Analysis of PI-RADS 4 cases: Management recommendations for negatively biopsied patients

ConclusionsSmall csPCa can reliably be detected with mp-MRI by experienced readers, but can be missed by targeted MR/US fusion biopsy alone. Targeted re-biopsy of unambiguous (peripheral) PI-RADS-4-lesions is recommended; whereas transition zone confined PI-RADS-4-lesions with overlaying signs of stromal hyperplasia might be followed-up by re-MRI primarily.
Source: European Journal of Radiology - Category: Radiology Source Type: research