Quality of prostate MRI in early diagnosis-a national survey and reading evaluation.

IF 4.1 2区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Insights into Imaging Pub Date : 2025-04-05 DOI:10.1186/s13244-025-01960-4

Linda C P Thijssen, Jasper J Twilt, Tristan Barrett, Francesco Giganti, Ivo G Schoots, Rianne R M Engels, Mireille J M Broeders, Jelle O Barentsz, Maarten de Rooij

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引用次数: 0

Abstract

Objectives: The reliability of image-based recommendations in the prostate cancer pathway is partially dependent on prostate MRI image quality. We evaluated the current compliance with PI-RADSv2.1 technical recommendations and the prostate MRI image quality in the Netherlands. To aid image quality improvement, we identified factors that possibly influence image quality.

Materials and methods: A survey was sent to 68 Dutch medical centres to acquire information on prostate MRI acquisition. The responding medical centres were requested to provide anonymised prostate MRI examinations of biopsy-naive men suspected of prostate cancer. The images were evaluated for quality by three expert prostate radiologists. The compliance with PI-RADSv2.1 technical recommendations and the PI-QUALv2 score was calculated. Relationships between hardware, education of personnel, technical parameters, and/or patient preparation and both compliance and image quality were analysed using Pearson correlation, Mann-Whitney U-test, or Student's t-test where appropriate.

Results: Forty-four medical centres submitted their compliance with PI-RADSv2.1 technical recommendations, and 26 medical centres completed the full survey. Thirteen hospitals provided 252 usable images. The mean compliance with technical recommendations was 79%. Inadequate PI-QUALv2 scores were given in 30.9% and 50.6% of the mp-MRI and bp-MRI examinations, respectively. Multiple factors with a possible relationship with image quality were identified.

Conclusion: In the Netherlands, the average compliance with PI-RADSv2.1 technical recommendations is high. Prostate MRI image quality was inadequate in 30-50% of the provided examinations. Many factors not covered in the PI-RADSv2.1 technical recommendations can influence image quality. Improvement of prostate MRI image quality is needed.

Critical relevance statement: It is essential to improve the image quality of prostate MRIs, which can be achieved by addressing factors not covered in the PI-RADSv2.1 technical recommendations.

Key points: Prostate MRI image quality influences the diagnostic accuracy of image-based decisions. Thirty to fifty percent of Dutch prostate MRI examinations were of inadequate image quality. We identified multiple factors with possible influence on image quality.

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前列腺磁共振成像在早期诊断中的质量--一项全国调查和阅读评估。

目的：前列腺癌途径中基于图像推荐的可靠性部分取决于前列腺MRI图像质量。我们评估了目前荷兰对PI-RADSv2.1技术建议的依从性和前列腺MRI图像质量。为了帮助提高图像质量，我们确定了可能影响图像质量的因素。材料和方法：向68个荷兰医疗中心发送了一项调查，以获取有关前列腺MRI采集的信息。要求有关医疗中心对怀疑患有前列腺癌的未接受活检的男子进行匿名前列腺核磁共振检查。图像的质量由三位前列腺放射专家评估。计算PI-RADSv2.1技术建议的依从性和PI-QUALv2评分。硬件、人员教育、技术参数和/或患者准备与依从性和图像质量之间的关系使用Pearson相关性、Mann-Whitney u检验或学生t检验（如适用）进行分析。结果：44个医疗中心提交了遵守PI-RADSv2.1技术建议的情况，26个医疗中心完成了全面调查。13家医院提供了252张可用图像。对技术建议的平均依从性为79%。在mp-MRI和bp-MRI检查中，分别有30.9%和50.6%的患者PI-QUALv2评分不足。确定了与图像质量可能相关的多个因素。结论：荷兰对PI-RADSv2.1技术建议的平均依从性较高。在提供的检查中，30-50%的前列腺MRI图像质量不足。PI-RADSv2.1技术建议中未包括的许多因素都会影响图像质量。前列腺MRI图像质量有待提高。关键相关性声明：提高前列腺mri的图像质量至关重要，这可以通过解决PI-RADSv2.1技术建议中未涵盖的因素来实现。重点：前列腺MRI图像质量影响基于图像的诊断决策的准确性。30%到50%的荷兰前列腺核磁共振检查图像质量不佳。我们确定了可能影响图像质量的多个因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Insights into Imaging Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

7.30

自引率

4.30%

发文量

182

审稿时长

13 weeks

期刊介绍： Insights into Imaging (I³) is a peer-reviewed open access journal published under the brand SpringerOpen. All content published in the journal is freely available online to anyone, anywhere! I³ continuously updates scientific knowledge and progress in best-practice standards in radiology through the publication of original articles and state-of-the-art reviews and opinions, along with recommendations and statements from the leading radiological societies in Europe. Founded by the European Society of Radiology (ESR), I³ creates a platform for educational material, guidelines and recommendations, and a forum for topics of controversy. A balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes I³ an indispensable source for current information in this field. I³ is owned by the ESR, however authors retain copyright to their article according to the Creative Commons Attribution License (see Copyright and License Agreement). All articles can be read, redistributed and reused for free, as long as the author of the original work is cited properly. The open access fees (article-processing charges) for this journal are kindly sponsored by ESR for all Members. The journal went open access in 2012, which means that all articles published since then are freely available online.