Updated Recommendations of the German Radiological Society and the German Professional Association of Radiologists on Prostate MRI in the Context of the New S3 Guideline on Prostate Cancer.
Authors
Affiliations (14)
Affiliations (14)
- University Hospital Jena, Department of Diagnostic and Interventional Radiology, Germany, Jena.
- Charité-University Medicine Berlin, Clinic for Radiology, Campus Charité Mitte, Germany, Berlin.
- University Hospital Hamburg-Eppendorf, Clinic and Policlinic for Diagnostic and Interventional Radiology and Nuclear Medicine, Germany, Hamburg.
- Elisabeth Hospital Mönchengladbach, Clinic for Radiology, Angiology and Nuclear Medicine, Germany, Mönchengladbach.
- Berufsverband Deutscher Radiologen eV, Bund der Radiologen, Germany, Munich.
- Siloah St. Trudpert Clinic, Institute for Diagnostic and Interventional Radiology, Germany, Pforzheim.
- University Hospital RWTH Aachen, Department of Diagnostic and Interventional Radiology, Germany, Aachen.
- Heinrich-Heine-University Düsseldorf, Medical Faculty, Department of Diagnostic and Interventional Radiology, Germany, Düsseldorf.
- University of Munich, Department of Radiology, Germany, Munich.
- University Hospital Tübingen, Department of Radiology, Germany, Tübingen.
- Hospital Dresden, Clinic of Radiology, Germany, Dresden.
- Ihre Radiologen MVZ GmbH, Germany, Berlin.
- Marien Hospital Herne Academic Teaching Hospital of the University Bochum, Institute for Diagnostic and Interventional Radiology and Nuclear Medicine, Germany, Herne.
- German Cancer Research Center, Department of Radiology, Germany, Heidelberg.
Abstract
This article provides an update of the 2021 recommendations of the German Radiological Society (DRG) and the German Professional Association of Radiologists (BDR) on prostate MRI in accordance with the German S3 guideline on prostate cancer (version 8.1, published August 2025). The recommendations define the "current quality standards" for prostate MRI referenced in the S3 guideline and provide detailed guidance on patient history requirements, scheduling and preparation, and current indications for prostate MRI. Newly added sections cover the recommended imaging protocol, applications of artificial intelligence, and requirements for quality and structured reporting. MRI-guided (in-bore) prostate biopsy, including laboratory workup, management of anticoagulation, and antibiotic prophylaxis, is also discussed in detail. · Update of the DRG/BDR recommendations regarding prostate MRI in accordance with the new S3 guideline on prostate cancer (version 8.1, 2025).. · Definition of the "current quality standards" for prostate MRI referenced in the S3 guideline.. · New guidelines regarding indications, applications of artificial intelligence, quality/structured reporting requirements.. · Detailed discussion of MRI-guided (in-bore) prostate biopsy.. · Franiel T, Asbach P, Beyersdorff D et al. Updated Recommendations of the German Radiological Society and the German Professional Association of Radiologists on Prostate MRI in the Context of the New S3 Guideline on Prostate Cancer. Rofo 2026; DOI 10.1055/a-2979-8879.