PI-RADS

Medical abbreviation · Medical Imaging

PI-RADS
Stands forProstate Imaging Reporting and Data System
CategoriesMedical

PI-RADS stands for Prostate Imaging Reporting and Data System, a medical imaging abbreviation.

Scoring system from 1 to 5 for lesions on multiparametric prostate MRI, estimating the likelihood of clinically significant prostate cancer. Scores of 4 or 5 usually lead to targeted biopsy, while scores of 1 or 2 may allow suitable men to avoid biopsy.

Example: PI-RADS 4 lesion in the left peripheral zone; MRI-fusion biopsy scheduled.

Usage notes

Version 2.1 was released in 2019 by the ACR and the European Society of Urogenital Radiology. Diffusion-weighted imaging is the dominant sequence for the peripheral zone and T2-weighted imaging for the transition zone. MRI before biopsy became standard in many countries after trials such as PRECISION (2018).

More medical imaging abbreviations

  • NCCT – Non-contrast computed tomography
  • OPG – Orthopantomogram
  • PA – Posteroanterior
  • PACS – Picture archiving and communication system
  • PET – Positron emission tomography
  • PET-CT – Positron emission tomography-computed tomography
  • POCUS – Point-of-care ultrasound
  • SPECT – Single-photon emission computed tomography
  • STIR – Short tau inversion recovery
  • SUV – Standardized uptake value
  • Tc-99m – Technetium-99m
  • TVUS – Transvaginal ultrasound

See all 58 medical imaging abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.