The terms Disparities and Inequities are used almost interchangeably in Health Services Research. Specifically, well-established health disparities exist both in diagnostic imaging utilization and in prostate cancer (PCa) outcomes. In fact, African Americans (AAs) suffer PCa with almost twice the incidence and mortality compared to Non-Hispanic Whites (NHW). What is often overlooked in the current knowledge of PCa disparities is the transition from health disparities into health inequities outcomes. In fact, disparities refer to a certain difference (lack of parity), while inequities refer to unfairness, which is both avoidable and preventable.