Abstract
Multiparametric magnetic resonance imaging (mp-MRI) has emerged as an important tool
for the detection and characterization of prostatic lesions. It now plays a quintessential
role in the surveillance, diagnosis, and staging of prostate cancer (PCa), as well
as for the detection of local recurrence. As reliance on serum prostate-specific antigen
has declined in the recent times, mp-MRI has emerged as the go-to tool for urologists
all over the world. Hence, for the clinician, it has become necessary to be well versed
with the technique, image interpretation, and fallacies of mp-MRI. Since mp-MRI has
the advantage of better contrast resolution, combining PSMA PET (prostate-specific
membrane antigen-positron emission tomography) with MRI could provide additional functional
information. However, due to the absence of enough evidence supporting its routine
use, mp-MRI still has the unsurpassed role in the initial diagnosis and local staging
of PCa.
Keywords
multiparametric MRI - prostate cancer - PIRADS