Each patient referred for PCa management underwent mpMRI of the prostate at 3 Tesla (Achieva; Phillips Healthcare) with endorectal coil (BPX-30; Medrad, Pittsburgh, PA) and 16-channel cardiac surface coil (SENSE; Phillips Healthcare), as previously described (15 (link)). mpMRI sequences consisted of triplanar T2-weighted, diffusion weighted imaging (DWI), apparent diffusion coefficient (ADC) mapping, and dynamic contrast enhancement (DCE). Two radiologists identified prostatic lesions and assigned suspicion levels for PCa based on a previously validated in-house scoring system (SS) and, when available, the prostate imaging reporting and data system (PIRADS) version 2 scoring system. Each FB session consisted of a SB and targeted biopsy of any detectable lesions (at least two targeted cores per lesion) as described previously.(16 (link)) All biopsies were performed by a single urologist or interventional radiologist with more than 10 years’ experience.