Anwar Padhani, MBBS, FRCP, FRCR, Paul Strickland Scanner Centre Mount Vernon Cancer Centre, Northwood, UK, discusses challenges associated with delivering a high-quality MRI diagnostic service in prostate cancer such as biopsy avoidance, detection of indolent cancers, improving precision, and improving positive predictive values. This interview was recorded via an online conference call with The Video Journal of Oncology (VJOncology).