Posted 4/9/2015 10:19 AM (GMT -7)
HT has never been shown to be of benefit for a GS 3+4. Based on what evidence would he allow that?
Even with higher grades, it has never been shown to be of benefit with SBRT or HDR brachy. Even with LDR brachy, I suspect the benefit is more from prostate shrinkage. You didn't mention what kind of radiation he proposes. All of the types of radiation I mentioned outperform IMRT or IMPT, but don't make as much money for ROs. But even with those types, there's no evidence of benefit with a GS 3+4.