@virgil
Ask your oncologist about Decipher test. It uses the same biopsies (if qualify) to determine a more precise of your risk. This will help you and your oncologist a more precise options for treatments.

Example: My Gleason was 3+4=7 and intermediate risk. Oncologist recommendation was radiation and hormone treatment but wanted to do a Decipher test. It was done and came back low risk not intermediate risk. This changed my treatment recommendations (from two different medical facilities consultatsions) to just radiation.

I chose proton radiation low dose 30 rounds done at UFHPTI. I had mild side affects that slowly went away after treatments ended and I am back to normal 1.5 years from treatments.

Outcome. I was at 3.75 PSA when had treatments. Had gone up every 3 months for about 3 years from .75 to 3.75. My PSA is now .22 as of December 2024. My R/O goal was to have it below 1. So the outcome for me is positive results from the treatment. I have PSA done every 3 months and meet with R/O every six months. I see my PCP every 3 months.

Please consider the Decipher. It really changed me treatment options. Also if you have any doubt of your diagnosis or treatment get a second opinion.

I did not see you had the PSMA test done. I am not famiiar with the tests you mentioned using CT scans. The tests done on my at Mayo Jacksonville and UFHPTI were: MRI with contrast, Biopsies using MRI/Fusion, bone scan, Decipher, PSMA.