Objective: The purpose of this article is to highlight the potential challenges associated with the Prostate Imaging Reporting and Data System, version 2 (PI-RADS v2), and to offer, when possible, suggestions and ideas for improvement.
Conclusion: PI-RADS v2 offers clear improvements to its earlier version and will greatly benefit the prostate MRI community. Nonetheless, caution remains on the basis of early user experience, and potential ambiguities and gaps of PI-RADS v2 are noted. Continued data-driven clarification and refinement of the guidelines will be invaluable for PI-RADS v2 to achieve its goal of improving patient care.
Keywords: MRI; PI-RADS; Prostate Imaging Reporting and Data System; guidelines; prostate biopsy; prostate cancer.