Is an MRI necessary before radiation treatment

ron3637
ron3637 Member Posts: 14 Member
edited July 15 in Prostate Cancer #1

Thank you all for your responses. If I get treatment it will most likely be radiation. I have not had an MRI and my date to start radiation treatment to soon approaching. Prior to radiation treatment should I have had a MRI or is a MRI performed during treatment on the table so none is required before hand . Also, if there isa reoccurrence after radiation is ADT the only option. ADT really scares me. Thank you.

Comments

  • Clevelandguy
    Clevelandguy Member Posts: 1,180 Member
    #2

    Hi,

    What kind of radiation treatment are you going to have? I can’t see how they would do any type of external beam radiation without an MRI to guide the beam. ADT will weaken the cancer but not kill it, ADT is commonly used with other types of treatment. To answer your question most doctors will use ADT, but your correct, the side effects can be scary. But, everyone reacts to ADT differently.

    Dave 3+4

  • Marlon
    Marlon Member Posts: 111 Member
    #3

    Did you have a biopsy?

    MRIs are done in a special facility inside a metal tube, not on the table.

  • ron3637
    ron3637 Member Posts: 14 Member
    #4

    My is question is when is a the MRI is given for radiation treatment pre procedure or during the procedure,

  • Marlon
    Marlon Member Posts: 111 Member
    #5
    https://csn.cancer.org/discussion/comment/1716665#Comment_1716665

    I think most of us have an MRI prior to the biopsy. The MRI guides where the biopsy sample will be taken. Thats why I asked.

  • ron3637
    ron3637 Member Posts: 14 Member
    #6

    Talked with my radiation doctor and he said that a MRI would occur during our first staging meeting. Make sense? Also how likely is radiation a one and done procedure? Thanks for all your help.

  • Marlon
    Marlon Member Posts: 111 Member
    #7

    When I talked to the radiation oncologist their standard IMRT treatment would have been for 45 days - five days a week for a few minutes per day - in and out. There are other radiation procedures with other schedules. I did surgery instead.

  • Clevelandguy
    Clevelandguy Member Posts: 1,180 Member
    #8
    https://csn.cancer.org/discussion/comment/1716669#Comment_1716669

    Hi,

    External beam radiation is usually several treatments over days. Radioactive seed implants might be closer to a one and done. With external beam you might need a gel implanted between your Prostate and Rectum to protect the Rectum from radiation damage. Your doctor should be telling you whats in the immediate future. Do you know what kind of treatment you are having? You need to know!!! There are several types of external beam plus radioactive seed implants.

    Dave 3+4

  • ron3637
    ron3637 Member Posts: 14 Member
    #9

    External beam 5 treatments no seeds.

  • Josephg
    Josephg Member Posts: 455 Member
    #10

    The type of radiation (IMRT, SBRT, Seeds, etc.) recommended for treatment depends entirely upon your specific PCa situation. Where the PCa is located, how much PCa exists, its aggressiveness, has it escaped the prostate, etc., are all factors that must be considered in the evaluation and subsequent recommendation for a specific type of radiation treatment.

  • Clevelandguy
    Clevelandguy Member Posts: 1,180 Member
    #11
    https://csn.cancer.org/discussion/comment/1716672#Comment_1716672

    👍

    Dave 3+4

  • Old Salt
    Old Salt Member Posts: 1,505 Member
    #12

    Ron,

    It looks like you are considering Stereotactic Body Radiation Therapy (SBRT). I had this some ten years ago and I did have an MRI PRIOR TO radiation. I don't know what the current practice is.

    There is an instrument that will do 'live' MRI during SBRT (aka MRI-guided SBRT), but the instrument maker went out of business recently. Such an instrument may still be functioning somewhere though.

    Can you be specific where your proposed treatment will take place?

  • ron3637
    ron3637 Member Posts: 14 Member
    #13

    John Hopkins in Washington DC.

  • Old Salt
    Old Salt Member Posts: 1,505 Member
    #14

    Sibley? I didn't know they had an SBRT facility.

    By far the best know SBRT radiation oncology group in the Washington area is at Georgetown (Medstar) hospital.

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