Upcoming American College of Radiology prostate MRI designation launching: what to expect
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SPECIAL SECTION: PROSTATE CANCER
Upcoming American College of Radiology prostate MRI designation launching: what to expect Nelly Tan1 · Magge Lakshmi2 · Dina Hernandez3 · Anthony Scuderi3 Received: 4 June 2020 / Revised: 20 August 2020 / Accepted: 30 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract The use of prostate MRI for prostate cancer evaluation continues to rise and ensuring minimum quality standards across practices will enable optimal diagnostic accuracy and thus, patient care. The American College of Radiology has been working on quality standards to meet Prostate MRI Designated Center, which is expected to launch in late 2020. We discuss the background of the American College of Radiology Prostate MRI working group’s effort and summarize the criteria for Prostate MRI Designation. Keywords Prostate MRI Designation · Prostate MRI Quality · American College of Radiology
Introduction The use of prostate MRI for prostate cancer evaluation continues to increase [1]. Currently, facilities’ adherence to PI-RADSv2 minimum technical standards varies [2] with few centers performing high-quality prostate MRI [3]; in addition, clinical performance among interpreting radiologists vary [4]. In 2017, ACR established the Prostate MRI working group, whose task was to establish minimum quality standards to qualify for Prostate MRI Designated Center certification. Imaging centers will be able to apply for ACR Designated Prostate MRI Center beginning in late 2020. As part of the Society of Abdominal Radiology Prostate Disease Focused Panel Clinical Practice Subcommittee effort, we connected with Dina Hernandez, Director of Non-Breast Imaging Accreditation at ACR, and Dr. Anthony Scuderi, Chairman of the Accreditation program and Chair of the ACR MRI accreditation program to understand what our clinical radiologists should expect from the new ACR Designation. * Nelly Tan [email protected] 1
Division of Abdominal Radiology, Department of Radiology, Mayo Clinic in Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA
2
Radiology and Imaging Specialists, Lakeland, FL 32836, USA
3
American College of Radiology, Reston, VA, USA
Difference between ACR accreditation and Designation First, we need to understand the difference between accreditation [5] compared to designation [6]. ACR accreditation is for the unit (e.g., MRI) and is facility base (e.g., imaging center). To obtain accreditation, ACR assesses various requirements including staff qualifications, equipment, quality control, and image quality. In addition, imaging centers are required to submit clinical and phantom images, which are reviewed by volunteer radiologists and physicists. Accreditation is valid for 3 years and available for 6 anatomic sites—head and neck, spine, body, musculoskeletal, MR angiography, and cardiac. Once a facility achieves ACR accreditation in one of the six modules, then, facilities can add on specific designation. For example, prostate designation is contingent on MRI Body Modul
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