Radiologists’ preferences regarding content of prostate MRI reports: a survey of the Society of Abdominal Radiology
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To evaluate radiologist preferences regarding specific content that warrants inclusion in prostate MRI reports.
Sixty-one members of the Society of Abdominal Radiology responded to a 74-item survey regarding specific content warranted in prostate MRI reports, conducted in August 2016.
General items deemed essential report content by ≥ 50% of respondents were prostate volume (80%), extent of prostate hemorrhage (74%), TURP defects (69%), coil type (64%), BPH (61%), contrast dose (61%), contrast agent (59%), medications administered (59%), and magnet strength (54%). Details regarding lesion description deemed essential by ≥ 50% were overall PI-RADS category (88%), DCE (±) (82%), subjective degree of diffusion restriction (72%), T2WI intensity (72%), T2WI margins (65%), T2WI shape (52%), DWI 1-5 score (50%), and T2WI 1-5 score (50%). Details deemed essential to include in the report Impression by ≥ 50% of respondents were lymphadenopathy and metastases (100%), EPE (98%), SVI (98%), neurovascular bundle involvement (93%), index lesion location (93%), PI-RADS category of index lesion (82%), number of suspicious lesions (78%), significance of index lesion PI-RADS category (53%), and PI-RADS category of non-index lesions (52%). Preferred methods for lesion localization were slice/image number (68%), 3-part craniocaudal level (68%), zonal location (65%), anterior vs. posterior location (57%), and medial vs. lateral position (56%). Least preferred methods for localization were numeric sector from the PI-RADS sector map (8%), annotated screen capture (10%), and graphical schematic of PI-RADS sector map (11%).
Radiologists generally deemed a high level of detail warranted in prostate MRI reports. The PI-RADS v2 sector map was disliked for lesion localization.
KeywordsProstate MRI PI-RADS Genitourinary Survey Reporting
Compliance with ethical standards
Conflicts of interest
Benjamin Spilseth is a consultant for Nx Thera Inc. Daniel Margolis is a consultant for Blue Earth Diagnostics. Sangeet Ghai receives Grant/Research Support from Insightec and Exact Imaging. Nayana Patel is a consultant for 3D Biopsy, INC. Andrew Rosenkrantz receives book royalties from Thieme Medical Publishers.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was implied by participating in the survey, as approved by the institutional review board.
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