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@robertov

No Decipher score as no cells taken during the biopsy. Urologist never mentioned it. I understand? that SBRT is suitable, but my RO thinks he can ‘cure’ me with IMRT.
My thinking now is that maybe it has less side effects than SBRT, which is, of course, my main concern now. I was also offered CT-guided Proton Therapy in 5 fractions. The IMRT RO thinks it is more gimmicky and the degree of rotation not as good as in IMRT. Struggling with those choices.

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Replies to "No Decipher score as no cells taken during the biopsy. Urologist never mentioned it. I understand?..."

A bit confused by ‘no cells taken during biopsy’ - isn’t that what a biopsy is? Pretty sure they can do genetic testing of some kind even on biopsy samples already taken, but check on that…
Radiation is weird and side effects really do vary. As a blanket statement, SBRT will cause more SE’s but they should resolve within a short time; but some men have zero SE’s…
As for the proton/photon comparison, perhaps someone on the board who has had treatment can answer that question. Sounds bogus to me - especially with the high degree of technology we have today - but I just don’t know. Best,
Phil