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Updated: Sep 22, 2025
06:08
A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
391
PI-RADS: multiparametric MRI in prostate cancer
Aileen O'Shea1, Mukesh Harisinghani2
1Department of Radiology, 55 Fruit Street, Boston, MA, 02115, USA. aoshea1@mgh.harvard.edu.
Magma (New York, N.Y.)
|May 20, 2022
Summary
Multiparametric MRI (mpMRI) is key for diagnosing prostate cancer. The PI-RADS 2.1 framework standardizes mpMRI acquisition and reporting for better accuracy in biopsy-naïve men.
Area of Science:
- Radiology and Imaging Science
- Oncology
- Urology
Background:
- Multiparametric MRI (mpMRI) is the standard initial imaging for men with suspected prostate cancer.
- Prostate Imaging-Reporting and Data System (PI-RADS) standardizes mpMRI interpretation.
- PI-RADS 2.0 established a framework, with ongoing updates to refine its application.
Purpose of the Study:
- To introduce and explain the updates and clarifications in PI-RADS version 2.1.
- To highlight the role of PI-RADS 2.1 in standardizing prostate MRI.
- To emphasize the evolving nature of PI-RADS in response to technological advancements.
Main Methods:
- Review and analysis of the PI-RADS 2.1 framework.
- Comparison with previous PI-RADS versions (e.g., PI-RADS 2.0).
- Discussion of the impact of PI-RADS 2.1 on clinical practice and reporting.
Main Results:
- PI-RADS 2.1 offers key updates and clarifications to the previous version.
- The framework aims for standardized prostate MRI acquisition and interpretation.
- It serves as an active document, subject to future revisions.
Conclusions:
- PI-RADS 2.1 represents an important step in standardizing prostate MRI interpretation.
- The system's adaptability ensures it remains relevant with evolving technology and understanding of prostate cancer.
- Continued refinement is expected to further enhance diagnostic accuracy.
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