Fig. 2

65-year-old man with PSA of 3.2 μg/l. On T2-WI (a) the PZ shows normal high SI. On DWI, the ADC values in the PZ are high (b) and the SI on the b-1000 images is low (c). On DCE the PZ shows no suspicious contrast enhancement (d) and the DCE curves show a linear pattern (e). On MRSI (f) the spectra show normal high citrate peaks and low choline concentrations. The overall conclusion of this mpMRI exam was PI-RADS1. On the basis of this mpMRI, a clinically significant PC could be excluded with high certainty. A biopsy may reasonably be deferred, or if a biopsy shows low grade PC in a few cores, this patient is a good candidate for active surveillance