@jcultra my 10.2 psa, with 3+4 Gleason, suggested using adt but the radiation oncologist I used suggested not to use it. Out of five RO’s, one suggested it. I ended up with a narrow margin linac radiation machine with a built in MRI (MRIdian). No fused images so what you see in real time is what gets treated. The 2 mm margins were lees than all other radiation types and machines vs 3-5 mm for most other radiation machines. This meant minimal exposure of healthy tissue so side effects were slight restriction of urine flow but no rectal bleeding. I had 5 hypo-fractional treatments.