"I would like to know the 3 most experienced SBRT people in the country you would recommend for SBRT with unfavorable intermediate risk. "
That would include the RO who first used it in 2003- Chris King at UCLA. Probably Alan Katz in Flushing has treated more people and been doing it longer than just about
anybody but Dr King. For third - maybe Debra Freeman in Tampa - she started soon after Dr King.
"I also want to know more about
HDR mono brachytherapy vs. combination brachytherapy or brachy boost? I want to know more about
the toxicity risks there. "
HDR-BT monotherapy would have a lower toxicity profile than any combination therapy, of course./pcnrv.blogspot.com/2016/08/hdr-brachy-boost-and-monotherapy-for.html
"I am also still tracking if the LDRBT can be temporary. I get conflicting answers from RO's. I know the HDR is often temporary. I prefer the temporary. I've seen the graphs of higher dosage and more ablation of cancer but I wonder why the higher dosage wouldn't also carry more risk of toxicity?"
LDRBT (seeds) is ONLY permanent - once placed, they cannot be removed. HDRBT is ONLY temporary. HDR means high dose RATE, not higher dose. The nominal dose for seeds is usually about
145 Gy, while the nominal dose for HDR-BT monotherapy is about
45 Gy. But because of radiobiology, the biologically effective dose of HDRBT is much higher for cancer killing, while it is lower for healthy tissue toxicity.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog