It has been 6 years since the Prostate Imaging Reporting and Data system (PI-RADS) was introduced in 2012; 2 versions have been published and the document is currently undergoing an additional update. While there is no doubt PI-RADS has transformed prostate MRI, it was acknowledge from the start it was work in progress and thus amenable to continued improvements. This talk will emphasize the weaknesses of PI-RADS, highlight areas of potential refinement, and discuss ways of dealing with commonly encountered limitations of the guideline in "real-life" scenarios.

Acknowledgements

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References

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