Would you recommend completing prostate SBRT without fiducials?

Does CBCT suffice for prostate SBRT?

Answer from: Radiation Oncologist at Community Practice

In the era of 3D imaging with CBCT, I don’t see we need fiducial marker routinely.

Comments

Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center
I agree with @Sushil Beriwal. Although fiducials ...

Radiation Oncologist at UPMC Hillman Cancer Center
I agree with @Daniel E. Spratt. SpaceOAR Vue (visi...

Radiation Oncologist at Beth Israel Deaconess Medical Center/Harvard Medical School
I partially agree. I often place fiducials when I ...

Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
I'm going to take a courageous stance and disagree...

Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center
That is very reasonable Drew. I think comfor...

Answer from: Radiation Oncologist at Academic Institution

I prefer to have fiducial markers for prostate SBRT since it enables intrafraction motion monitoring with triggered KVs (we don't have an MR linac). We are using 22G needles to implant three intraprostatic fiducial markers on the same day of the sim with a very low rate of significant pain, bleeding...

Comments

Radiation Oncologist at Mallory Radiotherapy, PLLC
I have also been impressed with the triggered imag...

Radiation Oncologist at University of Chicago
Good question! We used to do the same (waiting 1 w...

Radiation Oncologist at Rush Medical College of Rush University
I routinely have fiduciary markers placed for all ...

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Would you recommend completing prostate SBRT without fiducials?

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