The Pros and Cons of Proton Therapy | Mark Scholz, MD | PCRI

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There are two different types of particles--photon and proton--that are commonly used delivered to deliver beam radiation therapy for prostate cancer to a patient. Photon is the most common of the two and is usually just called "IMRT," "SBRT," or some brand name. Proton therapy is more niche and expensive, but its proponents tout that since protons do not go past the tumor as with photon therapy, there is less radiation spillover, and hypothetically, fewer side effects. However, experiences in the clinical setting have shown that there is not a significant difference between the two forms of radiation and that the quality of the institution, the physicians, and the supporting staff may have more impact.

0:09 Is proton therapy a good treatment for prostate cancer?

1:52 How do the cure rates of proton therapy compare to the IMRT and SBRT radiation available using photons?

2:42 Can you use proton therapy to deliver focal radiation?

3:10 What are the side effects of proton therapy?

4:17 What should the PSA look like immediately after proton therapy and two years out?

5:30 Can you treat the seminal vesicles and lymph nodes with proton therapy?

6:04 For which stages of prostate cancer would proton therapy be appropriate?

6:38 Could proton therapy be used to treat oligometastatic disease?

7:04 Are balloons still inserted into the rectum during radiation?

8:26 Where can a person get proton therapy?

8:58 What factors should a patient consider when selecting a center for proton therapy or any other type of radiation?

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