MRI Scan Guide

Prostate MRI: What It Shows, How It Works, and What to Expect

Overview

What is a prostate MRI?

A prostate MRI produces highly detailed images of the prostate gland and surrounding structures. It is the most accurate imaging method for detecting and characterizing prostate cancer, often using a multiparametric technique (mpMRI).

Prostate MRI is commonly used when PSA levels are elevated, before or after biopsy, for active surveillance of known prostate cancer, and for staging. Multiparametric MRI combines different imaging sequences to provide comprehensive information about the prostate.

The scan does not use radiation, is non-invasive, and most patients find it straightforward. No endorectal coil is needed with modern high-field scanners.

The procedure

How a prostate MRI works

You lie on your back on the scanner table with a body coil placed over your pelvis. The table slides into the scanner. Multiple imaging sequences are acquired, including T2-weighted images (for anatomy), diffusion-weighted images (for tissue cellularity), and dynamic contrast-enhanced images (for blood flow). These sequences together constitute a multiparametric MRI. The scan takes approximately 30 to 45 minutes.

Diagnostic value

What a prostate MRI detects

Prostate cancer (detection and characterization)
Cancer staging and extent
Benign prostatic hyperplasia (BPH)
Prostatitis and inflammation
Seminal vesicle invasion
Extracapsular extension
Post-treatment recurrence
Targeted biopsy guidance

Preparation

How to prepare for a prostate MRI

Prostate MRI and PI-RADS scoring

Multiparametric prostate MRI findings are reported using the PI-RADS scoring system (Prostate Imaging Reporting and Data System). Each lesion is scored from 1 to 5: PI-RADS 1 and 2 are very likely benign, PI-RADS 3 is indeterminate, and PI-RADS 4 and 5 are likely clinically significant cancer. This standardized system helps your urologist decide whether biopsy is needed.

Understanding your results

Your scan results, in plain English.

Every Mira scan comes with two reports. A medical report from a radiologist for your doctor, and a miraclarity report for you. The miraclarity report explains your prostate MRI findings in straightforward language with visual guides, severity indicators, and recommended next steps.

No jargon. No waiting for another appointment just to understand what your scan found. miraclarity is included free with every scan.

Book your scan

Where to get a prostate MRI

Frequently asked questions

Do I need a prostate MRI if my PSA is elevated?

Current guidelines recommend prostate MRI before biopsy in many cases. MRI can help identify suspicious areas and guide targeted biopsy, potentially avoiding unnecessary procedures.

How long does a prostate MRI take?

A typical prostate MRI takes 30 to 45 minutes.

Is an endorectal coil needed?

With modern high-field MRI scanners (1.5T and 3T), an endorectal coil is generally not required. The scan is performed with an external body coil only.

Other MRI scans

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