Thanks for the input. My own PCP (for 30 yrs) went thru prostate cancer and I trust him to not subject me to any unnecessary tests. At my annual physicals he always comments about how small and smooth my prostate is, so I hope this test result is an aberration. He says there is no reason today for a man to die from prostate cancer with early detection and intervention. I see him 12/15 and I expect him to retest or perhaps wait a few months and retest. I certainly don't want a biopsy at this point based on what I have heard. I don't live far from Penn or Jeff (or Johns Hopkins) so I would imagine that they have the technology you refer to. If not, I head to my Hilton Head house in January and can always go to UMSC in Charleston, another good teaching hospital.