Radiation Treatment in Virginia (2 | Dupuytren | Forum for Dupuytren's contracture

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Radiation Treatment in Virginia
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04.09.09 19:30
CMurzda 
04.09.09 19:30
CMurzda 
Re: Radiation Treatment in Virginia

I believe it was 5 X 3 Gy per day per 7 days. There are two different options, the 7 day treatment or the 5 x 3 gy for 5 days then return in a couple of months for the second round of the same. Dr. Weiss said that she has consulted with Dr Seggenschmit (sorry if spelled wrong) who ensured her that the results would be the same with the same levels of safety. Dr. Weiss therefore prefers to so the 7 day treatment so that her patients are not inconvienenced.

They did an MRI on my left hand which I had done first (At the time I had no nodules on my right). I came back a few months later to treat the new nodules on my right hand and used the samed depth from the MRI of the left hand to set the beam.

Chris

05.09.09 00:38
LubaM 
05.09.09 00:38
LubaM 
Re: Radiation Treatment in Virginia

Isn't it amazing how the protocol for radiation varies depending on the doctor? Dr. Tripuraneni at Scripps is going to treat one of my hands in November, and do 5x3gys two weeks in a row, for a total of 30 gys.... would it make a difference as to how many gys they do according to the extent/severity of your case? If I remember correctly I even think someone posted a treatment with Dr. T. with a different protocol than mine. Any comments?

05.09.09 05:38
flojo 
05.09.09 05:38
flojo 
Re: Radiation Treatment in Virginia

Hmmmm. Yes, my protocol with Dr. T was 1.8x5days for 2 weeks in a row and it appears to have been very effective. I believe he had talked with Diane about the same protocol as I had. I am surprised at the different protocol suggested.
Flora

06.09.09 22:10
newman 
06.09.09 22:10
newman 

Re: Radiation Treatment in Virginia

Hi,Aussie calling, I would like to mention the different protocols and dose rates for radiotherapy used to treat Dupuytrens. In most larger hospitals the use of Ortovoltage machines have been replaced by linear accelerators ,which are used for the treatment of cancer. Both do the same job however, the Ortovoltage machine delivers a softer ray ,which tends not cause any rash to the skin after treatment. This machine is used in the Krupp Hospital Essen - Germany . The total dose received is the important factor. A major question is :- What is the minimum dose which works ? Professor Seigenschmiedt Essen was running two protocols -total dose 21GY and 30 Gy.He has been recording and evaluating the results now for some years. Another protocol used in Germany is 2 daily treatments of 4Gy which is repeated at 2monthly intervals. Total of 4 sessions -Total 32 GY. In my case one of my hands received 15 Gy which stopped the progression. Flojo mentions she received 18 Gy. which would enable her to have an additional RT if needed. Finally radiotherapy works best in the early stages on the nodules before contraction. Regards.

Edited 09/06/09 22:14

22.09.09 23:03
TomVirginia 
22.09.09 23:03
TomVirginia 
Re: Radiation Treatment in Virginia

I had an initial consultation with Dr. Weiss early today followed by a CT scan. A few hours later I received my first treatment. No clue about the dose, I am opting for the seven business day regiment over the five plus five day treatment with time off between. I am VERY impressed with the staff and process. Valet parking too - sweet!

04.11.09 21:17
pine 
04.11.09 21:17
pine 
Re: Radiation Treatment in Virginia

I am in the middle of radiation therapy with Dr. Weiss, and am getting two 5-day series of radiation treatments roughly 6 weeks apart, going for my second set in a couple of weeks. They did perform a CT scan prior to the first treatment. I have to say that the service at VCU was exceptional, as was Dr Weiss. Valet parking, and almost zero waiting time for appointments.

15.11.09 02:09
ET160 
15.11.09 02:09
ET160 
Re: Radiation Treatment in Virginia

I've made an appointment, and I will start my treatment at VCU in about a month. I wonder...does having radiation therapy preclude enzyme therapy later on on nodules?

15.11.09 03:16
LubaM. 
15.11.09 03:16
LubaM. 
Re: Radiation Treatment in Virginia

what is enzyme therapy on nodules????

15.11.09 04:08
newman 
15.11.09 04:08
newman 

Re: Radiation Treatment in Virginia

Quote:



I had an initial consultation with Dr. Weiss early today followed by a CT scan. A few hours later I received my first treatment. No clue about the dose, I am opting for the seven business day regiment over the five plus five day treatment with time off between. I am VERY impressed with the staff and process. Valet parking too - sweet!



Hi Australia calling.Ask the oncologist/radiologist what dose you are receiving. In Germany I asked for and received a copy of the digital photos/notes, which showed exactly the area eradiated. You may never need them, but if you require further treatment you have the record.

Edited 11/15/09 04:09

17.11.09 23:11
ET160 
17.11.09 23:11
ET160 
Re: Radiation Treatment in Virginia

Quote:

what is enzyme therapy on nodules????

----------------

I'm referring to the Xiaflex, collagenase treatment.

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