Prostate cancer is the most common cancer in men in the UK. Because it is typically slow growing it tends not to be associated with symptoms or clinical signs for many years. While the role of a national screening program for prostate cancer remains controversial, it is now widely accepted that following an informed discussion with their GP, men over 50 years can opt to have a blood test and examination in order to stratify their risk. Men of this age with an elevated prostate specific blood test are now advised to undergo an MRI of the prostate gland before deciding on the need for prostate biopsy. London Radiology offers MRI assessment of the prostate when considered clinically appropriate, with expert consultant prostatic biopsy service when required.