MRI for detection, staging, and follow-up of prostate cancer: Synthesis of the PI-RADS v2.1, MET-RADS, PRECISE, and PI-RR guidelines

Radiologia (Engl Ed). 2023 Sep-Oct;65(5):431-446. doi: 10.1016/j.rxeng.2022.12.005. Epub 2023 Jun 29.

Abstract

Prostate cancer is very common among men. Radiology, mainly through MRI, plays a key role in the different stages of prostate cancer: diagnosis, staging and treatment assessment. The correct management of MRI requires knowledge and proper use of the different guidelines developed for the acquisition, interpretation and reporting of MRI in diagnosis (PI-RADS guide), whole body staging (MET-RADS guide), active surveillance (PRECISE guide) and local recurrence (PI-RR guide) in prostate cancer. The objective of this article is to show an update and synthesis of the most relevant aspects of these MRI guidelines for an optimal use and thus providing a more effective management of prostate cancer.

Keywords: Cáncer de próstata; Estadificación; Guía estandarizada; Magnetic resonance; Prostate cancer; Resonancia magnética; Staging; Standardization.