Radiation Centers, Secondary Cancers, IMRT vs Brachytherapy | Ask a Prostate Expert, Mark Scholz, MD

Medical oncologist, Mark Scholz, MD, answers questions on radiation treatment for all stages of disease and radioligand therapy for advanced disease.

0:06 Should patients consider traveling to a center of excellence for radiation treatment, or are community hospitals adequate?

1:40 Is it possible to know how often radiation treatments cause a new cancer to form? Are there specific forms of radiation that are more or less prone to this?

3:24 What are Xofigo and Lutetium-177 (radioligand therapy)?

4:08 Is radioligand therapy an option for patients who have already received radiation for prostate cancer?

4:59 What is the most cost-effective form of radiation?

5:47 Is Medicare payment (to physicians) for brachytherapy going to change in the near future?

6:30 Are temporary seeds preferable to permanent seeds for disease that has spread immediately outside the gland if the patient is having combined beam therapy?

7:42 Is there a preferred form of radiation for salvage therapy after radical prostatectomy?

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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 [phone] with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

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[eddiegardner]

Dr Scholz is a treasure trove of prostate cancer knowledge.

[brucesam]

My question is about Cyberknife vs. SBRT. Also how accurate is the new Viewray linac Truebeam with RapidArc from UCLA? I'm newly diagnosed with immediate/Azure stage prostate cancer and I'd like to know which radiation for my treatment.

Interesting.
Recently completed combination therapy.
Hormone, IMRT X25, & LDR Brachy.
Of course every case is different.
Your videos are invaluable in making decisions.

[sdLFE]

Thoughts of using Proton Therapy for S3 IIb for treatment?

[MyCousinGrandpa]

Thank you for providing this info. Very helpful.

[bob]

thanks for the videos, very informative. Does IMRT have the same cure rate as surgery?

[snozcocram]

My radiation was administered with the aid of Kylipso implants and a space OAR to limit exposure to the rectum. I feel 90%+ normal 8 months after treatment.

[robertmonroe]

If there was.a profound reduction in secondary cancers associated with the most modern radiation therapy (v radiation therapy of 20 years ago) it would help in the decision making process. And we might see less radical prostatectomies.

Since that sort of long term beam radiation ‘side effect’ only manifests 10-15 years down the road I can see why evidence might be scarce.

[Hangfire]

Thanks for another great video, you guys are awesome!

[nanakwartengkwarteng]

Why don't you respond to my messages