It was certainly a very interesting and educational day on day 2.
From drop shorts to raise was 14 minutes. I had a little conversation with the techs about
the apparent ease of alignment and delivery of the radiation afterward.
Turns out I am on what they refer to as the latest and the greatest machine for radiation delivery.
TomoTherapy Hi-ART is the machine and they told me the correct terminology for my treatment is IG/IMRT. The first pass of the table through the machine is the alignment verification and internal adjustment for the delivery of the radiation. The second pass is the delivery of the radiation.
Here is where it is really cool, this is the descript
ion by Tomo of the process;
* Delivers helical (continuous 360º) IMRT that uses tens of thousands of narrow beamlets, all targeting the tumor and individually-optimized to contribute to the total tumor dose.
* Offers by far the most beamlets of any form of IMRT, which translates to the most precise conformal radiotherapy available.
In my case the tumor is the prostate bed. One of the other things I found out is that the combination of 3D CT Scan information software used by the IG function can even account for movement of the targeted site. If I had a prostate, it may shift somewhat from day to day depending on my bladder, bowels, digestive system and other factors. The IGRT accounts for this and re-calculates the target for exact delivery of the radiation.
Here is the site: http://www.tomotherapy.com/ Use the tool bar at the top of the page and check out the Tab, Difference. It's some really great stuff. At least it is to me.
Tomorrow is Tee-Shirt and
cookies day for my wife and I. She is receiving treatment 4 of 13 and I will be receiving number 3. We decided that Wednesday would be
cookies day. That is the day that we will take some
cookies in for our respective techs to enjoy.
Tomorrow will also be the first day that we will wear our matching Tee Shirts in for treatment for the first time. I took a picture that we had recently taken of the two of us and printed it on the shirt. Surrounding the picture it reads; "We're A Radiant Couple". On the back of each it says; "Radiation Treatment Countdown". Hers has numbers 1 through 13 and mine has 1 through 35. We will cross out each treatment with a sharpie and at the end will have the techs sign the shirts as completed. We plan to vacuum pack them and keep them as mementos.
We figure to wear the shirt in at least once per week. Hey you gotta have some fun with this stuff as long as you can. I'll take a picture of us in the shirts and then figure out some place I can post it if you guys wanna take a look.
We'll let you guys know how the
cookies and shirts go over.
Remember; "Every Day is a Bonus", treat it that way.
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)
Post Edited (Sonny3) : 12/2/2009 7:11:09 AM (GMT-7)