Department of Radiology, Addenbrooke's Hospital and University of Cambridge, Hills Rd, Cambridge CB2 0QQ, UK.
Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
AJR Am J Roentgenol. 2022 Nov;219(5):691-702. doi: 10.2214/AJR.22.27615. Epub 2022 May 11.
Prostate MRI is now established as a first-line investigation for individuals presenting with suspected localized or locally advanced prostate cancer. Successful delivery of the MRI-directed pathway for prostate cancer diagnosis relies on high-quality imaging as well as the interpreting radiologist's experience and expertise. Radiologist certification in prostate MRI may help limit interreader variability, optimize outcomes, and provide individual radiologists with documentation of meeting predefined standards. This Expert Panel Narrative Review summarizes existing certification proposals, recognizing variable progress across regions in establishing prostate MRI certification programs. To our knowledge, Germany is the only country with a prostate MRI certification process that is currently available for radiologists. However, prostate MRI certification programs have also recently been proposed in the United States and United Kingdom and by European professional society consensus panels. Recommended qualification processes entail a multifaceted approach, incorporating components such as minimum case numbers, peer learning, course participation, continuing medical education credits, and feedback from pathology results. Given the diversity in health care systems, including in the provision and availability of MRI services, national organizations will likely need to take independent approaches to certification and accreditation. The relevant professional organizations should begin developing these programs or continue existing plans for implementation.
前列腺 MRI 现在已被确立为疑似局限性或局部进展性前列腺癌患者的一线检查方法。成功实施 MRI 引导的前列腺癌诊断路径依赖于高质量的成像以及解读放射科医生的经验和专业知识。前列腺 MRI 的放射科医生认证可能有助于限制读者间的变异性，优化结果，并为个别放射科医生提供满足预定义标准的证明。本专家小组叙述性评论总结了现有的认证提案，认识到在建立前列腺 MRI 认证计划方面，各地区的进展情况存在差异。据我们所知，德国是唯一一个目前为放射科医生提供前列腺 MRI 认证流程的国家。然而，前列腺 MRI 认证计划最近也在美国、英国以及欧洲专业协会共识小组中提出。推荐的资格认证流程采用多方面的方法，包括最低病例数量、同行学习、课程参与、继续医学教育学分以及病理结果反馈等组成部分。鉴于医疗保健系统的多样性，包括 MRI 服务的提供和可用性，国家组织可能需要采取独立的认证和认可方法。相关专业组织应开始制定这些计划或继续实施现有计划。
