I start SRT on a Varian Trilogy RapicArc machine Dec 8 at a major Denver hospital..I had a nice long talk with the department head, who happens to be my R-doc, about whether the new machine offered advantages in my case..He was unsure...He said it would enable him to use a higher dose more accurately aimed with less healthy tissue damage..But he added.."I'm the one who will decide where to aim the beam and I must decide what areas will receive treatment, so the outcome will depend more on me than the machine..."
Since I also was considering a second radiation oncologist who used an older (but modern) IGRT machine, (the two docs know each other) he added: "Don't base your decision on the type of machine..Base your decision on who you think will do the best job for you...
So that's what I did...
I have learned that many, many hours can go into treatment planning with radiation. Lots of checks and double checks..Computers are a great help, but they don't decide on the actual target of the beam..Your R-doc does that..
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 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 SRT, HT, Dec