We experienced the same with our team - the radiologist spoke with the oncologist an then with me. My husband is Gleason 9, 81 years old an a Decipher of .99 (the highest score). The plan of treatment was radiation (12 weeks) followed by 2 years of Aberaterone (1000 mg a day) with 5 mg prednisone, an Lupron every 3 months. My husband outlook is not good. The idea was to keep the hormones at bay an the cancer growth could be controlled. He looks horrible and feels horrible. We have our next appt. In 5 weeks. We shall see. So to answer your question - the Decipher predicts what your outlook is from your biopsy. This is one before you begin treatment.