April 30, 2026 · Radiographics : a review publication of the Radiological Society of North America, Inc · DOI: 10.1148/rg.250126

PRECISE Version 2: Essential Tips for Prostate Cancer Monitoring Using MRI

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The authors aim to enhance the monitoring of prostate cancer in patients undergoing active surveillance (AS) by updating the PRECISE criteria to version 2, which provides a structured reporting system for MRI evaluations. This version simplifies the assessment of longitudinal changes in MRI findings, focusing on lesion characteristics and the emergence of new lesions, thereby improving communication between radiologists and clinicians. The paper discusses the rationale for AS, the evolution of the PRECISE system, and practical applications through case examples.

Arthur Ogata, Giorgio Brembilla, Adriano B Dias, Tristan Barrett, Isadora B Canedo, Rossano Girometti, Gabriel Lion Gouvea, Thalyne A Lima, Caroline M Moore, Refky Nicola, Valeria Panebianco, R Renard-Penna, Antonio C Westphalen, Valdair F Muglia, Francesco Giganti

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