@indyguy My bad. I had to go back & look.
Mine was PI-RADS 4

PI-RADS 3 carries about a 12% risk of clinically significant cancers, PI-RADS 4 about 60%, and PI-RADS 5 about 85%."

Fusion guided is the way to go, because they overlay the MRI scan with the live ultrasound, so they can play Battleship with your prostate.
It's the definitive way to confirm cancer.
I ended up with a prostatectomy a couple of months later.

PI-RADS 3 gives you more treatment options - depending on what the biopsy shows.
Good luck with the biopsy. It's a very strange experience.