MRI use prior to prostate biopsy after guideline recommendation in Canada

Introduction

Implementation of magnetic resonance imaging (MRI) prior to a prostate biopsy has improved detection of clinically significant prostate cancer, while reducing overdiagnosis of low-risk disease. Accordingly, the Canadian Urological Association (CUA) updated its prostate screening guidelines to recommend MRI prior to prostate biopsy in biopsy-naive men in 2022. This study aims to assess real-world implementation of pre-biopsy MRI by urologists in accordance with CUA guidelines.