@chipe If you decide to do radiation and a real time built in mri machine is available (Mridian, Elekta...) you might want to consider that. If 5 hypo fractional treatments are available, maybe that can apply to you. How much healthy tissue is exposed to radiation, matters.

With the PSA being about 57% accurate, you may want to consider the PSE blood test which raises accuracy to 94%. They do the test for new and biological re-occurrence. You can email the VP of clinical diagnostics at oxford biodynamics. They make the test and he welcomes questions: joe.abdo@oxfordbiodynamics.com.