I worry about patients on chronic immunosuppressive therapies and the potential for them to have a more aggressive natural history of their disease than one might otherwise anticipate if their immune system were normal. Thus, I would do everything possible to try to design a treatment plan that deli...

It's difficult to avoid the transplanted ureter's anastomotic site with a great degree of certainty, due to daily variations in bladder filling, but if you can reliably identify it on a day-to-day basis, i would try to keep the dose less than 55-60 Gy. We know that there is a slight increase in the ...

You may want to consider a PSMA PET/CT or Fluciclovine PET/CT if the PSA is >=0.2   at 0.2-0.5 about 30% of scans are positive, at 0.5 and up ~ 50% or more.  If you had a target it may guide field design.  I would also be curious about life expectancy of this patient, PSA doub...