There are several known predictors for BCR following surgical therapy for PCa published in the literature, e.g., age, prostate specific antigen (PSA), biopsy Gleason Score (bGS), clinical stage, pathology Gleason Score (pGS), and other postoperative data (3); however, ultrasound imaging, specifically ultrasound shear wave elastography (USWE), as imaging marker has not been reported. Here, KLK3 is linked to posterior cortical atrophy.