PI-RADSv2: How We Do It

被引：15

作者：

Greer, Matthew D. ^{[1
,2
]}

Choyke, Peter L. ^{[1
]}

Turkbey, Baris ^{[1
]}

机构：

[1] NCI, Mol Imaging Program, NIH, Bethesda, MD 20892 USA

[2] Cleveland Clin, Lerner Coll Med, Cleveland, OH 44106 USA

来源：

JOURNAL OF MAGNETIC RESONANCE IMAGING | 2017年 / 46卷 / 01期

关键词：

PELVIC PHASED-ARRAY; RADS VERSION 2; SIGNIFICANT PROSTATE-CANCER; 2014 INTERNATIONAL SOCIETY; DIFFUSION-WEIGHTED MRI; LOCAL STAGING ACCURACY; FUSION-GUIDED BIOPSY; ENDORECTAL COIL; RADICAL PROSTATECTOMY; TUMOR-DETECTION;

D O I：

10.1002/jmri.25645

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Much criticism has been leveled at screening for prostate cancer using prostate-specific antigen (PSA) testing, yet there is no suitable replacement to improve the detection of clinically significant cancer (CSC). Prostate multiparametric magnetic resonance imaging (mpMRI) combined with mpMRI-guided biopsies is one possible solution, as it reduces detection of low-grade disease and increases detection of CSC. However, mpMRI is critically limited by lack of standardization across institutions and low interobserver agreement. The Prostate Imaging Reporting and Diagnostic System version 2 (PI-RADSv2) aims to address these concerns. We discuss the clinical and technical considerations for implementing PI-RADSv2, how we have adapted to PI-RADSv2, and review current research. While PI-RADSv2 represents a major step forward for standardizing prostate mpMRI, it does not provide a level of standardization that is routine with clinical blood tests and reader reproducibility remains an issue. Future research should seek to further improve quality assurance of mpMRI building on the important contributions of PI-RADSv2.

引用

页码：11 / 23

页数：13

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