never heard of any of the people in all of the meetings I go to discussing the fact that they had it.

I will actually ask about this in meetings To see what people’s results were.

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@jeffmarc
I was in an ancan.org Advanced prostate cancer Meeting and one person out of about 45 in the meeting, had VMAT. He was quite satisfied with the results.

I asked in another meeting where there were about 25 people, but nobody had VMAT Radiation treatment.

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