--- title: "Prostate Cancer Adaptive Radiotherapy Workflow | 5D Cancer Services" description: "Step-by-step workflow for prostate cancer adaptive radiation therapy at 5D Cancer Services in St. George, Utah: consultation, simulation, fiducials, daily imaging on the Akesis Gemini 360, and follow-up." canonical: https://www.5dcancerservices.com/treatments/prostate-adaptive-workflow route: /treatments/prostate-adaptive-workflow type: page lastUpdated: 2026-07-29 keywords: ["adaptive radiotherapy", "Akesis Gemini 360", "5D Cancer Services", "St. George Utah", "radiation oncology", "prostate cancer", "prostate SBRT", "adaptive prostate radiation", "5-fraction prostate", "fiducials"] --- # Prostate Cancer Adaptive Radiotherapy Workflow | 5D Cancer Services > Step-by-step workflow for prostate cancer adaptive radiation therapy at 5D Cancer Services in St. George, Utah: consultation, simulation, fiducials, daily imaging on the Akesis Gemini 360, and follow-up. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - Prostate Adaptive WorkflowTreatment Workflow # Prostate Cancer Adaptive Radiotherapy Workflow Prostate radiation is one of the strongest applications of adaptive radiotherapy. Daily bladder and rectal filling change the position of the prostate by several millimeters — exactly the kind of variation the Akesis Gemini 360 corrects for at every visit. Quick summaryAt 5D Cancer Services, prostate cancer patients typically complete adaptive SBRT in 5 sessions over about 2 weeks. The workflow starts with consultation and staging review, followed by fiducial placement and CT/MRI simulation. On treatment days the Gemini 360 acquires daily imaging, the team re-contours the prostate and nearby organs, and the plan is re-optimized before each beam-on. - Typical course: 5 SBRT sessions over ~2 weeks - Most patients are candidates for adaptive workflows regardless of risk group - Daily plan adaptation accounts for bladder/rectal filling shifts - Fiducial markers and/or hydrogel spacer may be recommended - PSA follow-up at 3, 6, 12 months, then every 6–12 months - Available in St. George, UT — the only Akesis Gemini 360 in UtahLast reviewed: 2026-05-12 ## Why adaptive radiation matters for the prostate The prostate sits between the bladder and the rectum and shifts position based on how full each one is on a given day. Conventional radiation accounts for this by adding margin around the prostate, which means more radiation reaches the bladder and rectum than is strictly needed. Adaptive radiotherapy on the Gemini 360 sees the prostate, bladder, and rectum on each visit and re-optimizes the plan accordingly. The high dose still lands on the prostate, but the dose to surrounding organs is consistently minimized. ## What patients can expect Most prostate patients complete the entire course in 5 visits over about 2 weeks. Each appointment takes 30–45 minutes. Typical preparation is a comfortably full bladder and an empty rectum; the team will give you a simple drink and bowel-prep schedule. Common short-term side effects include mild urinary urgency, fatigue, and occasional rectal irritation. These usually peak within a couple of weeks of finishing treatment and then improve. Long-term side effects are uncommon when adaptive techniques and a hydrogel spacer are used. ## Insurance and referrals Adaptive SBRT for prostate cancer is covered by Medicare and most commercial insurance plans. Our team will obtain prior authorization before treatment begins and will work directly with your urologist or medical oncologist to coordinate care. ## Learn More [### SBRT 5-session high-dose adaptive body radiation. Learn more](/treatments/sbrt) [### Prostate cancer Condition overview and treatment options. Learn more](/conditions/prostate-cancer) [### Insurance and cost How coverage and out-of-pocket cost work. Learn more](/patient-journey/insurance-and-cost) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Your radiation oncologist will recommend these based on your anatomy and risk group." } }, { "@type": "Question", "name": "Is prostate adaptive radiation covered by insurance?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Adaptive prostate SBRT is covered by Medicare and most commercial plans. Our billing team will obtain prior authorization before treatment begins." } } ] } ] ```