Not sure about “somebody”, but in my case when my PSA level came in at 7.8 I was referred to a urologist whose first recommendation was to do a mpMRI.

It was only after the mpMRI found three lesions (PIRADS 3, 4 and 5) that my urologist recommended a targeted fusion biopsy.

That should be standard practice.

If a doctor recommends a biopsy, solely based on an elevated PSA level, it’s time to head for the door and run!