Impact of the PI-QUAL MRI quality score on histopathological up-staging from MRI fusion biopsy to final prostatectomy specimen

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Multiparametric MRI (mpMRI) is the gold standard for targeted prostate biopsy, with PI-RADS assessing malignancy risk.
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The PI-QUAL score, a 5-point scale, evaluates mpMRI quality, impacting diagnostic reliability and treatment planning.
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This study analyzed 349 patients to assess the correlation between PI-QUAL scores and histopathological upstaging.
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Primary outcomes focused on upstaging from radiologic T-status to pathologic T-stage, particularly extraprostatic extension.
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Findings suggest that higher PI-QUAL scores correlate with improved diagnostic accuracy and surgical outcomes.

World Journal Of Urology

by Maximilian Haack, Mohamad Turkman, Tobias Jorg, Lukas Müller, Gregor Duwe, Lisa Johanna Frey, Maximilian Peter Brandt, Axel Haferkamp, Hendrik Borgmann, Robert Dotzauer
June 30, 2025

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