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ESUR prostate MR guidelines 2012
Jelle O Barentsz1, Jonathan Richenberg, Richard Clements
1Department of Radiology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. j.barentsz@rad.umcn.nl
Unlabelled:
The aim was to develop clinical guidelines for multi-parametric MRI of the prostate by a group of prostate MRI experts from the European Society of Urogenital Radiology (ESUR), based on literature evidence and consensus expert opinion. True evidence-based guidelines could not be formulated, but a compromise, reflected by "minimal" and "optimal" requirements has been made. The scope of these ESUR guidelines is to promulgate high quality MRI in acquisition and evaluation with the correct indications for prostate cancer across the whole of Europe and eventually outside Europe. The guidelines for the optimal technique and three protocols for "detection", "staging" and "node and bone" are presented. The use of endorectal coil vs. pelvic phased array coil and 1.5 vs. 3 T is discussed. Clinical indications and a PI-RADS classification for structured reporting are presented.
Key Points:
This report provides guidelines for magnetic resonance imaging (MRI) in prostate cancer. Clinical indications, and minimal and optimal imaging acquisition protocols are provided. A structured reporting system (PI-RADS) is described.
Insights
European prostate MRI experts developed guidelines for multi-parametric MRI in prostate cancer detection and staging. These guidelines offer minimal and optimal imaging protocols and a PI-RADS classification for structured reporting.
Area of Science:
- Radiology
- Oncology
- Medical Imaging
Background:
- Multi-parametric MRI (mpMRI) is crucial for prostate cancer management.
- Existing guidelines for prostate MRI vary, necessitating standardization.
- The European Society of Urogenital Radiology (ESUR) convened experts to address this need.
Purpose of the Study:
- To develop evidence-based clinical guidelines for prostate mpMRI.
- To establish standards for high-quality MRI acquisition and interpretation.
- To define optimal techniques and protocols for prostate cancer detection, staging, and metastasis assessment.
Main Methods:
- Literature review and expert consensus among European Society of Urogenital Radiology (ESUR) members.
- Development of "minimal" and "optimal" requirements for prostate MRI.
- Formulation of specific protocols for detection, staging, and node/bone imaging.
Main Results:
- Guidelines for multi-parametric MRI of the prostate were established.
- Minimal and optimal imaging acquisition protocols are presented.
- A Prostate Imaging Reporting and Data System (PI-RADS) classification for structured reporting is described.
Conclusions:
- The ESUR guidelines promote high-quality prostate MRI across Europe.
- The guidelines provide clear clinical indications and standardized reporting.
- These recommendations aim to improve prostate cancer diagnosis and management through consistent MRI practices.
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