Post RT and HT - how do they know?

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I was PSA 49, Gleason 7, aggressive PC. I have had the 6 month HT injection and also on Arbiraterone for 2 years. I commence 20 sessions of RT on 27th. August.

My last PSA was 0.14.

Once I have had my RT, how can they tell if it has been successful if I continue on the HT? (Am I making sense?)