Everyone is different. There is no set answer we can give you as to whether or not that will be all you ever need for treatment. It is becoming more common to have a few SBRT sessions along with IMRT. The SBRT sessions concentrate on the prostate while IMRT Sessions Focus on the prostate bed.

My brother with a 4+3 had only five sessions of SBRT. No need to do the whole prostate bed since his cancer had not spread. He was 76 when this was done.

I am really puzzled by your comments about your PSA. You say it’s always been .6, Are you sure about that? If it’s that low, then you may need an FDG scan because you may not be producing PSMA either.

A CT scan cannot find all of the cancer in somebody’s body. A PSMA pet scan is a much better choice since it can actually see metastasis, which a CT scan cannot see. Can you get a PSMA pet scan Before doing radiation. That may not be enough, however, if you don’t produce PSMA either than you need an FDG scan.

Some more things to think about.

David,
I'm arriving a bit late to this thread and may have missed what's already covered. I found my diagnosis to be hopelessly vague, despite half a dozen second opinions.. 71 Year old man with NCCN unfavorable intermediate risk prostate adenocarcinoma -- T1c (T3a based on MRI) M0N0 ISUP Group Grade 3 (Gleason score 4+3; 4/14 systematic cores); initial PSA of 4.08 ng/mL; Decipher 0.57 intermediate.

After a great deal of discussion and research, I completed tri-modal: Orgovyx/4 months; 2x Cyberknife boost; 23x IMRT and now, thankfully, am in "remission".

When I first questioned the diagnosis and ADT in particular, I was told that I had 'risk factors' that 'may make me high risk'...OR not. That led me to complete a PET SCAN and Decipher Grid, which you may have done already, but, are great since they are easy and non-invasive.

I completed treatments in Jan. of this year and, again thankfully, have very few side effects. However, my T has not returned to normal, it's about 50% of previous, and that has associated: belly fat, slightly less strength, moderate ED. Given the information that was available to me, I'd make the same choice, but, would have certainly preferred to have enough valid data to avoid ADT.