Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) — free guideline decision tool
One-click prostate mpMRI report: volume, PSAD, index lesion location and PI-RADS, EPE grade, seminal vesicles, nodes and bone, with a biopsy cue. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| PSA | 7.8 ng/mL |
|---|---|
| Prostate length | 4.4 cm |
| Width | 4.9 cm |
| Height | 3.5 cm |
| Index lesion PI-RADS | PI-RADS 3 |
| Zone | transition zone |
| Side | right |
| Level | mid-gland |
| Lesion maximum diameter | 14 mm |
| Lesion ADC (optional) | 720 µm²/s |
| Extraprostatic extension (Mehralivand) | Grade 1: capsular contact ≥1.5 cm or bulge/irregularity |
| Seminal vesicle invasion | No |
| Pelvic nodes | None suspicious |
| Pelvic bones | No suspicious lesion |
→PI-RADS3· PSAD 0.20
- Report block：Prostate 4.4 × 4.9 × 3.5 cm, volume 39.2 mL, PSA 7.8 ng/mL, PSAD 0.20. A lesion in the right transition zone at the mid-gland, 14 mm, ADC 720 µm²/s, PI-RADS 3, possible EPE (grade 1). Seminal vesicles not involved; no suspicious pelvic nodes; no suspicious pelvic bone lesion.
- Impression / recommendation：PI-RADS 3, possible EPE (grade 1). PI-RADS 3 with PSAD 0.10–0.20: intermediate; decide biopsy vs surveillance with clinical factors and patient preference.
- Volume formula：4.4×4.9×3.5×0.52 = 39.2 mL
| PSA | 7.8 ng/mL |
|---|---|
| Prostate length | 4.4 cm |
| Width | 4.9 cm |
| Height | 3.5 cm |
| Index lesion PI-RADS | PI-RADS 1 |
| Zone | peripheral zone |
| Side | left |
| Level | base |
| Lesion maximum diameter | 14 mm |
| Lesion ADC (optional) | 720 µm²/s |
| Extraprostatic extension (Mehralivand) | Grade 0: none |
| Seminal vesicle invasion | No |
| Pelvic nodes | None suspicious |
| Pelvic bones | No suspicious lesion |
→PI-RADS1· PSAD 0.20
- Report block：Prostate 4.4 × 4.9 × 3.5 cm, volume 39.2 mL, PSA 7.8 ng/mL, PSAD 0.20. No PI-RADS ≥3 lesion (overall PI-RADS 1). Seminal vesicles not involved; no suspicious pelvic nodes; no suspicious pelvic bone lesion.
- Impression / recommendation：PI-RADS 1. PI-RADS 1–2 with PSAD <0.20: low csPCa risk; immediate biopsy can often be avoided.
- Volume formula：4.4×4.9×3.5×0.52 = 39.2 mL
Common questions
What is Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE)?
One-click prostate mpMRI report: volume, PSAD, index lesion location and PI-RADS, EPE grade, seminal vesicles, nodes and bone, with a biopsy cue. Instant, browser-side.
How is Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) calculated? What is the core formula?
Volume = L × W × H × 0.52; PSAD = PSA / volume; EPE grade 0–3 (Mehralivand).
When is Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) used?
Prostate MRI reporting and harmonized structure between urology and radiology.
What are the key clinical points for Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE)?
Ellipsoid ×0.52. PSAD with PI-RADS. EPE per Mehralivand. Always report SV, nodes, bone.
What are the limits and cautions when using Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) calculated in practice? Can you show a worked example?
Inputs: PSA 7.8 ng/mL, Prostate length 4.4 cm, Width 4.9 cm, Height 3.5 cm, Index lesion PI-RADS PI-RADS 3, Zone transition zone, Side right, Level mid-gland… → Result: PI-RADS 3 · PSAD 0.20（Report block: Prostate 4.4 × 4.9 × 3.5 cm, volume 39.2 mL, PSA 7.8 ng/mL, PSAD 0.20. A lesion in the right transition zone at the mid-gland, 14 mm, ADC 720 µm²/s, PI-RADS 3, possible EPE (grade 1). Seminal vesicles not involved; no suspicious pelvic nodes; no suspicious pelvic bone lesion., Impression / recommendation: PI-RADS 3, possible EPE (grade 1). PI-RADS 3 with PSAD 0.10–0.20: intermediate; decide biopsy vs surveillance with clinical factors and patient preference., Volume formula: 4.4×4.9×3.5×0.52 = 39.2 mL） Inputs: PSA 7.8 ng/mL, Prostate length 4.4 cm, Width 4.9 cm, Height 3.5 cm, Index lesion PI-RADS PI-RADS 1, Zone peripheral zone, Side left, Level base… → Result: PI-RADS 1 · PSAD 0.20（Report block: Prostate 4.4 × 4.9 × 3.5 cm, volume 39.2 mL, PSA 7.8 ng/mL, PSAD 0.20. No PI-RADS ≥3 lesion (overall PI-RADS 1). Seminal vesicles not involved; no suspicious pelvic nodes; no suspicious pelvic bone lesion., Impression / recommendation: PI-RADS 1. PI-RADS 1–2 with PSAD <0.20: low csPCa risk; immediate biopsy can often be avoided., Volume formula: 4.4×4.9×3.5×0.52 = 39.2 mL）
Run Prostate mpMRI Structured Report (PI-RADS v2.1 + PSAD + EPE) now
One-click prostate mpMRI report: volume, PSAD, index lesion location and PI-RADS, EPE grade, seminal vesicles, nodes and bone, with a biopsy cue. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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