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