urology
PSA Velocity and PSA Density
Calculates PSA velocity (rate of PSA rise per year) and PSA density. PSA velocity >0.75 ng/mL/year or PSA density >0.15 ng/mL/mL suggests cancer risk.
Score interpretation
PSA velocity < 0.75 ng/mL/yr — Low cancer risk
→ Reassurance; continue PSA surveillance per EAU/NICE guidelines
PSA velocity 0.75-2 ng/mL/yr — Elevated risk
→ MRI prostate (mpMRI); if PIRADS 3+: targeted biopsy; urology referral
PSA velocity > 2 ng/mL/yr — High cancer risk
→ Urgent mpMRI; prostate biopsy if not already done; staging CT and bone scan if biopsy positive
Interpretation bands for the PSA Velocity. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Gleason Score / Grade Group for Prostate Cancer · Prostate Cancer
- Prostate Cancer Risk Stratification (NICE / EAU) · Prostate Cancer
- UCSF-CAPRA Score for Prostate Cancer · Prostate Cancer
- PSA Doubling Time (PSADT) Calculator · Prostate Cancer
- D'Amico Risk Classification for Prostate Cancer · Prostate Cancer
- D'Amico Risk Stratification for Localised Prostate Cancer · Prostate Cancer
Drugs
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.