Structured prostate MRI reporting: how and why
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SPECIAL SECTION: PROSTATE CANCER UPDATE
Structured prostate MRI reporting: how and why Hiram Shaish1 Received: 26 May 2020 / Revised: 13 August 2020 / Accepted: 21 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Over the past decade, the Prostate Imaging-Reporting and Data System (PI-RADS) has revolutionized the manner in which prostate cancer is screened for, detected, biopsied, and managed. The single greatest contribution of PI-RADS has been the standardization of interpretation and reporting of findings on MRI of the prostate. This standardization has led to the wide acceptance of the PI-RADS lexicon at a time when structured reporting templates are becoming more widespread in radiology and other medical fields. The author reviews the benefits of structured reporting templates with a focus on prostate MRI, prior studies on this topic, and details of a suggested template. Keywords Prostate cancer · MRI · Structured reporting templates
Introduction The introduction of the Prostate Imaging-Reporting and Data System (PI-RADS) ushered in a new collaborative era for radiologists and urologists in the workup of patients for prostate cancer [1]. Thus far research has predominantly focused on the technical aspects of acquiring diagnostic prostate MRI images, accuracy for detecting prostate cancer through the lens of PI-RADS in various clinical scenarios, and its ability to guide biopsy and how it compares to traditional systematic biopsy. However, an additional major driver of the PI-RADS endeavor was the understood need for a standardized method for the interpretation and reporting of findings by the radiologist, for urologists and other clinicians. Since its introduction and single major revision in 2015, PI-RADS has received widespread acceptance as the universal “language” between radiologists, clinicians, and to some extent, the patients themselves. This standardization has also facilitated rigorous research into the performance of both PI-RADS and prostate MRI. In recognition of the
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00261-020-02720-2) contains supplementary material, which is available to authorized users. * Hiram Shaish [email protected] 1
Department of Radiology, Columbia University Medical Center, 630 West 168th Street, New York, NY 10016, USA
importance of standardization, the most recent PI-RADS revision (v2.1) introduced a sample structured template [2]. Structured reporting templates have increasingly been shown to improve quality and consistency as well as promote guideline-based care both in radiology and in other medical fields [3–7]. More specifically, structured templates ensure that reports are uniform and contain all relevant findings [5], are easy for referring physicians to understand [8–10], facilitate the spread of professional society guidelines, and can be easily harnessed towards research endeavors [11]. Embedding key images has also been shown to improve the value of ra
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