@alanrittel
I had gleason 3+4 with 10.2 psa, 25% of one and 10% of another. Only 1 of the 5 radiation oncologists I spoke with recommended active surveillance as a possibility. All were either at centers of excellence or trained at one. I completed 5 SBRT treatments on February 15,2023 with the Mridian radiation machine which has a built in MRI, so less healthy tissue was exposed and hence fewer side effects. No fused images. What they can see in real time, they could treat. I also had a Decipher, with low risk results and a MyRisk genetic test.
No doctor will be able to predict how quickly something will grow, in 3 months, 6 months or whatever. Although the five doctors advice were carefully listened to, and as I said one dr suggested AS, I wanted it taken care of with treatment as I was not willing to go down that road of possible progression as I felt the risk, if my bodies cancer moved more quickly, was not worth it for me, so I chose treatment and specifically, the MRI based radiation machine. I looked at all options and machine types in the marketplace.