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@heavyphil
I am going in for Early Salvage Radiation on the 23rd of August. My decipher score was 0.56. I had a RP 5 years ago and my psa has now gotten to .128. My RO is not recommending ADT! I also had an ArteraAI result of Low and it recommended that ADT was not recommended as there was little value in doing it? My concern is that .56 is pretty close to .6 whereas that is a high Decipher score and would probably recommend ADT? I have no other issues except that my tumor abutted up against the capsule but no EPE per the Path Report. Since .56 is pretty close to .6 is there a + or - or is the .56 a solid number and nothing to worry about? Thanks

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Replies to "@heavyphil I am going in for Early Salvage Radiation on the 23rd of August. My decipher..."

@jamie1957
Their certainly is a + or - to those numbers but who knows. The decipher number's were statistically obtained. There are people under and over, it’s not concrete. Its how comfortable you are.

@jamie1957 I only wish I could give you the correct answer! I guess it comes down to which genomic test is more reliable- Decipher or ArteraAI.
Many out there would say NO to ADT but pessimists like me might want it for 4-6 months, like just to squeeze out a few more percentage points in my favor.
Also, your surgical pathology, Gleason score and overall volume should probably be considered.
My margins were negative, even though I had a ‘tiny’ break in the capsule. But what is tiny to a few PCa cells?
Good luck with a tough decision.
Phil