My Information is:
Clear bone scan and MRI
Decipher reports high intermediate risk
F-18 PSMA PET scan scheduled in 1 week
Most likely will do Proton Therapy and have visited 2 centers, met with 3 radiologists and urology oncologist
Have read the Walsh and Scholz books, 2 proton therapy books, read numerous articles and watched a lot of you tube videos. Quality of life is most important with length a close second.
One radiologist says 2 month pre radiation adt therapy and 4 months during and after. Another says ADT would be only marginally beneficial considering age and short term and long term metabolic issues with ADT. ( My Dad died from Alzheimer's at age 76 and his sister and brother had it also) He also said an approach might be to complete radiation treatments and try oral adt or shorter term injection to see how tolerated. Term could be 4 months or less to limit metabolic damage. Some studies have determined pre treatment ADT not beneficial and not necessary to shrink prostate to radiate it. Has anyone used an approach similar to this with either photon or proton radiation?