https://www.prostate-mri.ch/tz-dwi daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756366989-5L3OCEZIQKVZP44GMI6S/PIRADS1.png TZ - DWI - PIRADS 1 No abnormality (i.e. normal) on ADC and high b-value DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756366989-5L3OCEZIQKVZP44GMI6S/PIRADS1.png TZ - DWI - PIRADS 1 No abnormality (i.e. normal) on ADC and high b-value DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756367343-CS3UF5IFPQ16MZ6RH1ZH/PIRADS2.png TZ - DWI - PIRADS 2 Indistinct hypointense on ADC. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756367176-46DF1CRASPJPTS70WKC0/PIRADS3.png TZ - DWI - PIRADS 3 Focal mildly/moderately hypointense on ADC (arrow) and isointense/mildly hyperintense on high b-value DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756367504-M4A45582V61QWXNWUDWJ/PIRADS4.png TZ - DWI - PIRADS 4 Focal markedly hypointense on ADC (arrow) and markedly hyperintense on high b-value DWI; < 1.5cm on axial images. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447756367604-URJJ5T6OW01CR1PSKZ1W/PIRADS5.png TZ - DWI - PIRADS 5 Same as 4 but ≥ 1.5cm in greatest dimension (arrow) or definite extraprostatic extension / invasive behavior. https://www.prostate-mri.ch/pz-dce daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447754852815-9JPX0WU7S38ZY86UBRO3/DCE_negative.png PZ - DCE - DCE Negative No early or contemporaneous enhancement, or diffuse multifocal enhancement NOT corresponding to a focal finding on T2WI and/or DWI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447754852815-9JPX0WU7S38ZY86UBRO3/DCE_negative.png PZ - DCE - DCE Negative No early or contemporaneous enhancement, or diffuse multifocal enhancement NOT corresponding to a focal finding on T2WI and/or DWI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447755162455-SHTA0JHSIUSJFSDC0ZWH/DCE_positive.png PZ - DCE - DCE Positive Focal (arrow), and; earlier than or contemporaneously with enhancement of adjacent normal prostatic tissues, and; corresponds to suspicious finding on T2WI and/or DWI https://www.prostate-mri.ch/tz-t2 daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579334242-B5FAN6EQOBAB43RE8926/TZ_1_new.png TZ - T2 - PIRADS 1 A normal appearing TZ (rare) or a round, completely encapsulated nodule (“typical nodule”) https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579334242-B5FAN6EQOBAB43RE8926/TZ_1_new.png TZ - T2 - PIRADS 1 A normal appearing TZ (rare) or a round, completely encapsulated nodule (“typical nodule”) https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579358740-0JJLSGZQ4VZ46XOKHNAL/TZ_2_new.png TZ - T2 - PIRADS 2 A mostly encapsulated nodule or a homogeneous circumscribed nodule without encapsulation (“atypical nodule”) or a homogeneous mildly hypointense area between nodules. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767126733-9HQ4I90YEZID867M8YGA/TZ_3.png TZ - T2 - PIRADS 3 Heterogeneous signal intensity with obscured margins (arrow). Includes others that do not qualify as 2, 4, or 5. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767103241-TYM49H0I1KFT8FKHSYTQ/Screen+Shot+2015-11-05+at+23.15.56.png TZ - T2 - PIRADS 4 Lenticlular (arrow) or noncircumscribed, homogeneous, moderately hypointense, and <1.5 cm in greatest dimension. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767080382-DYWYODBSJLZ2BGRR0BMO/Screen+Shot+2015-11-05+at+23.16.02.png TZ - T2 - PIRADS 5 Same as 4, but ≥ 1.5cm in greatest dimension (arrows) or definite extraprostatic extension/invasive behavior https://www.prostate-mri.ch/pz-dwi daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767259866-O748X3PL9BOSWE1400WZ/PIRADS+1.png PZ - DWI - PIRADS 1 No abnormality (i.e. normal) on ADC and high bvalue DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446762568428-PSA5O28IM9TXOTZTGZPL/Screen+Shot+2015-11-05+at+23.02.01.png PZ - DWI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767259866-O748X3PL9BOSWE1400WZ/PIRADS+1.png PZ - DWI - PIRADS 1 No abnormality (i.e. normal) on ADC and high bvalue DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767259628-IKO835HNN4CTNKTLS603/PIRADS+2.png PZ - DWI - PIRADS 2 Linear/wedge-shaped hypointense on ADC and/or linear/wedge-shaped hyperintense on high b-balue DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767260863-NN1PEUA43EEXO0U0PMGN/PIRADS+3.png PZ - DWI - PIRADS 3 Focal (discrete and different from the background) hypointense on ADC (arrow) and/or focal hyperintense on high b-value DWI; may be markedly hypointense on ADC or markedly hyperintense on high b-value DWI, but not both. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767260723-ARXPD3OETUYPWQ6IUYYX/PIRADS+4.png PZ - DWI - PIRADS 4 Focal markedly hypointense on ADC (arrow) and markedly hyperintense on high b-value DWI; < 1.5cm on axial images. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767261422-2I54XRROS5XD16RBQH1Z/PIRADS+5.png PZ - DWI - PIRADS 5 Same as 4 but ≥ 1.5cm in greatest dimension (arrow) or definite extraprostatic extension / invasive behavior. https://www.prostate-mri.ch/journalclub daily 0.75 2017-06-25 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447768215963-PSO8EYVNOPXXR9JMHJRG/image-asset.jpeg Journal Club https://www.prostate-mri.ch/journalclub/2018/03/27/precision monthly 0.5 2018-03-27 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1522129047438-UPY1JMBSIJFMIE8YRY6R/Screen+Shot+2018-03-27+at+07.33.18.png Journal Club - mpMRI before biopsy does make sense! Kasivisvanathan V. and PRECISION Study Group Collaborators. MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis. N Engl J Med. 2018 Mar 18. doi: 10.1056/NEJMoa1801993. [Epub ahead of print] PubMed PMID: 29552975. https://www.prostate-mri.ch/journalclub/2017/08/09/shortprotocol monthly 0.5 2018-03-27 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1502293433142-ZX5BNJ981H8JLL7YLFRZ/image-asset.png Journal Club - Two-sequence MR: Enough to detect csPCa? Radiology. 2017 Jul 20:170129. doi: 10.1148/radiol.2017170129. [Epub ahead of print] PubMed PMID: 28727544. https://www.prostate-mri.ch/journalclub/2017/6/25/conspicuity-of-prostate-cancer-lesions-diminished-by-dutasteride monthly 0.5 2017-08-09 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1498391109490-DI45I7XQQHOT4MUC3BE2/image-asset.png Journal Club - Conspicuity of prostate cancer lesions diminished by Dutasteride Eur Radiol. 2017 May 18. doi: 10.1007/s00330-017-4858-0. [Epub ahead of print] PubMed PMID: 28523355. https://www.prostate-mri.ch/journalclub/2017/5/11/psa-density-easily-obtainable-clinical-parameter-to-help-excluding-significant-prostate-cancer monthly 0.5 2017-05-22 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1494538906937-R3IV5MIX9TZM9V5J03JL/Algorithm+PSAD.png Journal Club - PSA-Density: easily obtainable clinical parameter to help excluding significant prostate cancer. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1494515112283-P3M7QDXKHG02U8KOUMFT/Screen+Shot+2017-05-11+at+16.57.22.png Journal Club - PSA-Density: easily obtainable clinical parameter to help excluding significant prostate cancer. J Urol. 2017 Mar 31. pii: S0022-5347(17)43846-8. doi: 10.1016/j.juro.2017.03.130. [Epub ahead of print] PubMed PMID: 28373135. https://www.prostate-mri.ch/journalclub/2017/2/26/5d8fukg1bjlz5tsgqdbl0777zbxsn8 monthly 0.5 2017-02-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1488102484486-JSDQF9ELW3EKD69VH93W/image-asset.png Journal Club - Which imaging method to choose for detection of bone metastases in high risk prostate cancer patients? Jambor I, Kuisma A, Ramadan S, Huovinen R, Sandell M, Kajander S, Kemppainen J, Kauppila E, Auren J, Merisaari H, Saunavaara J, Noponen T, Minn H, Aronen HJ, Seppänen M. Acta Oncol. 2016;55(1):59-67. doi: 10.3109/0284186X.2015.1027411. PubMed PMID: 25833330. https://www.prostate-mri.ch/journalclub/2017/1/22/association-of-t2w-images-with-gleason-score monthly 0.5 2017-01-22 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1485105903606-HU65CUPXEZL6H6XS52MY/image-asset.png Journal Club - Association of T2w-images with Gleason Score? Downes MR, Gibson E, Sykes J, Haider M, van der Kwast TH, Ward A. Acad Radiol. 2016 Nov;23(11):1412-1421. doi: 10.1016/j.acra.2016.07.013. PubMed PMID: 27639626. https://www.prostate-mri.ch/journalclub/2016/12/2/expert-readers-may-reduce-overcalling-of-prostate-cancer-and-reduce-negative-biopsies monthly 0.5 2016-12-02 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1480662353624-H9FAOI7F2Q44IBC7OVJX/Screen+Shot+2016-12-02+at+08.05.19.png Journal Club - Expert readers may reduce overcalling of prostate cancer and minimize negative biopsies. Hansen NL, Koo BC, Gallagher FA, Warren AY, Doble A, Gnanapragasam V, Bratt O, Kastner C, Barrett T. Eur Radiol. 2016 Oct 24. [Epub ahead of print] PubMed PMID: 27778089. https://www.prostate-mri.ch/journalclub/2016/11/18/adc-threshold-in-likert-3-lesions monthly 0.5 2016-12-02 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1479480386891-FPHSECYZSQ7GC9YCSILT/image-asset.png Journal Club - Score-3 Lesions: What to do with them? To biopsy or not to biopsy? Two easily assessable parameters may help with the decision. J Magn Reson Imaging. 2016 Feb;43(2):325-32. PubMed PMID: 26131965 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1479481963301-48MHQSLRJAM1GZOBXLDK/image-asset.png Journal Club - Score-3 Lesions: What to do with them? To biopsy or not to biopsy? Two easily assessable parameters may help with the decision. https://www.prostate-mri.ch/journalclub/2016/10/30/possible-adjustments-to-pi-rads-v2 monthly 0.5 2016-10-30 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1477815357151-NZ2XSJWAC6DM4RZZEZK7/image-asset.png Journal Club - Proposed Adjustments to PI-RADS v2 may increase diagnostic performance in detection of significant prostate cancer Rosenkrantz AB, Babb JS, Taneja SS, Ream JM. Proposed Adjustments to PI-RADS Version 2 Decision Rules: Impact on Prostate Cancer Detection. Radiology. 2016 Oct 26. PubMed PMID: 27783538. https://www.prostate-mri.ch/journalclub/2016/10/9/dce-of-the-prostate-effect-of-temporal-resolution-on-qualitative-detection-and-quantitative-analysis-of-proven-prostate-cancer monthly 0.5 2016-10-15 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1476091927784-FYXMTBC8C3MOSFCP5THC/image-asset.png Journal Club - DCE-MRI of the prostate: what's an adequate temporal resolution? J Magn Reson Imaging. 2016 Sep 20. doi: 10.1002/jmri.25451. [Epub ahead of print] https://www.prostate-mri.ch/journalclub/2015/11/5/3ynzqt4qqo95h35mw1ppea51rudcao monthly 0.5 2016-10-15 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446715332369-F1ZME41WJHW2H8UZ6ADS/Screen+Shot+2015-11-05+at+09.12.36.png Journal Club - Pulse sequences necessary for recurrence detection after Radiotherapy Donati OF, Jung SI, Vargas HA, Gultekin DH, Zheng J, Moskowitz CS, Hricak H, Zelefsky MJ, Akin O. Multiparametric prostate MR imaging with T2-weighted, diffusion-weighted, and dynamic contrast-enhanced sequences: are all pulse sequences necessary to detect locally recurrent prostate cancer after radiation therapy? Radiology. 2013 Aug;268(2):440-50 https://www.prostate-mri.ch/journalclub/category/Technical monthly 0.5 https://www.prostate-mri.ch/journalclub/category/Interpretation monthly 0.5 https://www.prostate-mri.ch/journalclub/category/Reporting monthly 0.5 https://www.prostate-mri.ch/journalclub/category/Algorithm monthly 0.5 https://www.prostate-mri.ch/journalclub/category/Certfification monthly 0.5 https://www.prostate-mri.ch/journalclub/category/TheBiggerPicture monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Recurrence monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/treatment monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/DCE monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Standardization monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Metastasis monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Radiotherapy monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Algorithm monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Certification monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Agreement monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Gleason monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Sequence+optimization monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/NPV monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/temporal+resolution monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/DWI monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Diagnostic+Performance monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/T2w monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/high+risk+prostate+cancer monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Detection monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Localization monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Modality monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/Aggressiveness monthly 0.5 https://www.prostate-mri.ch/journalclub/tag/PSA monthly 0.5 https://www.prostate-mri.ch/tz-dwi2 daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579913516-ENHBM2SCMDFQCD992MOD/PIRADS4.png TZ-DWI for PI-RADS 2 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579930928-L2PYP2S4BJ2B1KFX7TZI/PIRADS1.png TZ-DWI for PI-RADS 2 - PIRADS 1 No abnormality (i.e. normal) on ADC and high b-value DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579931291-YWNP5GUKQPCR6P1N5QMV/PIRADS2.png TZ-DWI for PI-RADS 2 - PIRADS 2 Indistinct hypointense on ADC. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579931433-8HM5N5VYS8CGDX70MZOK/PIRADS3.png TZ-DWI for PI-RADS 2 - PIRADS 3 Focal mildly/moderately hypointense on ADC (arrow) and isointense/mildly hyperintense on high b-value DWI. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579931912-81GEU4VMPY5U3U8NQ5Z2/PIRADS4.png TZ-DWI for PI-RADS 2 - PIRADS 4 Focal markedly hypointense on ADC (arrow) and markedly hyperintense on high b-value DWI; < 1.5cm on axial images. https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1553579932065-QRQOQ45C4ADV4327SLD5/PIRADS5.png TZ-DWI for PI-RADS 2 - PIRADS 5 Same as 4 but ≥ 1.5cm in greatest dimension (arrow) or definite extraprostatic extension / invasive behavior. https://www.prostate-mri.ch/pirads-calculator daily 0.75 2017-09-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446758913789-G3EX191M3FWMACN0WAOV/PeripheralZone.png PIRADS Calculator - Peripheral Zone https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446758910875-K67H80MP68WL2LX8T33B/TransitionZone.png PIRADS Calculator - Transition Zone https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447079538449-MEL98UPM6OI7MMMT7GB0/image-asset.jpeg PIRADS Calculator https://www.prostate-mri.ch/pirads3 daily 0.75 2015-11-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447351931303-RVYSG9RCV77MKAYYH0GP/PIRADS+3_Banner.png PIRADS 3 https://www.prostate-mri.ch/pirads4 daily 0.75 2015-11-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447352063109-DPA6T5CIPUBE99IXXX67/PIRADS+4_Banner.png PIRADS 4 https://www.prostate-mri.ch/pirads5 daily 0.75 2015-11-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447352152198-FNCUFCVO2IF2EJECJDYK/PIRADS+5_Banner.png PIRADS 5 https://www.prostate-mri.ch/contact daily 0.75 2020-07-01 https://www.prostate-mri.ch/transition-zone-decision daily 0.75 2015-11-17 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767755771-RGLK1I9RG7ED379RH68S/TransitionZone.png Transition Zone - Decision https://www.prostate-mri.ch/transition-zone daily 0.75 2015-11-05 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767755771-RGLK1I9RG7ED379RH68S/TransitionZone.png Transition Zone https://www.prostate-mri.ch/home daily 1.0 2016-05-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446725914244-RRA2V6KQAE9K15UJ7QSH/image-asset.png Optimize your Prostate MRI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446725928641-ACHXDOR0F7GJNWNA1HHM/image-asset.png Optimize your Prostate MRI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446715041510-KTXKXTQEUMB1EBIGDZED/image-asset.png Optimize your Prostate MRI https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446709322603-8CD6CTVAQ6JWVOT6IEMT/image-asset.jpeg Optimize your Prostate MRI https://www.prostate-mri.ch/pirads2 daily 0.75 2015-11-12 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447351780211-AHL72U0URC3XYBN4L28T/PIRADS+2_Banner.png PIRADS 2 https://www.prostate-mri.ch/pirads1 daily 0.75 2015-11-10 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1447350889484-Q3N1A2V67M6I5125FY47/PIRADS+1_Banner.png PIRADS 1 https://www.prostate-mri.ch/peripheral-zone-decision daily 0.75 2015-11-17 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767689490-2Q26FFLU0UTC3IDOANWG/PeripheralZone.png Peripheral Zone - Decision https://www.prostate-mri.ch/peripheral-zone daily 0.75 2015-11-05 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767689490-2Q26FFLU0UTC3IDOANWG/PeripheralZone.png Peripheral Zone https://www.prostate-mri.ch/transition-zone-decision-for-pirads2 daily 0.75 2019-03-26 https://images.squarespace-cdn.com/content/v1/563a0dade4b005a84f9f9a3a/1446767755771-RGLK1I9RG7ED379RH68S/TransitionZone.png Transition Zone - Decision for PIRADS2