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Patient summary The negative predictive values should help in decision making for physicians deciding on not proceeding to biopsy in guys with elevated age-specific prostate-specific antigen and multiparametric magnetic resonance imaging reported as bad (or equivocal) on Prostate Imaging Reporting and information System/Likert rating. Some 7-10% of males, with regards to the setting, will miss an analysis of clinically significant disease if they usually do not go to biopsy. Given the institutiona