Hi all,

After waiting 2 WEEKS, the results of the 4KScore are in with expected, not-so-good results. I'm right in the middle of the HIGH RISK scale with a 63% chance of aggressive prostate cancer (or a 37% it's not that if I want to be more hopeful).

Here's the link if you want to learn more about this test: http://4kscore.com/

What I found lacking in the results: you don't get any details on PSA, freePSA, or the other 2 biomarkers. It's just a composite of a number of variables taken into consideration (filled out by your urologist--such as DRE results, family history, previous bx results, etc.). Since they use this data for the final score, why on earth would they not include those details on the report? I called the company and they had no explanation other than to say, if the doctor calls to request this info, they MIGHT provide it. That seems shady to me. I paid $400 for this test; why does my doctor have to request details? Is he paying for it? It didn't really tell me much more than what I already knew from just looking at freePSA which is at 6.1% indicating a greater than 56% chance of prostate cancer. So what information was gained from this $400 test? Nothing in my opinion. The actual data comprising the composite score, had it been made available, may have made it worthwhile. By the way, if you bill to insurance instead of self-pay, the cost is $1400. If your insurance doesn't pay, you're stuck with a $1400 bill. So get pre-determination from your insurance first or just self-pay the $400.

On a more positive note, my doctor agreed that a mpMRI will provide for a more guided biopsy and so we're working on that now. The unnerving part for me is the wait: a week or so for insurance to approve pre-determination, then a week or so to get scheduled for the MRI and likely another week or two for radiologist reading and 2nd opinion. (I hope to get 2nd opinion from John Hopkins--which will also take time.)

Meanwhile, is all this time contributing to PCa growth beyond the prostate capsule? That's mostly my imagination playing torturous "what-if" games. My reasoning is it's more efficient to do a guided biopsy than a blind biopsy and risk the cancer being missed and wasting more time.

Curious that my PCA-3 test showed low probability of bx returning positive results conflicting with this 4KScore showing high probability of PCa. MRI and bx should put an end to all the speculation.

In my AS program they have been using the PHI test, after evaluating the others. I think that the cost is a third of the 4K test, and they provide the psa and fpsa results, but some other doctors are using 4K. .