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Updated: Feb 14, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
MR Imaging for Prostate Cancer Screening and Active Surveillance
Sasha C Druskin1, Katarzyna J Macura2
1James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Marburg 134, Baltimore, MD 21287, USA.
Prostate cancer overdiagnosis is a concern. This review explores how prostate Magnetic Resonance (MR) imaging aids in screening, patient selection, and monitoring for active surveillance, potentially reducing overtreatment.
Area of Science:
- Radiology
- Oncology
- Urology
Background:
- Current prostate cancer management faces criticism for overdiagnosis and overtreatment.
- Active surveillance aims to reduce overtreatment but faces challenges in patient selection and monitoring.
- Prostate MR imaging is increasingly used in prostate cancer care.
Purpose of the Study:
- To review the current evidence for using MR imaging in prostate cancer screening.
- To evaluate the role of MR imaging in patient selection for active surveillance.
- To discuss the application of MR imaging in monitoring patients on active surveillance.
Main Methods:
- Literature review of studies on prostate MR imaging.
- Analysis of evidence for MR imaging in screening, patient selection, and monitoring.
- Synthesis of current data on MR imaging's utility in active surveillance protocols.
Main Results:
- MR imaging shows promise in improving the accuracy of prostate cancer detection.
- It assists in identifying suitable candidates for active surveillance.
- MR imaging facilitates effective monitoring of disease progression in active surveillance patients.
Conclusions:
- Prostate MR imaging is a valuable tool in modern prostate cancer management.
- Its application can help mitigate overdiagnosis and overtreatment through improved patient selection and monitoring.
- Further research may solidify MR imaging's role in active surveillance protocols.
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