@keithl56
I had 3+4 with a psa of 10.2. I had no adt, did my research, got 6 opinions from doctors trained at, or currently at centers of excellence. Diagnosed in September of 2022. Treated, with spaceoar, in January of 2023. I eliminated removal as a choice, per the side effects possibilities and narrowed my choice down to proton or the MRIdian radiation machine. The Mridian and the Elekta Unity are the only two machines that have a built in MRI. John Hopkins has the Elekta Unity. The built in MRI means that the margins used are 3 mm, instead of 5+ mm for other radiation machines. The smaller the margins, the less healthy tissue exposure and the less side effects. I had 5 treatments. What they can see, in real time, they can treat.