I've read that mpMRI (Multiparametric MRI) has distinct advantages over standard MRI. The gold standard for an MRI machine is rated as a 3T (T=Tesla), but not sure if the mpMRI has the same designation. The following site says "Multiparametric (mp)-MRI has emerged as a robust method for localizing prostate tumors and determining their size, aggressiveness, and invasiveness, thereby improving disease detection, staging, and risk stratification (Hoeks et al., 2011)." https://sperlingprostatecenter.com/who-says-prostate-mri-is-too-expensive/ Then, another site states "What You Need to Know Before Reading Multiparametric MRI for Prostate Cancer" which really gets you into the technical weeds. However, the takeaway is that you need to find someone very experienced in interpreting the mpMRI scans. See https://www.ajronline.org/doi/full/10.2214/AJR.19.22751 A word about biopsy slide results. I read a comment from a J Hopkins pathologist who felt that some pathologists knowingly overstate what they see on the slide for fear of being sued. Regarding mpMRI scans, one could ask how many of these scans they perform in a year as an indication of their experience?? If you are on the East coast I found this large company that does scans, but only a few do mpMRI scans. See https://www.universityradiology.com/