Fig. 23

Axial T2w imaging (a), high b value (b), ADC map (c) and DCE acquisition (d) of a study that was given a PI-QUAL score of 2. Only T2w imaging (a) is of acceptable diagnostic quality (although the slice thickness is 3.5 mm). The in-plane resolution (including the ADC map) and the slice thickness (5 mm) of DWI and the in-plane resolution and slice thickness (3.5 mm) of DCE sequences are below the minimum standard of diagnostic quality as per PI-RADS v.2.1 technical recommendations. The arrows indicate a lesion in the left peripheral zone between 5 and 6 o’clock. Targeted biopsy revealed Gleason 3 + 4 disease