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. 2024 Mar 11;14:5849. doi: 10.1038/s41598-024-56415-5

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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A 57-year-old patient presented with an elevated level of prostate-specific antigen (PSA) measuring 8.9 ng/ml, accompanied by suspicious findings on digital rectal examination. Multiparametric magnetic resonance imaging (mp-MRI) identified a PI-RADS 5 lesion in the left peripheral zone. Subsequently, an MRI-guided in-bore biopsy was performed and the diagnosis of prostate cancer (Gleason Group 4) was established. Sagittal (A) and axial (B) T2-weighted images, axial ADC image (D) showing biopsy needle positioning. Axial ADC image (C) taken during in-bore biopsy.