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Prostate Cancer Radiation Therapy Treatment Plan Checklist

Prostate Cancer Radiation Therapy Treatment Plan Checklist 2025

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The document is a checklist provided by NIA Magellan for gathering clinical and treatment plan information necessary for requesting a medical necessity review for prostate cancer radiation therapy. It includes sections for patient information, clinical details, treatment planning, and specific therapy techniques, ensuring all relevant data is collected efficiently.

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Click ‘Get Form’ to open the Prostate Cancer Radiation Therapy Treatment Plan Checklist in our editor.
Begin by filling out the 'General Information' section. Enter the patient's name, date of birth, health plan ID, and details about the radiation oncologist and treatment facility.
In the 'Patient Clinical Information' section, specify the treatment intent and T stage. Provide PSA levels and biopsy details as required.
Proceed to 'Treatment Planning Information'. Here, indicate the prescription radiation dose and select the therapy type for each treatment phase. Fill in any additional details regarding simulation techniques.
Complete any applicable sections under 'Boost Phase' and 'Special Services', ensuring all necessary information is provided for a comprehensive review.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How are radiation treatments scheduled?

Most people get external radiation therapy over many weeks. Usually, they visit the treatment center every weekday (Monday through Friday) for a certain number of weeks. But some people might get radiation on a different schedule, such as twice a day for a fewer number of weeks.

What is the schedule for radiation for prostate cancer?

Knowing the duration and frequency of treatment sessions will help you plan your schedule and make necessary arrangements. Radiation treatments are usually delivered every day, Monday through Friday for 4-8 weeks. Each daily treatment will only take about 20 minutes.

How many radiation treatments do you need for prostate cancer?

A course of conventionally fractionated radiotherapy for curative treatment of prostate cancer typically involves 35 to 45 fractions total, which takes about eight to nine weeks to complete. Hypofractionation refers to radiation therapy delivered with a higher dose per fraction over a shorter time.

How many sessions of radiation therapy for prostate cancer?

A course of conventionally fractionated radiotherapy for curative treatment of prostate cancer typically involves 35 to 45 fractions total, which takes about eight to nine weeks to complete.

What is the schedule for prostate radiation?

Radiation treatments are usually delivered every day, Monday through Friday for 4-8 weeks. Each daily treatment will only take about 20 minutes. In addition, once a week, you will meet with your physician to review your progress and address any side effects or concerns you have.

What is the new radiation treatment for prostate cancer?

Pluvicto (lutetium Lu 177 vipivotide tetraxetan) is a targeted prostate cancer treatment. This radioactive medicine is a new option for someone with prostate cancer that has spread to other areas of the body. Pluvicto isnt a cure for cancer. But it can help some men live longer and slow the growth of their tumors.

Can I drive myself home after prostate radiation?

Will I be able to drive after my radiotherapy treatment? Almost all patients are able to drive while receiving radiotherapy treatment. However, with some types of cancer, driving may NOT be recommended due to fatigue or strong pain medication. Your physician will be able to address your specific case.