Improved radiation treatment

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 8/16/2010 6:15 AM (GMT -6)   
I recieved this link on another forum this morning. It appears that Varian has combined the available radiation treatments to offer a more precise and faster treatment for those who choose radiation.
 
 
Don
 
Diagnosed 04/10/08 Age 58
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
IGRT/IMRT with adjuvant HT (lupron) 2yrs
PSA:
02/08 21.5
07/08 0.82
10/08 .642
09/09 0.32
03/10 0.32
06/10 0.32
07/10 0.10

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3741
   Posted 8/16/2010 7:37 AM (GMT -6)   
Over the last few years, Varian has indeed made tremendous advances in the delivery systems used for radiation treatment..They have become the world leader in developing this equipment. The only fly in the ointment is the cost and the time it takes to bring radiation oncologists and radio therapists skills up to date to match the new delivery systems..Many treatment centers simply can not afford to replace multi-million dollar machines every 3 years without some sort of government subsidy program...

We will get into a situation where the wealthy will receive much better treatment than those not so well-off. These advances are fantastic as long as they are available to everyone..But the costs associated with them are prohibitive for many cancer patients..

Over the years, billions, if not trillions of dollars have been spent in "The fight against cancer". But cancer has not been cured...Perhaps it's time a small portion of this money is used to make sure everyone being treated for cancer gets the opportunity to have the best treatment available and not be relegated to second and third string techniques and equipment...
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..

Post Edited (Fairwind) : 8/16/2010 7:40:59 AM (GMT-6)


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 8/16/2010 4:47 PM (GMT -6)   
Fairwind,
I forgot to mention that Sloan Kettering in NYC and 21st Century Oncology in Naples and Fort Myers Florida have the technology available. Yes you are correct that not all have access to the latest due to investment constraints. I also share your view about the "search" for a cure and the billions spent thus far. A rather cynical friend of mine opined that "there would never be a cure for cancer because there was too much money to made looking for a cure". I fear he may be correct.
 
Best to you on your upcoming surgery.
Don
Diagnosed 04/10/08 Age 58
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
IGRT/IMRT with adjuvant HT (lupron) 2yrs
PSA:
02/08 21.5
07/08 0.82
10/08 .642
09/09 0.32
03/10 0.32
06/10 0.32
07/10 0.10

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7203
   Posted 8/16/2010 5:24 PM (GMT -6)   
Don:
 
It certainly SOUNDS impresssive. It also sounds like something written by a PR firm.
 
Anyway, is there a list of places where it is now being used (you mentioned a few).
 
I imagine it will be 10 years before it arrives here locally!
 
 
Mel in Michigan
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. Next PSA late Sept.

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 8/16/2010 6:26 PM (GMT -6)   
Mel,
 
I did not notice anything in the article. Yes, it was most likely written by a PR firm but none the less it is still a fairly impressive step in treatment options. It may get adopted fairly quickly if it can be retrofit to existing Varian machines. This advance may also make it easier for patients to get treatments like Cyberknife approved. Some insurance companies still consider CK "experimental".
 
Don
Diagnosed 04/10/08 Age 58
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
IGRT/IMRT with adjuvant HT (lupron) 2yrs
PSA:
02/08 21.5
07/08 0.82
10/08 .642
09/09 0.32
03/10 0.32
06/10 0.32
07/10 0.10

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/16/2010 7:36 PM (GMT -6)   
I still haven't digested the Calypso technique. "GPS for the body" they say.

Calypso will be at our UsTOO meeting in September. I went for a personal tour of it last April. Varian is a strong contributor in imaging technology, so it will likely be similar to other 1st line IGRT technologies that are new out there. The advantages are that you can deliver high doses in less visits.

Thanks for the post...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6946
   Posted 8/16/2010 7:56 PM (GMT -6)   
Tony,

My IGRT was Calypso "aided". I had two days of 39 that the Calypso monitor "spoke up" and stopped the cycle part way through because my innards moved, as it were. My markers were implanted in the scar tissue in the area where the surgeon suspected the EPE would have left cancerous tissue.

It also identified my markers, and pulled up my picture, verified my positioning, then required a confirmation before starting each morning. In the small-clinic environment I was in, that part was probably less important, but in a mass-production multi-machine scheme it could be critical.

The insurance paid without a hitch for the markers & implant, but because it was adjunct IGRT, they refused the daily charge as unapproved/experimental. The clinic wrote off the "adjustment", but having seen that it worked in real life, I would have been hard pressed to side with the insurance Co. The sense of security may have been false, but it did make the whole affair less of a trauma.

Wish I could be at your meeting -

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3741
   Posted 8/16/2010 8:15 PM (GMT -6)   
I can comment a little about the situation in Denver.. In this "market" there are at least 8 or 9 highly ranked hospitals and treatment centers fighting for patients..In order to maintain their "image" and rating, they must have the latest equipment..I had a choice of 3 hospitals equipped with the latest third generation DaVinci surgery robots! Two have already installed the latest Varian accelerators and beefed up their radiology departments. But that leaves six institutions at a competitive disadvantage..Treatment costs on this equipment can be truly eye-popping..Insurance approvals come only grudgingly if at all...

Here we are, fighting for our lives, and we have to sort through all this stuff too...
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, June 19, 2018 9:47 PM (GMT -6)
There are a total of 2,973,483 posts in 326,125 threads.
View Active Threads


Who's Online
This forum has 161006 registered members. Please welcome our newest member, tamielakesha.
355 Guest(s), 4 Registered Member(s) are currently online.  Details
FintanHumphries, Spring, Michael_T, Girlie