Section of Abdominal Imaging and Nuclear Radiology Department, Imaging Institute, Cleveland Clinic, Cleveland, OH, USA.
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Eur J Radiol. 2023 Aug;165:110937. doi: 10.1016/j.ejrad.2023.110937. Epub 2023 Jun 17.
Magnetic resonance imaging (MRI) has become integral to diagnosing and managing patients with suspected or confirmed prostate cancer. However, the benefits of utilizing MRI can be hindered by quality issues during imaging acquisition, interpretation, and reporting. As the utilization of prostate MRI continues to increase in clinical practice, the variability in MRI quality and how it can negatively impact patient care have become apparent. The American College of Radiology (ACR) has recognized this challenge and developed several initiatives to address the issue of inconsistent MRI quality and ensure that imaging centers deliver high-quality patient care. These initiatives include the Prostate Imaging Reporting and Data System (PI-RADS), developed in collaboration with an international panel of experts and members of the European Society of Urogenital Radiology (ESUR), the Prostate MR Image Quality Improvement Collaborative, which is part of the ACR Learning Network, the ACR Prostate Cancer MRI Center Designation, and the ACR Appropriateness Criteria. In this article, we will discuss the importance of these initiatives in establishing quality assurance and quality control programs for prostate MRI and how they can improve patient outcomes.
磁共振成像(MRI)已成为诊断和管理疑似或确诊前列腺癌患者的不可或缺的手段。然而,在成像采集、解读和报告过程中,如果出现质量问题,那么利用 MRI 的益处可能会受到阻碍。随着前列腺 MRI 在临床实践中的应用不断增加,MRI 质量的可变性以及其如何对患者护理产生负面影响已经变得明显。美国放射学院(ACR)已经认识到这一挑战,并采取了多项举措来解决 MRI 质量不一致的问题,并确保成像中心提供高质量的患者护理。这些举措包括与国际专家小组和欧洲泌尿生殖放射学会(ESUR)成员合作开发的前列腺成像报告和数据系统(PI-RADS)、作为 ACR 学习网络一部分的前列腺 MR 图像质量改进协作、ACR 前列腺癌 MRI 中心指定以及 ACR 适宜性标准。在本文中,我们将讨论这些举措在为前列腺 MRI 建立质量保证和质量控制计划方面的重要性,以及它们如何改善患者的预后。