Prostate magnetic resonance imaging (MRI) is important for detecting prostate cancer (PCa) and the risk stratification of patients requiring prostate biopsy in the era of MRI-directed PCa diagnosis [1,2]. Despite the clear diagnostic benefits of MRI-directed diagnostic pathways reported in various clinical trials [3–5], the results may not be directly applicable in general practice owing to the variability of prostate MRI quality and expertise in MRI reading [2]. Image optimisation and standardi…