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Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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Related Experiment Video

Updated: Jan 8, 2026

Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
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Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy

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Standardizing Prostate MRI Reporting in Active Surveillance for Prostate Cancer: The PRECISE Framework.

Min Je Kim, Kyung A Kang, Chan Kyo Kim

    Journal of the Korean Society of Radiology
    |December 19, 2025
    PubMed
    Summary

    Active surveillance for prostate cancer benefits from the PRECISE framework, standardizing MRI interpretation for better disease monitoring. The PRECISE v2 update refines this tool for more personalized patient management.

    Keywords:
    Active SurveillanceMagnetic Resonance ImagingPI-RADSPRECISEProstate Cancer

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    Related Experiment Videos

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    Area of Science:

    • Radiology
    • Oncology
    • Urology

    Background:

    • Active surveillance (AS) is standard for low-risk prostate cancer, but repeated biopsies carry risks.
    • Multiparametric MRI (mpMRI) offers noninvasive monitoring, but lacks standardized longitudinal interpretation.
    • The Prostate Imaging Reporting and Data System (PI-RADS) has limitations in assessing serial MRI changes.

    Purpose of the Study:

    • To review the development and clinical implications of the Prostate Cancer Radiological Estimation of Change in Sequential Evaluation (PRECISE) framework.
    • To highlight the advancements in PRECISE v2 for standardized reporting of serial mpMRI in prostate cancer.
    • To discuss the potential of PRECISE in improving risk-adapted management for patients on active surveillance.

    Main Methods:

    • Review of the evolution of the PRECISE framework from v1 to v2.
    • Analysis of PRECISE v2 features including imaging quality assessment and progression criteria.
    • Synthesis of literature on the clinical utility and impact of PRECISE on AS management.

    Main Results:

    • The PRECISE framework standardizes serial MRI interpretation using a 5-point scale.
    • PRECISE v2 enhances consistency, communication, and timely intervention in AS.
    • Updated criteria in PRECISE v2 allow for more personalized follow-up strategies.

    Conclusions:

    • The PRECISE framework, particularly v2, significantly advances standardized MRI reporting for prostate cancer.
    • PRECISE facilitates risk-adapted management and personalized follow-up for patients undergoing active surveillance.
    • Further research is needed to fully integrate PRECISE into routine clinical practice and evaluate long-term outcomes.