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Patient with suspected cancer
MRI: Detection
Targeted biopsy
Low risk
Intermediate risk
High risk
Consider
Systematic biopsy
Focal lesion
No focal lesion
Stage
T1-2a
& PSA ng/mL <10
& Gleason ≤6
Stage
T2b-c
or PSA ng/mL 10-20
or Gleason 7
Stage
≥T3a
or PSA ng/mL >20
or Gleason 8-10