Having been diagnosed via fusion biopsy at a center of excellence with what appeared to be low volume low risk Gleason 3+3 prostate cancer a few months ago, I was blindsided by a “high risk” Decipher result. So have been doing a lot of reading on Decipher. Although I’ve not heard it referred to as the “gold standard”, it does appear that many professionals use it as one of several tools to diagnose prostate cancer and determine treatment both pre and post op. I have likewise seen a number of posts on this site where individuals have altered their treatment plans, from more aggressive to less and vice versa, based on their Decipher results. Suffice to say that my high risk Decipher score has certainly made my decision process more complicated and exhaustive but perhaps that’s not a bad thing at the end of the day.