PI-RADS version 2.1 for the evaluation of transition zone lesions: a practical guide for radiologists

Author:

Gaudiano Caterina1ORCID,Rustici Arianna1,Corcioni Beniamino1,Ciccarese Federica1,Bianchi Lorenzo23,Schiavina Riccardo23,Giunchi Francesca4,Fiorentino Michelangelo5,Brunocilla Eugenio23,Golfieri Rita1

Affiliation:

1. Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

2. Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

3. University of Bologna, Bologna, Italy

4. Department of Pathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

5. Department of Specialty, Diagnostic and Experimental Medicine, University of Bologna, Bologna, Italy

Abstract

Multiparametric MRI has been established as the most accurate non-invasive diagnostic imaging tool for detecting prostate cancer (PCa) in both the peripheral zone and the transition zone (TZ) using the PI-RADS (Prostate Imaging Reporting and Data System) v. 2.1 released in 2019 as a guideline to reporting. TZ PCa remains the most difficult to diagnose due to a markedly heterogeneous background and a wide variety of atypical imaging presentations as well as other anatomical and pathological processes mimicking PCa. The aim of this paper was to present a spectrum of PCa in the TZ, as a guide for radiologists.

Publisher

British Institute of Radiology

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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