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The extended prostate MRI protocol shows a considerable prevalence of AFs of which more than a third are clinically significant, related or unrelated to PCa (groups 2 and 3). A substantial percentage (8.3%) of patients have extra-prostatic PCa-related AFs that change the patient's disease stage and management. However, a change in management due to AFs unrelated to PCA that belong to group 3 is observed in less than 4% of all patients. The choice between extended and abbreviated prostate MRI protocols should be made based on available resources.
Poroes et al. (Tue,) studied this question.
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