That was a good discussion. PSA doubling time seems to be the most important factor when deciding if treatment is appropriate with ADT or doublet therapy.
Interestingly, SBRT to positive lesions doesn’t show any survival benefit; Dr Kwon says that salvage radiation shows no benefit, and SBRT is all you need….so maybe they’re both right or both wrong and BCR will one day be measured by a PSA doubling time of 6 months?? And the actual number value will be irrelevant?? 😳