IMRT in LA area

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John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4251
   Posted 11/24/2008 6:37 PM (GMT -6)   
Can anyone recommend a good radiologist in the LA area that does IMRT? I live in Palm Springs area. They just found a tumor in the transition zone, G7, 16X18mm after 13 biopsies. One doc says that this is the cause of my high PSA, 30. Another doc says it doesn't explain the the total reason for the high PSA.
Both recommend radiation as the position of the tumor will most likely result in a positive surgical margin.
I'm having bone scans and and a CAT tommorrow and may get my lymp nodes tested with nano iron oxide particles. Has anyone had this procedure? It's only done in Europe as it's non FDA approved.
Is IRMT covered by most insurance?
Any experience with the effects of IRMT on quality of life?
John T

Veteran Member

Date Joined Jul 2006
Total Posts : 681
   Posted 11/25/2008 2:10 PM (GMT -6)   

Hi John

I noticed that your question has not been answered yet.  This is not my area of experience, but everyone here speaks well of Loma Linda.  It is right in your back yard.  They do proton and and other modes as well.  Some consider them to be the best in the whole country.  Do a search on line for more information.  I'm sure someone here will follow up.

PSA up to 4.7 July 2006 , bump noted during DRE
Biopsy 10/16/06
stage T2A  -  Psa 4.7
Gleason  4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day (-.01)  , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months +.02)
ED still a problem, minor succces with bi-mix
plaque buildup due to injections 

Post Edited (lifeguyd) : 11/25/2008 2:37:57 PM (GMT-7)

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 11/25/2008 2:41 PM (GMT -6)   
Hi John,
IMRT should be covered by all carriers as it is the most common form of radiation therapy. This may not be true for Protons and other forms. Pretty much all the major cancer centers will have the ability to provide for radiation therapy of some sort. UCLA, USC, UCI, City of Hope, and Loma Linda, to name a few.

My experience was at the City of Hope, but that was for surgery. My radiation therapy was performed here is Las Vegas.

Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
You can visit my Journey at:

flippin out
Regular Member

Date Joined Mar 2006
Total Posts : 137
   Posted 11/26/2008 4:07 PM (GMT -6)   
Loma Linda is a Full service Cancer treatment center Radiation to DaVinci and beyond
I had a very good If ya wanna call it that experience there due $ for another check but have been putting it off like whats next huh ?
anyway have a concern about Loma Linda I'd be happy to inform you .............
54 Cancer Detected
55 Da Vinci City Of Hope California
57 Cancer rise in successive PSA's
57 Radiation Loma Linda Medical Center California

Regular Member

Date Joined Oct 2008
Total Posts : 29
   Posted 11/28/2008 10:19 PM (GMT -6)   
My family Doctor was trained at Loma Linda and I have many other friends who live in CA.  It would be the first place any of them would go.  Loma Linda is where the proton beam radiation was pioneered.
It is at least worth your time to have a look.
Age 51
Father died of prostate cancer at 73
Yearly PSA testing.
Biopsy after PSA went up .75 in one year
6 of 12 in needle biopsy where cancerous
DaVinci surgery 4/15/2008
Last PSA .008

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