Review of Prostate Imaging Scoring Systems: From PI-RADS to PSMA-RADS

Nine structured prostate MRI scoring systems (PI-RADS, PRECISE, PI-RR, etc.) standardize interpretation across detection, surveillance, and post-treatment settings, improving agreement and facilitating evidence-based care.

• The systems span detection (PI-RADS), active surveillance (PRECISE), local recurrence (PI-RR), lymph nodes (Node-RADS), metastases (MET-RADS-P), molecular imaging (PSMA-RADS), and quality assurance (PI-QUAL).
• Challenges remain, including inter-reader variability, heterogeneous MRI quality, and incomplete validation of newer tools; future directions involve AI and hybrid PET/MRI.

Automated summary

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