Skip to main content
SpringerLink
Log in

Enhancing prostate MRI expertise: educational strategies for radiologists

  • Review
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Oberlin, D.T., et al., Dramatic increase in the utilization of multiparametric magnetic resonance imaging for detection and management of prostate cancer. Abdom Radiol (NY), 2017. 42(4): p. 1255-1258.

    Article  PubMed  Google Scholar 

  2. Kasivisvanathan, V., et al., MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis. N Engl J Med, 2018. 378(19): p. 1767-1777.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Siddiqui, M.M., et al., Comparison of MR/ultrasound fusion-guided biopsy with ultrasound-guided biopsy for the diagnosis of prostate cancer. JAMA, 2015. 313(4): p. 390-7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Barrett, T., et al., Prostate MRI Qualification: AJR Expert Panel Narrative Review. AJR Am J Roentgenol, 2022. 219(5): p. 691-702.

    Article  PubMed  Google Scholar 

  5. Rosenkrantz, A.B., et al., The Learning Curve in Prostate MRI Interpretation: Self-Directed Learning Versus Continual Reader Feedback. AJR Am J Roentgenol, 2017. 208(3): p. W92-W100.

    Article  PubMed  Google Scholar 

  6. Rosenkrantz, A.B., et al., Online Interactive Case-Based Instruction in Prostate Magnetic Resonance Imaging Interpretation Using Prostate Imaging and Reporting Data System Version 2: Effect for Novice Readers. Curr Probl Diagn Radiol, 2019. 48(2): p. 132-141.

    Article  PubMed  Google Scholar 

  7. Garcia-Reyes, K., et al., Detection of prostate cancer with multiparametric MRI (mpMRI): effect of dedicated reader education on accuracy and confidence of index and anterior cancer diagnosis. Abdom Imaging, 2015. 40(1): p. 134-42.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Gottumukkala, R.V., et al., Local Staging of Prostate Cancer at MRI: What the Urologist and Radiation Oncologist Want to Know. Radiographics, 2023. 43(9): p. e220100.

    Article  PubMed  Google Scholar 

  9. Purysko, A.S., et al., RadioGraphics Update: PI-RADS Version 2.1-A Pictorial Update. Radiographics, 2020. 40(7): p. E33-E37.

  10. SAR Prostate Cancer Webinar Symposium. [cited 2023 January 7th]; Available from: https://veritastv.org/programs/sar-prostate-cancer-webinar-symposiummp4-45f526.

  11. SAR Prostate Cancer Disease Focus Panel. [cited 2023 February 20th]; Available from: https://abdominalradiology.site-ym.com/page/DFPprostate.

  12. SAR 2023 Hands-On Courses. [cited 2023 January 7th]; Available from: https://abdominalradiology.org/wp-content/uploads/2022/10/6261-SAR2023-HandsOn-Pages_10.28.22-1.pdf.

  13. ACR Education Center In-Person Courses. [cited 2023 January 7th]; Available from: https://www.acr.org/Lifelong-Learning-and-CME/Education-Center/In-Person.

  14. ACR Education Center Virtual Courses. [cited 2023 January 7th]; Available from: https://www.acr.org/Lifelong-Learning-and-CME/Education-Center/Virtual.

  15. ACR Primer for using PI-RADS v2.1 for Prostate MRI. [cited 2023 April 19th]; Available from: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/PI-RADS/Primer-for-Prostate-MRI.

  16. ARRS Pearls and Pitfalls in Prostate and Pelvic Imaging. [cited 2024 March 27th]; Available from: https://www.arrs.org/ARRSLIVE/Education/OnlineCourses/OC_PR21.aspx.

  17. ESUR Prostate MRI Teaching Course. [cited 2023 MAy 17th]; Available from: https://www.esur.org/prostate-mri/.

  18. BIR Online Learning Library. [cited 2024 March 27th]; Available from: https://bir.my.site.com/l/s/online-learning-library?language=en_GB.

  19. Brazilian College of Radiology. [cited 2023 May 17th]; Available from: https://cbr.org.br/en/cbr-educa/.

  20. Prostate MRI. [cited 2023 January 7th]; Available from: https://rad.bwh.harvard.edu/prostate-mri.

  21. Learn Radiology: Prostate. [cited 2023 January 7th]; Available from: https://learn-radiology.rcc.uchicago.edu/.

  22. TMC Academy Fellowships. [cited 2023 January 15th]; Available from: https://academy.telemedicineclinic.com/abdo-thorax/#online.

  23. MRI Online. Prostate Mini Fellowship. [cited 2023 January 15th]; Available from: https://mrionline.com/remote-fellowships/prostate-mri/#tve-jump-180f85306d4.

  24. MRI Pro. © MRI PRO Pty Ltd 2023. . [cited 2023 January 15th]; Available from: https://www.mripro.io/.

  25. Productive DFP meeting with so many exciting projects on the horizon! . Twitter 2023.

  26. Westphalen, A.C., D.J.A. Margolis, and A.B. Rosenkrantz, The Director of Prostate Imaging: advancing care for prostate cancer patients. Abdom Radiol (NY), 2017. 42(9): p. 2358-2362.

    Article  PubMed  Google Scholar 

  27. Li, J.L., et al., Second-opinion reads in prostate MRI: added value of subspecialty interpretation and review at multidisciplinary rounds. Abdom Radiol (NY), 2022. 47(2): p. 827-837.

    Article  PubMed  Google Scholar 

  28. Rosenkrantz, A.B., et al., Interobserver Reproducibility of the PI-RADS Version 2 Lexicon: A Multicenter Study of Six Experienced Prostate Radiologists. Radiology, 2016. 280(3): p. 793-804.

    Article  PubMed  Google Scholar 

  29. Westphalen, A.C., et al., 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. Radiology, 2020. 296(1): p. 76-84.

    Article  PubMed  Google Scholar 

  30. Naik, S., et al., Radiologists' Contribution to Variation in Detecting Clinically Significant Prostate Cancer in Men With Prostate MRI. J Am Coll Radiol, 2022. 19(12): p. 1312-1321.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Turkbey, B., et al., Prostate Imaging Reporting and Data System Version 2.1: 2019 Update of Prostate Imaging Reporting and Data System Version 2. Eur Urol, 2019. 76(3): p. 340–351.

  32. RSNA RadReport Template Library. [cited 2023 January 9th]; Available from: https://radreport.org/home/50205/2016-09-19%2003:59:49.

  33. Cuocolo, R., et al., Prostate MRI technical parameters standardization: A systematic review on adherence to PI-RADSv2 acquisition protocol. Eur J Radiol, 2019. 120: p. 108662.

    Article  PubMed  Google Scholar 

  34. Papoutsaki, M.V., et al., Standardisation of prostate multiparametric MRI across a hospital network: a London experience. Insights Imaging, 2021. 12(1): p. 52.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Padhani, A.R., et al., A multifaceted approach to quality in the MRI-directed biopsy pathway for prostate cancer diagnosis. Eur Radiol, 2021. 31(6): p. 4386-4389.

    Article  PubMed  Google Scholar 

  36. ACR Prostate MR Imaging Quality Improvement Collaborative. [cited 2023 May 17th]; Available from: https://www.acr.org/Practice-Management-Quality-Informatics/ACR-Learning-Network/Prostate-MR-Image-Quality-Improvement.

  37. Thompson, I.M., et al., Prevalence of prostate cancer among men with a prostate-specific antigen level < or =4.0 ng per milliliter. N Engl J Med, 2004. 350(22): p. 2239–46.

  38. Nevo, A., A. Navaratnam, and P. Andrews, Prostate cancer and the role of biomarkers. Abdom Radiol (NY), 2020. 45(7): p. 2120-2132.

    Article  PubMed  Google Scholar 

  39. Salciccia, S., et al., Biomarkers in Prostate Cancer Diagnosis: From Current Knowledge to the Role of Metabolomics and Exosomes. Int J Mol Sci, 2021. 22(9).

  40. Rajwa, P., J. Syed, and M.S. Leapman, How should radiologists incorporate non-imaging prostate cancer biomarkers into daily practice? Abdom Radiol (NY), 2020. 45(12): p. 4031-4039.

    Article  PubMed  Google Scholar 

  41. Valerio, M.R., et al., A Prospective Observational Study on the Structuring Process and Implementation of a Large Regional, Inter-hospital, Virtual Multidisciplinary Tumor Board on Prostate Cancer. Anticancer Res, 2023. 43(1): p. 501-508.

    Article  PubMed  Google Scholar 

  42. Omer, A. and A.D. Lamb, Optimizing prostate biopsy techniques. Curr Opin Urol, 2019. 29(6): p. 578-586.

    Article  PubMed  Google Scholar 

  43. Kelley, R.P., et al., The use of prostate MR for targeting prostate biopsies. BJR Open, 2019. 1(1): p. 20180044.

    PubMed  PubMed Central  Google Scholar 

  44. Chang, S.D., et al., MRI Targeted Prostate Biopsy Techniques: AJR Expert Panel Narrative Review. AJR Am J Roentgenol, 2021. 217(6): p. 1263-1281.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

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

    Jesse W. Spinner

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

    Andrei S. Purysko

  3. Departments of Radiology, Urology, and Radiation Oncology, School of Medicine, University of Washington, 1959 NE Pacific St, Box 357115, Seattle, WA, 98195, USA

    Antonio C. Westphalen

Authors
  1. Jesse W. Spinner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrei S. Purysko
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Antonio C. Westphalen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Antonio C. Westphalen.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Spinner, J.W., Purysko, A.S. & Westphalen, A.C. Enhancing prostate MRI expertise: educational strategies for radiologists. Abdom Radiol (2024). https://doi.org/10.1007/s00261-024-04325-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00261-024-04325-5

Keywords

Search

Navigation