Had 16 core transperineal biopsies in Dec 2021 and Dec 2022 with only 1 core of 16 showing Gleason 3+3. All other cores were negative. Decipher score of .12 which is low. The major University Medical Center Urology dept wants to do a transrectal biopsy, which I am adamantly opposed to based on my own research that shows the transperineal biopsy route to be the most advantageous. My urologist who performed the transperineal biopsy was much younger and trained at a different urology residency program than the other urologists in the practice where I had original biopsies done. I don't think this practice has the technology to do MRI fusion guided biopsies. Maybe I need to find a urology group who can do transperineal biopsy with MRI fusion. The other confusing aspect of my condition is that my first MRI showed a PIRADS 2 lesion, but it was done with a 1.5 Tesla machine. The most recent MRI (Nov 2023) showed a PIRADS 3 lesion, but was done with a 3.0 Tesla machine. Supposedly a 3.0 Tesla machine yields better analysis of the lesion. Comments or opinion, please!