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@brianjarvis Since the report is from 2020, I wonder if the use of different radiation therapies - SBRT was less available in 2020 - would have affected the result. My oncologist and RO both strongly urged beginning ADT well before radiation treatment. The idea of weakening or shrinking the pc prior to the radiation was convincing to me.

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Replies to "@brianjarvis Since the report is from 2020, I wonder if the use of different radiation therapies..."

@cadaddy Perhaps. When I was researching treatments during 2018-2020, SBRT (both Cyberknife and TruBeam) was part of that research. (I eventually chose proton radiation in 2021.)

Most long-term studies that are out there are from data collected 10, 15, 20 years ago. For example, this paper that was published just this year comparing SBRT vs brachytherapy (https://pubmed.ncbi.nlm.nih.gov/41739470/), is from data collected during 2010-2018.

I always asked my doctors to show me the study/data showing that this treatment was preferable to that, or was it just their experience/opinion,