IMRT vs SBRT vs Protons vs Brachytherapy | Ask a Prostate Expert, Mark Scholz, MD
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- Опубликовано: 27 июл 2024
- Alex asks medical oncologist, Mark Scholz, about the differences between all the different forms of radiation.
0:06 How do the side effects of brachytherapy and beam radiation compare?
1:30 How do IMRT, SBRT, and PBRT (proton beam radiation therapy) compare?
3:37 Why does PBRT not have superior outcomes compared to IMRT and SBRT?
4:59 Is there a preferred form of beam radiation for treating the lymph nodes or oligometastatic disease in the bones?
7:05 Why would a patient want IMRT over SBRT considering the convenience of SBRT?
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The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's RUclips channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
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This video series is pure gold. Most doctors I have seen have at most 15 minutes of time to explain things and I will always have after thought questions. This video series answers questions I haven't even thought of and helps me make the decision I feel is right for me,
Thank you so much for spending the time and energy to create and circulate these videos.
This is excellent. I have been going round in circles about whether to do SBRT at a top hospital in Paris, giving real headaches to my radiologist by bringing up the possible of advantages of proton therapy back in the U.S instead. And he keeps telling me, look, the studies show no significant difference in the long term side effects, while acknowledging that the higher doses of radiation in SBRT can lead to moderate short term impact on urination and the rectum for up to a month or so. So, assuming this Dr. here knows what he is talking about, it is reassuring to me that he seems to be confirming what my doctor in Paris keeps telling me. I am scheduled to get this done over a two week period in late November. Here in Paris they do four sessions, two each week. And I am looking forward to getting this monkey off my back, praying that I will be one of the two out of three patients who do NOT suffer from ED afterwards.
Another excellent presentation. Kudos to both of you.
Great questions, wise answers.Thank you both.
Min 5:30 to 6 did it for me. SBRT it is. Thank you so very much for these videos. My doctor means well but his time is limited and I only end up remembering half of what he says.
51 years old at diagnosis
GG2 intermediate risk 3+4, Decipher .37,
Treated with HDR Brachytherapy in St. Louis at Sitemans
Two treatments of 13.5 gy over two days
PSA went from 3.8, 1.1, .6, .8. I have another PSA test
coming up soon at the 16 month mark. Little side effects, urethra felt scratchy but went away after 6-8 months. Sexual function is normal however amount of discharge is diminished by about 85 percent. I gave a lot of thought into this and am glad I chose to go with HDR.
God bless. Hope this helps.
Please be sure to stay fit, cardio and weight train.
Glad you had a good result. Can you provide the name of the physician at Siteman that did your brachytherapy. I'm scheduled to see Dr. Michalski in May. I had surgery scheduled but changed my mind and want to get a consult on all other options before I make a decision. Thanks.
@@olddude1800 Dr Hiram Gay
Recently diagnosed with prostate cancer after a biopsy. Researching available treatments for Gleason 8. Pending bone scans and CT scans before making decision. Great informative videos help ease the anxiety I’m beginning to experience. Thank you👍🏽
Great video as usual. One year ago I choose SBRT for my prostate cancer over surgery, partially based on your video. Doing well so far, thank you
Joel...how did you find an SBRT facility you felt confident in using? Im near Atlanta.thanks.
@@whocares0316 I researched like a madman. Sloan Kettering just seemed far ahead of others in terms of technology( ie they were using MRIs for simulations where others were using Cat scans
Thank you for your efforts to give us information
Your always-informative, thoughtful videos educate me every time. Thanks to both of you and your colleagues/crew.
Very informative. Thank you.
Another informative video, glad your back after the holidays!👍🙏
Great videos
Doesn't use of MRI - Linac with beam adjustment 6 times per second offering the ability to compensate for movement of the prostate during treatment offer a potential advantage of CT guided approach that uses fiducials and a single determination of the treatment field?
How do i find a treatment facility which specializes in SBRT in my home area near Atlanta? Do i need to go to a Cancer Center of Excellence for that reason? Thank you
If all the options are the same how do you choose?
Well, this is a very timely video for me personally. Probably for a LOT of people. Thank you! Question: Does LOCATION of tumor within the prostate affect recommendation for treatment (radiation vs surgery), and potential side effects? I realize that either radiation or surgery would treat the ENTIRE prostate, but suppose for example the tumor is at the apex of the urethra --- could this not increase the likelihood of long term incontinence with either treatment? Would this alter the recommended treatment?
That is a very good question since the apex is a common site for PC. I would wildly guess radiation would have less of a negative impact in this regard.
Whoa! 1 in 3 patients will have untreatable ED?? That's way higher than what my radiologist seemed to imply, that most of his patients are on Ed meds which implies it's not the untreatable kind
Sir what is vmat rapidarc and CIRT image guide? and how do you compare this with IMRT or SBRT?
Do you know who the top Urologist is in Westchester,New York. My urologist is retiring
What about nano knife ?
What about IGRT therapy
Why don’t they talk about HIFU? One treatment and done, i’m 6 years cancer free, and still have my prostate. Doctors sell what they do. Not necessarily what’s best for you.
We have a few videos on HI-FU as well as the image guided HI-FU procedure known as TULSA-PRO:
"FREE WEBINAR | TULSA PRO and ACTIVE SURVEILLANCE | Laurence Klotz, MD & Mark Moyad, MD, MPH"
ruclips.net/video/ViAJTw4J3z8/видео.html
"Tulsa Pro for Prostate Cancer | Laurence Klotz, MD, 2020 Prostate Cancer PCRI Conference"
ruclips.net/video/8XovfqV2RRk/видео.html
"HIFU and Prostate Cancer: What You Need to Know"
ruclips.net/video/w1CU4WdZOLA/видео.html
"HIFU is FDA Approved, but Should You Get It? We ask Prostate Expert, Mark Scholz, MD"
ruclips.net/video/sIeU3z2gUBE/видео.html
"Focal Therapy for Prostate Cancer | Prostate Cancer Staging Guide"
ruclips.net/video/Sd_AO_V4m9w/видео.html
What s about HiFU
@@urzsulaz2604 HIFU High Intensity Focused Ultrasound, not radiation. No chance of it causing a secondary cancer. And it has gotten so much better they can treat just the cancer without causing all the usual side effects. Definitely investigate it, and remember doctors tend to steer people toward what they know, don’t be afraid to get multiple opinions. I hear the insurance companies like HIFU because it costs a fraction of the other treatments.
@@paulsdrc Thanks for responding in detail. I hadn't really heard about this treatment modality. I will search to find out more. 💕🙏🏻
Do researchers and doctors study the causes and triggers of prostate cancer? Do you know something about?