Hi Ashley. My radiation was delivered on a Tomotherapy machine. I can't compare it to any other IMRT alternative because, well, you are only given one. Here at the University of Wisconsin Carbone Comprehensive Cancer Center it seems to be the treatment of choice. I say that because there was no discussion of alternatives for my radiation treatments; hence *I* had no choice. grin

As far as I can tell by reading others' posts here, my side effects were comparable to most of what I've read here. I think there is a lot of variability in how rads hit folks though, and that variability probably eclipses any noticeable difference. It was pretty rough for me, but I have come 6 months since treatments ended and have been clear since then.

This probably isn't a ton of help. But Tomotherapy was developed with the goal of more precise targeting and less incidental tissue damage. In my case I'm happy with the results.

Peter, age 62 at Dx
3/27/15 Dx T2N2aM0 Tonsilar P16+ G3 SCC
4/6/15 Full PET clear except for above
4/24/15 TOLM tonsillectomy/clear margins. Neck dissection 20 nodes (1 w/cancer & extracapsular extension)
5/28/15 PEG in
5/27 - 7/10/15 Daily Radiation to 66 units cumulative; Cisplatin weekly X 7
8/24/15 PEG out
9/24/15 Full body PET - N.E.D.
12/22/15 CT and physical exam. Continued clear.
3/11/16 Physical exam. Continued clear.
7/12/16 One year post-treatment! CT clear.
7/7/17 2 years post - still clear