Ullrich Tim, Boschheidgen Matthias, Schweyen Caroline Marie, Franiel Tobias, Valentin Birte, Quentin Michael, Blondin Dirk, Kaufmann Sascha, Ljimani Alexandra, Radtke Jan Philipp, Albers Peter, Antoch Gerald, Schimmöller Lars
Department of Diagnostic and Interventional Radiology, University Dusseldorf, Medical Faculty, Dusseldorf, Germany.
Department of Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany.
Rofo. 2025 Aug;197(8):945-952. doi: 10.1055/a-2416-1343. Epub 2025 Jan 7.
Evaluation of the current status, significance and availability of multiparametric prostate MRI and MRI-guided biopsy in Germany.A voluntary web-based questionnaire with 26 distinct items was emailed to members of the German Radiological Society (DRG) and the Professional Association of German Radiologists (BDR). The questions referred to personal qualification, acquisition, quality, and management of prostate MRI, and assessment of the importance of the method.In total 182 questionnaires were captured from all 10 german postal regions (over 60% of the university hospitals, almost 50% of the maximum care hospitals and approx. 12% of the practices or medical service centers). 43% of the respondents had a Q1 or Q2 quality certificate from the DRG, 10% had a certificate from the BDR, respectively. The majority (90%) criticized inadequate reimbursement of the examination. In 47% MRI cases were discussed in an interdisciplinary tumor board, in 44% case discussions happened rarely, and 12% never had interdisciplinary discussions. On a scale from 0-100 (0%: low; 100%: high) the estimation of the clinical relevance of prostate MRIs received an average of 84% (± 16%) and the estimated approval by urologists was 75% (± 21%). Lacking clinical feedback (59%) and clinical information (42%) were perceived as the largest problems.In this representative survey the respondents estimated multiparametric MRI of the prostate as highly diagnostic and relevant with an increased approval by urologists. There is still a perceived need for continuous professional education of the method for urologists and for more widespread coverage of fusion biopsy. Prostate MRI is currently primarily offered by high volume centers. Current challenges are particularly insufficient interdisciplinary communication and inadequate reimbursement. · Prostate MRI is perceived as highly diagnostic and clinically relevant.The method is currently primarily offered by high volume centers.. · Bigger current problems are insufficient interdisciplinary communication (e.g., clinical information, biopsy results) and inadequate reimbursement.. · Continuous education for urologists and expanded coverage by fusion biopsy are desirable.. · Ullrich T, Boschheidgen M, Schweyen CM et al. Evaluation of the current status, significance, and availability of prostate MRI und MRI guided biopsy in germany. Rofo 2025; 197: 945-952.
德国多参数前列腺MRI及MRI引导下活检的现状、意义及可及性评估。一份包含26个不同项目的基于网络的自愿调查问卷通过电子邮件发送给了德国放射学会（DRG）和德国放射科医生专业协会（BDR）的成员。问题涉及前列腺MRI的个人资质、采集、质量和管理，以及对该方法重要性的评估。
总共从德国所有10个邮政地区收集到182份问卷（超过60%的大学医院、近50%的特级护理医院以及约12%的诊所或医疗服务中心）。43%的受访者拥有DRG的Q1或Q2质量证书，10%的受访者分别拥有BDR的证书。大多数人（90%）批评检查费用报销不足。在47%的MRI病例中，在跨学科肿瘤委员会中进行了讨论，44%的病例很少进行讨论，12%从未进行过跨学科讨论。在0至100的量表（0%：低；100%：高）上，对前列腺MRI临床相关性的评估平均为84%（±16%），泌尿科医生的估计认可度为75%（±21%）。缺乏临床反馈（59%）和临床信息（42%）被视为最大的问题。
在这项代表性调查中，受访者认为前列腺多参数MRI具有高度诊断性和相关性，泌尿科医生的认可度有所提高。仍然认为需要对泌尿科医生进行该方法的持续专业教育，并扩大融合活检的覆盖范围。前列腺MRI目前主要由大型中心提供。当前的挑战尤其包括跨学科沟通不足和报销不足。·前列腺MRI被认为具有高度诊断性和临床相关性。该方法目前主要由大型中心提供。·当前更大的问题是跨学科沟通不足（如临床信息、活检结果）和报销不足。·需要对泌尿科医生进行持续教育并扩大融合活检的覆盖范围。·乌尔里希·T、博施海德根·M、施韦恩·CM等。德国前列腺MRI及MRI引导活检的现状、意义及可及性评估。《德国放射学》2025年；197：945 - 952。
