See the picture attached, click on it and bring it up - many focal therapy listed. I do think the criteria for "focal" needs to be things like can it be reached with those therapies, psma clear, volume since these focal therapies are limited in volume killing capabilities (not as much gleason which is for RP and Radiation) plus any other imaging not showing mets, perhaps more. But I do not think it should be thought out the same way as radiation oncologist and current RP urologist look at it. The inclusion criteria should be wide, now it is almost nothing.

Here is the webinar
https://ancan.org/webinar-is-focal-therapy-right-for-your-prostate-cancer/
I think the speaker is sometimes trying to apply standard urology criteria and in other places trying to open it up for more "inclusiveness" I will call it. I don't think the criteria should be the same old, same old.