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Responses dissuading the use of MDC included lack of infrastructure (41%) and time commitment (21%). On multivariate analysis, urologists with 10 years in practice were less likely to find MDC beneficial in the management of PCa (11-20 years, = 0.028 and 20 years = 0.009). A contemporary sampling of urologists' opinion and practice patterns alludes to the benefits that advocate for and the resource demand that hinders routine use of MDC for PCa evaluation. Urologist training and practice environment can affect participation in P