Varian Trilogy Rapid Arc

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mr bill
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Date Joined Sep 2010
Total Posts : 709
   Posted 10/31/2010 7:02 PM (GMT -6)   
Has anyone heard of the Varian Trilogy Rapid Arc system for the delivery of radiatioon therapy?  My understanding is that it is relatively new, and uses a cat scan to direct the therapy real time.  I am curious if anyone has been treated with this system or heard anything negative or positive?
Age 66
BPH since 2000. at least three negative biopsies Erie. Uro did not prescribe finasteride
2007 acute urine retention photoselective vaporize Clev. Clinic
8-9-10 Aug PSA rose to 10.14 with finasteride positive biopsy Cleveland gleason 9, cat & bone scan negative
9-8-10 Robotic prostatectomy at Cleveland. Biopsy 9 nodes, 2 positive,seminal & vas deferens
PSA 3 week .06

Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 10/31/2010 7:17 PM (GMT -6)   
Hopefully "Compiler" will chime in here, I think he has been investigating Varian Trilogy Rapid Arc system. There is a thread only a few days ago, on this subject. Perhaps have a look back. Thread started by Compiler................Cheers Kev
Age 52yrs [Gold Coast Qld, Australia]
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
RP 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Neg Margins and Nodes
Nil - EPE
Dry less than 1 week. ED- okay with Meds.
PSA at 18mths no change remains 0.03
"Everday in Everyway, I get better"

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7084
   Posted 10/31/2010 8:12 PM (GMT -6)   
See
 
This was a general discussion a few days ago.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 10/31/2010 11:01 PM (GMT -6)   
Here is Varian's sales pitch..

www.varian.com/media/oncology/products/clinac/pdf/RapidArc_Brochure_2008.pdf

Post Edited (Fairwind) : 10/31/2010 10:05:45 PM (GMT-6)


mr bill
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Date Joined Sep 2010
Total Posts : 709
   Posted 11/1/2010 7:14 AM (GMT -6)   
Thanks for the responses. Now if we can just talk someone in this area into buying one.  Will keep checking the other posts.
Mr. Bill

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 11/1/2010 8:36 AM (GMT -6)   
I hope to know a little more after an appointment with an RO at a local facility that has the RapidArc later this week. The Varian website listed it as the only place around here with the RapidArc, but they're not listed as having the Trilogy. I'm wondering if that means they use the RapidArc with a conventional machine that won't offer 360 degree radiation.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 11/1/2010 11:07 AM (GMT -6)   
Varian: VAR-NYSE. Share price 7/09, $35. 7/10, $55. Today $63..

We missed the boat...
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
age 61: 5.2
age 64: 7.5, DRE "Abnormal"
age 65: 8.5, " normal", biopsy, 12 core, negative...
age 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
age 67 4.5 DRE "normal"
age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 11/1/2010 4:34 PM (GMT -6)   
I think that I may have had radiation treatments over the summer with this system. The machine used was a varian. The machine went all the way around me zapping me 9 times.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/1/2010 5:23 PM (GMT -6)   
Mr. Bill:
 
Yes, I saw a presentation. It looks like I am heading that way. Their big push is fewer side effects. That's a very compelling argument. Supposedly more precise.
 
I believe the "traditional" stops 7 times and this is continuous.
 
Mel
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. 9/21/10--0.06

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 11/1/2010 6:57 PM (GMT -6)   
Mel,
This is something I think I would like to find more out about. It sounds promising. The big thing is finding one in this area. Rozwell in Buffalo has one, but they rank 33 in cancer treatment. Not sure if Cleveland Clinic has one. I am reluctannt to be "the first on my block," unless, of course, the have a factory rep. behind the wheel. Please let me know how you make out.

Bill
Age 66
BPH since 2000. at least three negative biopsies Erie. Uro did not prescribe finasteride
2007 acute urine retention photoselective vaporize Clev. Clinic
8-9-10 Aug PSA rose to 10.14 with finasteride positive biopsy Cleveland gleason 9, cat & bone scan negative
9-8-10 Robotic prostatectomy at Cleveland. Biopsy 9 nodes, 2 positive,seminal & vas deferens
PSA 3 week .06

hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 11/1/2010 8:40 PM (GMT -6)   
Hi
 
I'm in Kansas City and my Urology Group has a Varian RapidArc. I'm scheduled for IMRT starting mid-January. The Oncologist stated that they have between 40 to 50 men a day getting treatments year around.
 
This probably covers all of east Kansas and western Missouri. Anyway, my PSA doubled in six months.
Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
PSA Sept 2009 0.00, PSA Dec 21, 2009 0.02, PSA March 29, 2010 0.03
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.
Stopped the injections except for "Fun" weekends. Really don't need them anymore.

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 686
   Posted 11/2/2010 6:29 PM (GMT -6)   
hb2006 said...
Hi
 
I'm in Kansas City and my Urology Group has a Varian RapidArc. I'm scheduled for IMRT starting mid-January. The Oncologist stated that they have between 40 to 50 men a day getting treatments year around.
 
This probably covers all of east Kansas and western Missouri. Anyway, my PSA doubled in six months.
 
 
 
 
Glad to hear that "Everythings up to date in Kansas City"  lol ....sorry too much free time...

TaurusBull
Regular Member


Date Joined Jan 2010
Total Posts : 91
   Posted 11/2/2010 9:03 PM (GMT -6)   
Due to the location of where I live and work in CT, I only have two choices of where I could receive my SRT treatments. First is Yale and the second is Hospital of Saint Raphael (both in New Haven). Yale uses Varian, but they don't have the Rapid Arc and St. Raphael doesn't use Varian at all, as far as I know.

TB
Dx: in 6/2005 age 49, PSA 4.1, 2/10 cores pos, G6, T1c
bone scan: negative
daVinci RRP 8/2005, Hartford Hospital
Post-surgery upgraded G7 (3+4), pT2c, NX,MX, neg. margins, PNI present, tumor focally invades capsule wall, but not entirely through it.
PSA <0.1 until 4th yr post surgery, then 7/2009 0.1, 10/2009 0.2, 1/2010 0.2, 2/2010 0.14, 4/2010 0.16,
8/2010 0.25, 9/2010 0.23

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 11/24/2010 10:00 AM (GMT -6)   
I went in for my initial CT and to make the mold for my RapidArc treatment on Monday. Next Monday I go in for my trial run and I'm sure the 7-week run of treatments will start soon after.

Many thanks to those on this forum who have offered great information about my choices, especially to Fairwinds who gave me the heads up about the Varian technology.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/24/2010 11:19 AM (GMT -6)   
Pog:
 
Can you describe what was involved in your appointment?
 
I will probably be next!
 
Mel

mr bill
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Date Joined Sep 2010
Total Posts : 709
   Posted 11/24/2010 12:42 PM (GMT -6)   
I will probably be after you.
Mr Bill

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 11/24/2010 4:34 PM (GMT -6)   
Guys:

I was reading online today and came across this article, dated last March. I remembered that this discussion was currently running, and thought I'd post the link in case it helped anyone make a decision about Rapid Arc. I did notice the word 'Varian' was not in the text.

The article indicates that the benefits may depend upon the planned target volumes.

http://www.prostateline.com/86824?itemId=8842009

Hope it helps. If not, ignore!

Juliet

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/24/2010 5:22 PM (GMT -6)   
Gee, it's not quite as glowing as other articles indicating that Rapid Arc  is superior in terms of SEs.
 
These articles never mention SRT. They always assume the prostate is still there.
 
Mel

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 11/25/2010 10:11 AM (GMT -6)   
Mel and Mr Bill,
I was taken to radiology for my CT and they had a black plastic bag on the table. They mixed a solution they described as simlar to foaming insulation and poured it into the bag, then positioned me on top to let the mold foam up under me. It only rises a few inches at most. They need contrast in the bladder and colon, so they inserted caths in both ends, then proceeded with the CT. That's it. The only rough part was the cath in front, that left me sore for awhile.
Age at diagnosis 5/10: 49
PSA: 5/08 1.6, 5/10 4.7
Initial GS 7 (4+3)
Biopsy: 14 out of 15 positive, up to 95%
Bone scan and CT clear
RRP on 7/20/10 by Dr William Catalona at Northwestern
about 40% nerve-sparing on each side, with bilateral nerve graft performed
Final GS 7 (4+3) with a tertiary amount (less than 5%) showing at 5
PSA 8/23/10 1.59, confirmed 8/26/10 1.7

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/25/2010 10:25 AM (GMT -6)   
Holy cow-- they never said anything about a catheter.
 
Is this typical?
 
Mel

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 11/25/2010 11:46 AM (GMT -6)   
Mel,
Probably is typical. Maybe the type of equipment.  Yuck. At least they do not leave it in for 10 days.  Could be one of those "did I forget to mention" things.
 
Mr. Bill

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 11/25/2010 12:09 PM (GMT -6)   
They never mentioned anything like that.
Darn.
 
Did they tell you that?
 
Mel

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 11/25/2010 12:13 PM (GMT -6)   
Not a word.  Of course I have not got into any detail regarding RT. 

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 11/25/2010 9:05 PM (GMT -6)   
The cath was the one part the annoyed me. They were careful to tell me about and show me the small tube going in the back, but the one in the front came without any warning. I didn't appreciate that. Perhaps their theory was that it would have been harder to insert if I was tensed up?
Age at diagnosis 5/10: 49
PSA: 5/08 1.6, 5/10 4.7
Initial GS 7 (4+3)
Biopsy: 14 out of 15 positive, up to 95%
Bone scan and CT clear
RRP on 7/20/10 by Dr William Catalona at Northwestern
about 40% nerve-sparing on each side, with bilateral nerve graft performed
Final GS 7 (4+3) with a tertiary amount (less than 5%) showing at 5
PSA 8/23/10 1.59, confirmed 8/26/10 1.7

pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 11/28/2010 6:52 PM (GMT -6)   
One thing I neglected to mention. I figured when they did my CT that I'd be getting the tattoo dots I've heard about. Turns out they don't do that at the hospital where my radiation is being done. Instead they use a permanent marker, then cover it with clear tape to protect the ink. They said if necessary they touch up the marks during the treatment.
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