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Core references, source documents, and expanded educational articles for prostate MRI interpretation.

Prostate MRI Interpretation Articles

Short, practical articles for teaching, reporting, and workflow support.

Risk toolsDon't Panic: The Radiologist's Guide to Understanding Prostate Cancer RiskHow PI-RADS, PSA density, PRECISE, Prolaris, Decipher, Oncotype DX GPS, and other risk tools fit together.Nick Shaheen, MD · Last updated June 2026 · Educational article
Emerging techniqueDBSI in Prostate MRI: Looking Beyond the ADC MapAn approachable explanation of diffusion basis spectrum imaging, an emerging technique that attempts to separate prostate diffusion signal into tissue components beyond conventional ADC.Nick Shaheen, MD · Last updated June 2026 · Educational article
Active surveillancePRECISE Scoring for Active Surveillance MRIHow PRECISE tracks change over time and how it differs from PI-RADS.Nick Shaheen, MD · Last updated June 2026 · Educational article
Post-treatmentUnderstanding PI-RRA short guide to recurrence scoring after radiation therapy or radical prostatectomy.Nick Shaheen, MD · Last updated June 2026 · Educational article
Focal therapyPI-FAB after focal ablationA quick reference for when PI-FAB applies and how to interpret scores 1–3.Nick Shaheen, MD · Last updated June 2026 · Educational article
PI-RADS basicsPeripheral Zone vs Transition Zone LesionsWhy lesion location changes scoring and reporting.Nick Shaheen, MD · Last updated June 2026 · Educational article
Risk modifierPSA Density in Prostate MRIWhy prostate volume changes PSA interpretation.Nick Shaheen, MD · Last updated June 2026 · Educational article
Quick guidePI-RADS v2.1 Quick GuideA short dominant-sequence scoring refresher.Nick Shaheen, MD · Last updated June 2026 · Educational article

Core References

Primary source documents and selected practical references used throughout the toolkit.

  1. American College of Radiology, European Society of Urogenital Radiology, and AdMeTech Foundation. PI-RADS® v2.1: Prostate Imaging — Reporting and Data System. Version 2.1. 2019.
  2. McNeal JE. The zonal anatomy of the prostate. Prostate. 1981;2(1):35-49. doi:10.1002/pros.2990020105.
  3. Pellegrino F, Vickers AJ, Stabile A, et al. Prostate-specific antigen density cutoff of 0.15 ng/ml/cc to propose prostate biopsies to patients with negative magnetic resonance imaging: efficient threshold or legacy of the past? Eur Urol Open Sci. 2023;47:16-22.
  4. Englman C, Giganti F, Moore CM, et al. Updated Recommendations for Reporting Prostate MRI in Men on Active Surveillance: PRECISE 2. Eur Urol. 2024.
  5. Giganti F, et al. Multicentre validation of the PRECISE scoring system for prostate MRI during active surveillance. European Radiology. 2026.
  6. Panebianco V, et al. Prostate Magnetic Resonance Imaging for Local Recurrence Reporting (PI-RR): International Consensus-based Guidelines on Multiparametric Magnetic Resonance Imaging for Prostate Cancer Recurrence after Radiation Therapy and Radical Prostatectomy. Eur Urol Oncol. 2021.
  7. Giganti F, et al. Prostate Imaging after Focal Ablation (PI-FAB): A Proposal for a Scoring System for Multiparametric MRI of the Prostate after Focal Therapy. Eur Urol Oncol. 2023.
  8. Giganti F, Allen C, Emberton M, Moore CM, Kasivisvanathan V. Prostate Imaging Quality (PI-QUAL): a new quality control scoring system for multiparametric magnetic resonance imaging of the prostate from the PRECISION trial. European Urology Oncology. 2020.
  9. Giganti F, Kirkham A, Kasivisvanathan V, et al. Understanding PI-QUAL for prostate MRI quality: a practical primer for radiologists. Insights into Imaging. 2021;12:59.
  10. de Rooij M, et al. PI-QUAL version 2: an update of a standardised scoring system for the assessment of image quality of prostate MRI. European Radiology. 2024.
Medical education note: This website summarizes selected concepts and is not a substitute for official guidance, complete source documents, or institutional protocols.
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