The CCP score was an independent predictor of BCR for RP patients on univariate (HR: 1.89) and multivariate (HR: 1.77) analysis, and it was also strongly associated with time to death from PCa for TURP patients on univariate (HR: 2.92) and multivariate (HR: 2.57) analysis. Here, BCR is linked to posterior cortical atrophy.