Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples.
Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
Arch Ital Urol Androl. 2020 Dec 17;92(4). doi: 10.4081/aiua.2020.4.291.
We aimed to assess the attitudes and perceptions towards multiparametric magnetic resonance imaging (mpMRI) of the prostate among Italian urologists.
A national, web-based survey was performed. A questionnaire composed of 18 multiple choice questions was e-mailed to 941 currently active urologists, members of the Italian Society of Urology. Preserving anonymity, respondents' demographics were collected (e.g. geographic region, type of workplace, prostate procedures performed) as well as data concerning their attitudes and perceptions towards mpMRI (e.g. indications deemed appropriate, degree of confidence in mpMRI results). Data were expressed as raw numbers and percentages of survey answers.
In total, 98 responses were received (participation rate = 10.4%). Respondents mostly worked in urban areas (96%) and primarily in hospital settings (89%), while 48% of them worked in southern Italy. 97% of respondents considered mpMRI useful to detect Prostate Cancer (PCa) in patients with prior negative biopsy, 64% in biopsy-naïve patients and 60% for PCa pre-operatory staging. About half (42%) of the participants declared that mpMRI results frequently lead them to change PCa management strategy. Standardization of mpMRI acquisition and reporting was partially unsatisfactory. Reported waiting time for mpMRI scans was longer than 4 weeks for 51% of respondents. The major limitation of this survey includes the small number of participants.
Prostate mpMRI is used by Italian urologists mainly for detection and for pre-operative staging of PCa. Further improvements in terms of mpMRI availability and report standardization are required.
评估意大利泌尿科医生对前列腺多参数磁共振成像（mpMRI）的态度和看法。
进行了一项全国性的网络调查。向意大利泌尿科协会的 941 名在职泌尿科医生发送了一份由 18 个多项选择题组成的问卷。为了保持匿名，收集了受访者的人口统计学数据（例如地理位置、工作场所类型、进行的前列腺手术）以及他们对 mpMRI 的态度和看法的数据（例如认为合适的适应症、对 mpMRI 结果的信心程度）。数据以调查答案的原始数字和百分比表示。
共收到 98 份回复（参与率=10.4%）。受访者主要在城市地区（96%）和医院环境中（89%）工作，而其中 48%在意大利南部工作。97%的受访者认为 mpMRI 有助于在先前阴性活检的患者中检测前列腺癌（PCa），64%在初次活检的患者中，60%用于 PCa 术前分期。大约一半（42%）的参与者表示，mpMRI 结果经常导致他们改变 PCa 管理策略。mpMRI 采集和报告的标准化部分不尽如人意。51%的受访者报告 mpMRI 扫描的等待时间超过 4 周。本调查的主要局限性包括参与者人数较少。
意大利泌尿科医生主要将前列腺 mpMRI 用于检测和 PCa 的术前分期。需要进一步提高 mpMRI 的可用性和报告标准化。
