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Imaging · London

Private prostate mpMRI in London, read to PI-RADS by a uroradiologist.

The modern first step before any biopsy.

A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Indicative pricing

What a prostate mpMRI actually costs in London.

Indicative ranges across UK private providers.

In short

£550-£950, reported to PI-RADS in 48-72 hours.

Scan type Indicative range
Multi-parametric prostate MRI (mpMRI) £550–£950
Biparametric prostate MRI (bpMRI, no contrast) £450–£800
mpMRI + pelvic nodes (staging) £650–£1,150
Active-surveillance follow-up mpMRI £500–£900
Post-treatment review £500–£900
Second-opinion read (existing scan) £250–£450

Prices vary by clinic, time of day, scanner field strength (3T preferred for the prostate), and whether a full mpMRI with contrast or a faster bpMRI is used.

The problem

A scan before a biopsy, not the other way round.

For years men went straight to biopsy. mpMRI first can spare an unnecessary one - and where a biopsy is still needed, it can be targeted. The right protocol, a 3T scanner and a uroradiologist reading it to PI-RADS are what turn a scan into an answer.

  • Not sure if you need one?

    If your PSA is raised or your GP is concerned, mpMRI is usually the right first step.

  • Not sure who reads it?

    Look for clinics where a consultant uroradiologist reports to PI-RADS standard.

What it shows

Find the reason that matches your symptom.

From a raised PSA to planning a targeted biopsy, mpMRI answers very specific questions. These are the most common.

  • Before any biopsy decision

    mpMRI is the modern first step - it can spare many men an unnecessary biopsy.

  • PI-RADS scoring

    Your scan is scored 1 to 5 for how likely a significant cancer is, guiding what happens next.

  • Detecting significant cancer

    Designed to find the cancers that matter while overlooking many that never would.

  • Targeted biopsy planning

    Pinpoints a suspicious area so a biopsy can be aimed precisely, not taken blindly.

  • Making sense of a raised PSA

    Helps decide whether a raised PSA actually needs a biopsy at all.

  • Active surveillance

    Tracks a known low-risk cancer over time without repeated biopsies.

  • Staging & spread

    Assesses whether a known cancer has spread beyond the gland.

  • After treatment

    Looks for recurrence after surgery or radiotherapy.

Prostate MRI types

Not all prostate scans are the same.

What each option on your referral is actually for.

  • Multi-parametric MRI (mpMRI)

    The full standard study - T2, diffusion and contrast, reported with PI-RADS.

  • Biparametric MRI (bpMRI)

    A faster study without contrast, suitable for many men.

  • PI-RADS reporting

    A structured 1-5 score for the likelihood of significant cancer.

  • Staging protocol

    Adds the pelvic lymph nodes to assess spread in a known cancer.

  • Pre-biopsy mpMRI

    Done before any biopsy so any sample can be targeted, not random.

  • Active-surveillance follow-up

    A repeat scan to watch a known low-risk cancer over time.

  • Post-treatment MRI

    Looks for recurrence after surgery or radiotherapy.

  • Second-opinion read

    A specialist re-read of an existing scan, no need to re-scan.

Safety and eligibility

One of the safest tests in medicine.

A couple of things are checked first - a recent biopsy or hip metalwork can affect timing or the choice of scanner.

  • Pacemakers, defibrillators, neurostimulators

    Many modern devices are MR-conditional.

  • Aneurysm clips and vascular coils

    Model and date of insertion matter. The scanning centre will need this from your hospital.

  • Metal fragments (eye, shrapnel)

    May need a prior orbit X-ray.

  • Hip replacements and pelvic metalwork

    Almost always MRI-safe. They may cause local artefact near the prostate - the clinic can advise on the right scanner.

  • A recent prostate biopsy

    Best to wait about 6-8 weeks after a biopsy so bruising does not obscure the scan.

  • Kidney function

    A recent eGFR is needed if gadolinium contrast is planned for a full mpMRI.

  • Weight and size

    Most scanners accommodate up to 200 kg. Wide-bore options for larger patients.

Reading your report

A PI-RADS report can look intimidating. It isn't.

Every prostate report is built the same way - four parts, ending in your PI-RADS score.

A consultant uroradiologist reviewing prostate mpMRI images on a clinical workstation in Central London

A quiet reminder

The report is written for your urologist, not for you - and that is normal.

If you would like it explained before your follow-up, ask your GP or specialist.

  1. 01 Header

    Your details and the question

    Your details, the scan performed, and the clinical question - often a raised PSA.

  2. 02 Technique

    How the scan was done

    Which sequences were used (T2, diffusion and, for mpMRI, contrast). Together they build the PI-RADS score.

  3. 03 Findings

    What the radiologist saw

    A description of the prostate zones and any suspicious area, with its PI-RADS score.

  4. 04 Impression

    The conclusion: read this first

    The PI-RADS score and what it means - read this first. Your urologist plans the next step.

Recognised by major UK insurers

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Frequently asked

Common questions about prostate MRI.

Quick answers on cost, referrals, contrast, claustrophobia and results.

  • What is an mpMRI of the prostate?

    A multi-parametric MRI - several types of image combined - and the modern first step for suspected prostate cancer. It is reported with a PI-RADS score from 1 to 5.

  • Do I need an MRI before a prostate biopsy?

    Current best practice is mpMRI first. It can spare many men a biopsy, and where a biopsy is still needed it lets the sample be targeted rather than random.

  • What is a PI-RADS score?

    A 1-to-5 score for how likely a significant cancer is: 1-2 means very unlikely, 4-5 means a biopsy is usually advised. Your radiologist or specialist can explain your score in plain terms.

  • How much does a private prostate MRI cost in London?

    A faster biparametric study or a second-opinion read costs less; staging costs more.

  • Do I need a referral?

    A prostate mpMRI is usually arranged with a referral, and a raised PSA or symptoms help the radiologist.

  • Do I need contrast (an injection)?

    A full mpMRI uses contrast; a biparametric (bpMRI) study does not.

  • How long does it take?

    A prostate mpMRI takes about 40-50 minutes. You lie on your back throughout. A muscle-relaxant injection is sometimes used to steady the bowel.

  • How quickly will I get the results?

    A consultant uroradiologist report is usually ready in 48-72 hours. With your consent, the report and images can be shared with your GP or urologist.

  • Will my insurance cover it?

    Most policies cover prostate MRI when clinically indicated and pre-authorised.

  • Is a prostate MRI safe?

    It is one of the safest tests in medicine - no ionising radiation.