Prostate MRI overall category — DWI drives the peripheral zone, T2 drives the transition zone.
Zone
T2 score — drives TZ
DWI / ADC score — drives PZ
DCE — only used for a PZ DWI of 3
Select scores
Pick the zone and the relevant sequence scores.
PI-RADS v2.1 overall assessment category (per-lesion). Use a dedicated multiparametric prostate MRI; clinical decisions also weigh PSA density and shared decision-making. Not a substitute for clinical judgment.
PI-RADS Prostate Imaging Reporting and Data System, Version 2.1 (ACR/ESUR/AdMeTech, 2019).