Jetguy said: "With IGRT, the prostate is located each day of treatment after you are on the treatment table. This is done with sonogram, CT scan, or, in my case, x-rays."
I assumed that IMRT was the same thing as IGRT since the brochure the urologist gave me abbreviates "Image Guided Intensity Modulated Radiation Therapy" to "IMRT"
Yes, Jetguy, that is the one I am supposed to see tomorrow; then I'll have to make a decision as to what I am going to do. Your comment about
the x-rays is one thing I was going to ask Dr. T; why is that not bad if you have to have that done so many times? Looks to me like you are getting an awful lot of radiation that way to otherwise healthy tissues that might be adversely affected . . . ?
Why did you decide to go the IGRT route instead of the proton beam scheme? Other than convenience here of course, was there any particular medical reason?
I have talked to two people here who have gone the proton beam route, both of them because they heard about
it from someone else. One fellow who has a very high opinion of MD Anderson in general (they saved his wife twice with breast cancer) went and looked at the proton beam setup they are using at Anderson, and he was appalled; he commented that they don't use a pod or anything to position you properly (of course maybe they are using x-rays to position you each time, but if so, again, why does that not *over radiate* you?). Cousin Bill mentions gold seed implanting. What is that? Did Dr. T mention anything like that? I notice the brochure mentions implants to help locate the prostate properly each time.
I gather you have not experienced any of the bleeding in stools, urine, etc., or other adverse side effects (other than the fatigue and loose bowels you mentioned) that are mentioned on some of the IMRT sites?
Any further comments would be greatly appreciated because the deal with Dr. T is basically my other option short of Loma Linda . . .
Cousin Bill: "Although Proton Beam may have slightly less side effects than IMRT with image guidence (gold seed Implantation), the long term results may be very similar." What is gold seed implementation? And what about
Dave's comment about
the implanted radioactive seeds; is there a similar problem with "marker" seeds?
Thank you very much people,
Post Edited (krt) : 3/8/2007 6:37:21 PM (GMT-7)