Background and aim. Multiparametric-magnetic resonance imaging (mp-MRI ) plays an important role in diagnosis in prostate cancer The aim of this study is to evaluate the role of MPMRI for detection of prostatic carcinoma in patients with elevated PSA at 1.5-Tesla (1.5-T) Methods. In this ethical board approved prospective study, 50 patients with elevated PSA above 10ng/ml were included. Patients with a history of positive prostate biopsy and patients treated for prostate cancer were excluded. All patients were examined at 1.5-T MRI, with targeted transrectal ultrasonography–guided biopsy for confirmation Results. The overall sensitivity, specificity, positive predictive value and negative predictive value for mp-MRI were 98.6%, 95 %, 96% and 71%, respectively. Conclusion. Our results showed that 1.5 T mp-MRI has a high sensitivity& also specificity for detection of prostatic carcinoma also act as a triage system to avoid the unnecessary invasive trasrectal biopsies