Did he give any indication of the effectiveness of the Calypso system to just having gold markers? I know it's supposed to recaculate as the prostate is moving, but what are the true effects, does it reduce side affects by 5%, 10% ???
To answer Zufus's question: I did a lot of research before my implantation as to the "scatter effect" of implanting seeds before IMRT vs after. I came to the conclusion that there is no difference. The guys trained on the east coast prefer seeds after and the guys trained on the west coast perfer the seeds before as they give a clearer target to aim at even with the gold seeds. I think the before or after difference is much more a marketing differentiation, which both Dattoli and RCOG, are very good at.
Any system that delivers the radiation more accurrately is better, but I think you have to sift the marketing aspects out and look at the actual benefits. Sometimes a treatment is just more expensive, not more effective; just look at proton as an example.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.