Optimizing Multiparametric MRI Protocols for Prostate Cancer Detection: A Comprehensive Assessment Aligned with PI-RADS Guidelines.

Autor: Jamshidi MH; Department of Medical Imaging and Radiation Sciences, School of Allied Medical Sciences Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran., Fatemi A; Department of Physics Jackson State University Jackson Mississippi USA.; Department of Radiation Oncology Gamma Knife Center Jackson Mississippi USA., Karami A; Department of Medical Imaging and Radiation Sciences, School of Allied Medical Sciences Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran., Ghanavati S; Department of Medicine, School of Medicine Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran., Dhruba DD; Department of Electrical and Computer Engineering University of Iowa Iowa City Iowa USA., Negarestanian MH; Department of MRI, Abu Ali Sina Hospital Shiraz University of Medical Sciences Shiraz Iran.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2024 Nov 19; Vol. 7 (11), pp. e70172. Date of Electronic Publication: 2024 Nov 19 (Print Publication: 2024).
DOI: 10.1002/hsr2.70172
Abstrakt: Background and Aim: Multiparametric magnetic resonance imaging (mpMRI) is recognized as the most indicative method for diagnosing prostate cancer. The purpose of this narrative review is to provide a comprehensive evaluation aligned with the Prostate Imaging and Reporting Data System (PI-RADS) guidelines, offering an in-depth insight into the various MRI sequences used in a standard mpMRI protocol. Additionally, it outlines the critical technical requirements necessary to perform a standard mpMRI examination of the prostate, as defined by the PI-RADS specifications.
Methods: European Society of Urogenital Radiology has released PI-RADS guideline detailing its suggestions aimed at improving the standards of the procedure. The purpose of this guideline is to establish a standard strategy for MRI protocols and image interpretation, aiming to prevent variability in each of the imaging and interpretation stages.
Results: A standard mpMRI protocol comprises morphological sequences and functional sequences. Morphological sequences which encompass T1- and T2-weighted images, and various functional sequences include diffusion-weighted imaging, and dynamic contrast-enhanced MRI. The PI-RADS recommendations assert that having a standard and uniform protocol for all MRI centers is imperative. Furthermore, the existence of a standardized checklist for interpreting MRI images can foster greater consensus in the process of diagnosing and treating patients.
Conclusion: Standardized protocols and checklists for mpMRI interpretation are essential for achieving greater consensus among radiologists, ultimately leading to improved diagnostic outcomes in prostate cancer.
Competing Interests: The authors declare no conflicts of interest.
(© 2024 The Author(s). Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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