Also the specificity for detecting PCa was higher when using mpMRI compared to [68 Ga]Ga-PSMA-11 PET/MRI (total agreement: 79% vs. 71% (p < 0.001), near-total agreement: 88% vs. 90% (p = 0.99)), which is in line with our results. Here, FOLH1 is linked to posterior cortical atrophy.