One hundred forty patients with at least one PI-RADS 3 lesion, according to the ESUR guidelines version 2.1 at mpMRI performed at our Radiology Unit from September 2019 to December 2021 were enrolled.
The inclusion criteria were the following: 1) having undergone fusion-TB of the index lesion at our Radiology Unit and 2) having a histopathological report from a dedicated pathologist of the Pathology Unit of our institution.
The exclusion criteria were the following: 1) no concomitant PI-RADS 4 or 5 lesions; 2) mpMRI protocol not completely adhering to the suggested imaging protocols described in PI-RADS version 2.1; 3) active surveillance and previous surgical treatment, such as open simple prostatectomy (OP) or transurethral resection of the prostate (TURP); 4) the presence of severe artifacts, not allowing the evaluation of one or more sequences of the mpMRI due to uni/bilateral hip prostheses or other causes.
After application of the exclusion criteria, 120 patients were included in the final analysis (
For each patient enrolled, clinical data, such as PSA, prostate volume, and PSA density, were collected.