Now that Meridian went bankrupt, there no support for this machine and the FDA canceled this treatment. Are you guys using the new Electra MRI Linac guided SBRT?
In SBRT cases, where the post treatment trend of PSA tests suggests that the treatment has NOT been successful, is there a routine, so to speak, protocol for how most Rad Oncs proceed to deal with such cases from that point forward?
Excellent, as in the stand alone lecture I saw of Dr Kishan on SBRT. I particularly liked the extra detail about the procedural requirements for MR Linac such as claustrophobia and urgency over a relatively long time period, though it is difficult to know what is tolerable until one is actually in that situation. However it is a corrective to all the benefits touted for the new Linac to see the downsides that might be lost in the noise to inform each person's decision.
Generally speaking, what kind of PSA reduction do you typically expect from SBRT 3 months post treatment, as an early indicator that the treatment has or hasnt worked? i am assuming no hormone therapy was involved.
Physicians need to be up front regarding financial disclosures and potential conflicts. These are not stated in the video. Admittedly, I may have missed them. Dr Kishan has received compensation from the manufacturer of the MRI machine used in the study. I am not disparaging Dr Kishan's skills or expertise. Yet it is well known that financial payments can introduce bias into medical studies.
Thanks for your comment. Of course, everyone should be "up front" about disclosures. As you see, this is a patient focused presentation in the most informal of manner, as if you are sitting in the doctor's office and having a conversation.
He did so in the MIRAGE study/trial conducted at UCLA (a Harvard MD, summa cum laude); for those who may have an interest in the machinery and options thereoff : www.ncbi.nlm.nih.gov/pmc/articles/PMC9409689/ @@backbonz
