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Preoperative MRI PI‐RADS scores are associated with prostate cancer upstaging on surgical pathology

Prostate Imaging Reporting and Data System (PI‐RADS) scores can help identify clinically significant prostate cancer and improve patient selection for prostate biopsies. However, the role of PI‐RADS scores in patients already diagnosed with prostate cancer remains unclear. The purpose of this study was to evaluate the association of PI‐RADS scores with prostate cancer upstaging. Upstaging on final pathology harbors a higher risk for biochemical recurrence with important implications for additional treatments, morbidity, and mortality.