Augmenting prostate magnetic resonance imaging reporting to incorporate diagnostic recommendations based upon clinical risk calculators.
Autor: | Gupta K; Department of Radiology, University of Washington, Seattle, WA 98195, United States., Perchik JD; Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35233, United States., Fang AM; Department of Urology, University of Alabama at Birmingham, Birmingham, AL 35233, United States., Porter KK; Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35233, United States., Rais-Bahrami S; Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.; Department of Urology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35233, United States. soroushraisbahrami@gmail.com. |
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Jazyk: | angličtina |
Zdroj: | World journal of radiology [World J Radiol] 2022 Aug 28; Vol. 14 (8), pp. 249-255. |
DOI: | 10.4329/wjr.v14.i8.249 |
Abstrakt: | Risk calculators have offered a viable tool for clinicians to stratify patients at risk of prostate cancer (PCa) and to mitigate the low sensitivity and specificity of screening prostate specific antigen (PSA). While initially based on clinical and demographic data, incorporation of multiparametric magnetic resonance imaging (MRI) and the validated prostate imaging reporting and data system suspicion scoring system has standardized and improved risk stratification beyond the use of PSA and patient parameters alone. Biopsy-naïve patients with lower risk profiles for harboring clinically significant PCa are often subjected to uncomfortable, invasive, and potentially unnecessary prostate biopsy procedures. Incorporating risk calculator data into prostate MRI reports can broaden the role of radiologists, improve communication with clinicians primarily managing these patients, and help guide clinical care in directing the screening, detection, and risk stratification of PCa. Competing Interests: Conflict-of-interest statement: Rais-Bahrami S serves as a consultant to Philips/InVivo Corp, Genomic Health Inc, Blue Earth Diagnostics, Bayer Healthcare, UroViu Corp, and Intuitive Surgical. (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.) |
Databáze: | MEDLINE |
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