Is there a better blood test than PSA ?

I see on Google search a few "new" Pc blood tests...so is there a "better" more accurate blood test or is the PSA always the first one they use.
It would seem if one of these "new" tests are more accurate why not just go straight to that ?
Any info is appreciated...just trying to see if I should have something other than a PSA on my yearly check up
Thank You

well ive read here and elsewhere that PSA is not a reliable predictor of Pc and that Free PSA or some other tests are far more accurate...true ?
another was something like ISOPSA ?

Post Edited (cvc) : 2/6/2020 8:01:58 PM (GMT-7)

Yup that was one,,,I didn't realize it was only reliable at PSA of 4 or more

Cvc, all PSA testing is measuring prostatic tissue expression. It is not specific to PCa and can’t be. PCa does express PSA, often at a higher rate than benign prostatic tissue. This rises in PSA can be indicative of PCa, but also indicative of other conditions like BPH and aging.

Should you have additional tests? What does your doc say? You have been here a while but your signature doesn’t show your history and I don’t remember your specifics. Please remind us, have you been treated for PCa? If so, the regular PSA test is the best as if it goes up after initial treatment it is most always because of growing PCa. The other tests like PHI would not be relevant.

While cvc wasn't asking about a blood test that offers a certain diagnosis of prostate cancer, as has been noted, in instances of relatively higher PSA, a PHI will be more predictive, as will a 4Kscore. But, you usually start with a PSA score.

https://consultqd.clevelandclinic.org/new-blood-test-is-highly-accurate-in-identifying-patients-at-risk-for-prostate-cancer/

Only the pathology evaluation, after a biopsy or TURP, will confirm the presence of PCa. If the pathology is clear, that does not guarantee the absence of PCa.

Post Edited (garyi) : 2/7/2020 3:31:53 PM (GMT-7)

cvc, listen to your doctor. PCa is generally associated with steady rises of PSA over a period of time. At 60, it would be expected for your PSA to be about where it is--or a bit higher even.

Lol, heart is still beating ... I have been running 6 miles every other day and biking on the off days 20 miles..
So I get about 1 hr in every day 7 days a week ...

Sierra Hotel ?? I don't get it