Journal
ABDOMINAL RADIOLOGY
Volume 45, Issue 12, Pages 3974-3981Publisher
SPRINGER
DOI: 10.1007/s00261-020-02510-w
Keywords
Prostate cancer (PCa); Prostate Imaging Reporting and Data System (PI-RADS) version 2; 1; biparametric magnetic resonance imaging (bpMRI); Simplified Prostate Imaging Reporting and Data System (S-PI-RADS)
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Prostate Imaging Reporting and Data System (PI-RADS) version 2.1 update, in the attempt to improve clinical guidelines for multiparametric magnetic resonance imaging (mpMRI) of the prostate, has clear limitations. The role of dynamic contrast-enhanced sequences is not defined, precise guidance on the clinical management (biopsy or clinical surveillance) for score 3 lesions [equivocal for clinical significant prostate cancer (sPCa)] is not offered and criteria for lesions interpretation remain difficult and subjective. We report criteria and arguments in supporting the use of abbreviated or biparametric prostate MRI protocol in clinical practice for detection and management of PCa.
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