Comment by theglocksaint

18 hours ago

Proton therapy offers incremental, if any advantage, over standard IMRT for non-pediatric cases. In the case of the prostate, recent evidence shows no benefit at all. It suffers from near hyperbolic marketing from debt-ridden therapy centers pushing dubious claims that are now being exposed by high quality phase III comparison trials.

HIFU for prostate also is a ripe area for grifters as it is advertised and marketed towards low risk cases that would probably benefit from active surveillance.

> HIFU for prostate also is a ripe area for grifters as it is advertised and marketed towards low risk cases that would probably benefit from active surveillance.

Unfortunately, I have extensive first hand experience with practices that do this, and you are 100% correct.

The grift is very insidious. If you scan people over a certain age with prostate MRI, you will find suspicious lesions in a large percentage. And using fusion MRI/US guided biopsies, you will inevitable get cancer cells in the sample.

Many (most?) of these people being treated will die WITH prostate cancer, not FROM prostate cancer.