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提高前列腺 MRI 专业水平:放射科医师的教育策略。

Enhancing prostate MRI expertise: educational strategies for radiologists.

机构信息

Department of Radiology, School of Medicine, University of Washington, 1959 NE Pacific St, Box 357115, Seattle, WA, 98195, USA.

Section of Abdominal Imaging Section and Nuclear Radiology Department, Cleveland Clinic Imaging Institute, 9500 Euclid Ave, Mail Code JB-322, Cleveland, OH, 44195, USA.

出版信息

Abdom Radiol (NY). 2024 Sep;49(9):3175-3182. doi: 10.1007/s00261-024-04325-5. Epub 2024 Apr 30.

DOI:10.1007/s00261-024-04325-5
PMID:38684548
Abstract

The adoption of multiparametric MRI (mpMRI) and the Prostate Imaging Reporting and Data System has significantly changed prostate cancer diagnosis and management. These advancements, alongside novel biomarkers and updated International Society of Uropathology grade groups, have improved cancer detection and prognostication. Despite this progress, varying levels of expertise in mpMRI among radiologists have resulted in inconsistent assessments, potentially leading to unnecessary procedures and diminished confidence in the modality. This review assesses the educational landscape for prostate MRI, highlighting available resources for radiologists at all professional stages. It emphasizes the need for targeted educational strategies to bridge knowledge gaps and improve patient care outcomes in prostate cancer management.

摘要

多参数 MRI(mpMRI)和前列腺影像报告和数据系统(Prostate Imaging Reporting and Data System)的采用,极大地改变了前列腺癌的诊断和管理方式。这些进展,加上新型生物标志物和更新的国际泌尿病理学会(International Society of Uropathology)分级分组,提高了癌症的检出率和预后预测能力。尽管取得了这些进展,但由于放射科医生在 mpMRI 方面的专业水平参差不齐,导致评估结果不一致,可能导致不必要的检查程序,并降低对该检查方式的信心。本综述评估了前列腺 MRI 的教育现状,重点介绍了各级别放射科医生可用的资源。它强调需要有针对性的教育策略来弥合知识差距,改善前列腺癌管理中患者的护理结果。

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1
Enhancing prostate MRI expertise: educational strategies for radiologists.提高前列腺 MRI 专业水平:放射科医师的教育策略。
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本文引用的文献

1
Local Staging of Prostate Cancer at MRI: What the Urologist and Radiation Oncologist Want to Know.磁共振成像下前列腺癌的局部分期:泌尿科医生和放射肿瘤学家想知道的。
Radiographics. 2023 Sep;43(9):e220100. doi: 10.1148/rg.220100.
2
A Prospective Observational Study on the Structuring Process and Implementation of a Large Regional, Inter-hospital, Virtual Multidisciplinary Tumor Board on Prostate Cancer.一项关于大型区域间医院虚拟多学科前列腺癌肿瘤委员会构建过程与实施的前瞻性观察研究。
Anticancer Res. 2023 Jan;43(1):501-508. doi: 10.21873/anticanres.16187.
3
Radiologists' Contribution to Variation in Detecting Clinically Significant Prostate Cancer in Men With Prostate MRI.
放射科医生对前列腺 MRI 检查男性临床显著前列腺癌检测中的差异的贡献。
J Am Coll Radiol. 2022 Dec;19(12):1312-1321. doi: 10.1016/j.jacr.2022.08.013. Epub 2022 Oct 13.
4
Prostate MRI Qualification: Expert Panel Narrative Review.前列腺 MRI 定性:专家小组叙述性综述。
AJR Am J Roentgenol. 2022 Nov;219(5):691-702. doi: 10.2214/AJR.22.27615. Epub 2022 May 11.
5
Second-opinion reads in prostate MRI: added value of subspecialty interpretation and review at multidisciplinary rounds.前列腺MRI的二次解读:多学科会诊中专科解读与审查的附加价值
Abdom Radiol (NY). 2022 Feb;47(2):827-837. doi: 10.1007/s00261-021-03377-1. Epub 2021 Dec 16.
6
MRI Targeted Prostate Biopsy Techniques: Expert Panel Narrative Review.MRI 靶向前列腺活检技术:专家小组叙述性综述。
AJR Am J Roentgenol. 2021 Dec;217(6):1263-1281. doi: 10.2214/AJR.21.26154. Epub 2021 Jul 14.
7
Standardisation of prostate multiparametric MRI across a hospital network: a London experience.医院网络中前列腺多参数MRI的标准化:伦敦的经验
Insights Imaging. 2021 Apr 20;12(1):52. doi: 10.1186/s13244-021-00990-y.
8
A multifaceted approach to quality in the MRI-directed biopsy pathway for prostate cancer diagnosis.多方位方法提高 MRI 引导下前列腺癌诊断活检路径的质量。
Eur Radiol. 2021 Jun;31(6):4386-4389. doi: 10.1007/s00330-020-07527-9. Epub 2020 Nov 25.
9
The use of prostate MR for targeting prostate biopsies.利用前列腺磁共振成像引导前列腺活检。
BJR Open. 2019 Jun 19;1(1):20180044. doi: 10.1259/bjro.20180044. eCollection 2019.
10
Variability of the Positive Predictive Value of PI-RADS for Prostate MRI across 26 Centers: Experience of the Society of Abdominal Radiology Prostate Cancer Disease-focused Panel.26 家中心前列腺 MRI 中 PI-RADS 的阳性预测值的可变性:腹放射学会前列腺癌疾病重点专家组的经验。
Radiology. 2020 Jul;296(1):76-84. doi: 10.1148/radiol.2020190646. Epub 2020 Apr 21.