PSA Free Density Total (P-PSAFT)

PSA Free and Total (P-PSAFT)

Excerpt:

Background: A variety of biomarkers have been developed to monitor growth of cancerous diseases and to detect them at an early stage. Prostate-specific antigen (PSA) is a valuable prostate cancer biomarker that is now widely used for population screening, diagnosis, and monitoring of patients with prostate cancer. Other factors than prostate cancer can cause elevation of PSA levels therefore, free prostate specific antigen measurements in serum have been proposed in order to improve the specificity of laboratory identification of prostate cancer.

1. PSA, Doctor/Hospital

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1. PSA
#	Source	Date	Value	Range
1.	UT1	03/03/2020	3.43	< 4.00ng/ml
2.	UT1	12/09/2021	8.54H	< 4.00ng/ml
3.	TX3	04/04/2024	9.13H	< 4.00ng/ml
4.	TX3	12/17/2025	5.67H	< 4.00ng/ml
5.	UT1	08/18/2025	5.90H	< 4.00ng/ml
6.	TX3	02/16/2026	5.86H	< 4.00ng/ml
7.	TX1	03/16/2026	4.87H	< 4.00ng/ml
8.	UT1	07/30/2026	4.90H	< 4.00ng/ml

Excerpt:

Prostate-specific antigen (PSA) tests can be confusing, especially when doctors start talking about “free PSA” and “total PSA.” This guide will break down what PSA is, explain the difference between free and total PSA in simple terms, and why these tests matter for prostate cancer screening and diagnosis.

2. PSA Free

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2. PSA Free
#	Source	Date	Value	Range
1.	UT1	03/03/2020
2.	UT1	12/09/2021
3.	TX1	12/17/2024	1.00	(ng/ml)
4.	UT1	08/18/2025
5.	TX1	03/16/2026	1.06	(ng/ml)
6.	UT1	07/30/2026	1.00	N/A (ng/ml)

Excerpt:

In other words, imagine PSA as letters in your bloodstream. Some letters are sealed in envelopes (PSA attached to a protein), and some are postcards without envelopes (free PSA). Total PSA counts all the mail (both envelopes and postcards), while free PSA counts only the postcards.

3. fPSA, PCT, %

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3. %fPSA PCT
#	Source	Date	Value	Range
1.	UT1	03/03/2020
2.	UT1	12/09/2021
3.	TX1	12/17/2024	17.64 (%)	See Note:
4.	UT1	08/18/2025
5.	TX1	03/16/2026	21.77 (%)	See Note:
6.	UT1	07/30/2026	20.4 (%)	See Note:

Note: PSA Free / PSA * 100 = %

% free PSA < 10% – High risk:
% free PSA 10%-25% – Intermediate risk:
% free PSA > 25% – Low risk:

Excerpt:

% free PSA between 10% and 25% – Intermediate risk: This is the gray zone within the gray zone. If your free PSA percentage falls here, the risk of cancer is moderate – not clearly high or low. For example, about 15% free PSA might translate to roughly a 25–30% chance of cancer. In this range, doctors consider other factors (age, family history, prostate size, etc.) and might suggest additional evaluation, such as repeating the PSA test, getting an MRI of the prostate, or proceeding with a biopsy depending on how other risk factors stack up. It isn’t an automatic “yes” or “no” – it’s a careful decision zone.

4. PSA Density Calculation

Go to “MRI Scan” – Findings, Get the needed Information.

Needed information from the MRI Scan. We need to find out the volume of the prostate.

1. Length (L) in mm = L
2. Width (W) in mm = W
3. High (H) in mm = H
4. PSA (ng/ml2) = PSA
5. Formula: L * W * H * (3.14/6) = Prostate Volume (cc)
L = 5.2mm * W = 3.7mm * H = 4.8mm * (3.14/6) = 48.3278 cc

6. Formula: PSA / Volume = PSA Density
PSA = 5.86ng/ml / Prostate Volume 48.3278cc = 0.12125ng/ml/cc

A Big Note:

We have to stay dynamic especially in this case. The PSA is always changing and the volume can only be estimated even when taken with an MRI. So, use this only as a reference number and see if we are going in the right direction by getting the number smaller.

Do not get to nerves or getting depressed, this is just the cycle of life. The most important thing in life is to enjoy the now time, no other time counts or is as important as the now time. Do what you enjoy as long as you can. The problem is that you cannot go back and repair, restore or fix the things you have done.

Table Cell as Button

4. PSA Density
#	Date	PSA	L	W	H	Density
1.	03/10/2026	4.87	5.2	3.7	4.8	0.12

Conclusion:

We are moving in the correct direction. The PSA Density is changing from 0.24 to 0.12.
This is great news. So, Just keep moving and enjoying life as it was intended.

Thank GOD every day for that miracle to wake up and see the sun coming up in the morning.

Norby

5. PSA, Quest Diagnostics

PSA Quest Diagnostic

5. Psa Quest Diagnostic
#	Date	Raw PSA	+20%	Final PSA	SRC
1*	12/03/2024	4.74	+20%	5.69	TX2
2*	03/25/2025	5.28	+20%	6.34	TX2
3*	05/09/2025	3.97	+20%	4.76	UT2
4*	06/06/2025	3.81	+20%	4.57	UT3
5*	08/01/2025	4.57	+20%	5.48	UT2
6*	10/02/2025	3.63	+20%	4.36	UT2
7*	11/13/2025	3.65	+20%	4.38	TX2
8*	12/16/2025	3.16	+20%	3.79	TX2
9*	02/02/2026	3.34	+20%	4.00	TX2
10*	03/13/2026	3.71	+20%	4.45	TX2
11*	04/06/2026	3.84	+20%	4.608	TX2
12*	05/05/2026	3.33	+20%	3.96	TX2
13*	06/24/2026	3.83	+20%	4.63	UT2
14*	07/30/2026	4.54	+20%	5.44	UT3

Excerpt:

6. p2PSA

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6. p2PSA
1.	UT1	07/30/2026	18.6	N/A pg/ml

Note:

If your % free PSA is 21.5% and your Free PSA is 1.27 ng/mL, that implies your Total PSA is about 5.9 ng/mL (because %free = free/total × 100 → total ≈ 1.27 / 0.215 ≈ 5.9).

In that common PSA context (total PSA roughly in the “4–10” range):

% free PSA ≤ 10%: higher likelihood → biopsy often recommended
% free PSA 10–25%: intermediate likelihood → biopsy is often considered (depends on other risk factors)
% free PSA > 25%: lower likelihood → biopsy less likely

7. Prostate Health Index

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7. Prostate Health Index
1.	UT1	07/30/2026	35.6

Excerpt:

Could your prostate cancer risk be hiding in your blood test results?

The Prostate Health Index (PHI) score is a powerful tool that helps doctors detect clinically significant prostate cancer and reduce unnecessary biopsies. This score combines total prostate-specific antigen (PSA), free PSA, and [-2] pro-PSA to give a clearer picture of prostate health than PSA testing alone. It’s especially useful for men with PSA levels between 2 and 10 ng/mL, where cancer detection can be most uncertain.

Random thoughts written by Norby!

Are you a science denier ?

No way, we are liberals!!!

We believe in transgenderism.
Men can change into a women and compete fair and square with that extra God given testosterone. We know that once you are a full fledged woman you even can give birth to a healthy baby or just abort it after birth, like a good mentally deranged liberal. Only a real transformed Man can give birth, all other are just birthers. We believe only in science when it has to do with the Wuhan generated deadly virus the COVID-19 killer shot.

Norby

Random thoughts written by Norby!

Do not be an asshole.

Do not be an asshole.

I never cared if someone was “gay” until they started shoving it in my face, and the faces of our children.
I never cared what color they are, until they started blaming my race for their problems.
I never cared about their political affiliation until they started to condemn me for mine.
I never cared where you were born until they wanted to erase my history and blame my ancestors for their current problems.
I never cared if you were well-off or poor, until they said they were discriminated against, when I was promoted because I worked harder.
I never cared if their beliefs were different from mine, until they said my beliefs were wrong.
I never cared if I owned a gun until they told me I would not be allowed to. (or take the ones I own legally).

Now I do care.

Norby

PSA Free Density Total (P-PSAFT)

PSA Free and Total (P-PSAFT)

1. PSA, Doctor/Hospital

2. PSA Free

3. fPSA, PCT, %

4. PSA Density Calculation

A Big Note:

Conclusion:

5. PSA, Quest Diagnostics

6. p2PSA

7. Prostate Health Index

Are you a science denier ?

Do not be an asshole.

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