Prostate MRI quality: a critical review of the last 5 years and the role of the PI-QUAL score

Author:

Giganti Francesco12ORCID,Kasivisvanathan Veeru23,Kirkham Alex1,Punwani Shonit14,Emberton Mark23,Moore Caroline M23,Allen Clare1

Affiliation:

1. Department of Radiology, University College London Hospital NHS Foundation Trust, London, UK

2. Division of Surgery & Interventional Science, University College London, London, UK

3. Department of Urology, University College London Hospital NHS Foundation Trust, London, UK

4. Centre for Medical Imaging, University College London, London, UK

Abstract

There is increasing interest in the use of multiparametric magnetic resonance imaging (mpMRI) in the prostate cancer pathway. The European Association of Urology (EAU) and the British Association of Urological Surgeons (BAUS) now advise mpMRI prior to biopsy, and the Prostate Imaging Reporting and Data System (PI-RADS) recommendations set out the minimal technical requirements for the acquisition of mpMRI of the prostate. The widespread and swift adoption of this technique has led to variability in image quality. Suboptimal image acquisition reduces the sensitivity and specificity of mpMRI for the detection and staging of clinically significant prostate cancer. This critical review outlines the studies aimed at improving prostate MR quality that have been published over the last 5 years. These span from the use of specific MR sequences, magnets and coils to patient preparation. The rates of adherence of prostate mpMRI to technical standards in different cohorts across the world are also discussed. Finally, we discuss the first standardised scoring system (i.e., Prostate Imaging Quality, PI-QUAL) that has been created to evaluate image quality, although further iterations of this score are expected in the future.

Publisher

British Institute of Radiology

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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