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Quality checkpoints in the MRI-directed prostate cancer diagnostic pathway

Barrett, Tristan; de Rooij, Maarten; Giganti, Francesco; Allen, Clare; Barentsz, Jelle O; Padhani, Anwar R; (2023) Quality checkpoints in the MRI-directed prostate cancer diagnostic pathway. Nature Reviews Urology , 20 pp. 9-22. 10.1038/s41585-022-00648-4. Green open access

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Abstract

Multiparametric MRI of the prostate is now recommended as the initial diagnostic test for men presenting with suspected prostate cancer, with a negative MRI enabling safe avoidance of biopsy and a positive result enabling MRI-directed sampling of lesions. The diagnostic pathway consists of several steps, from initial patient presentation and preparation to performing and interpreting MRI, communicating the imaging findings, outlining the prostate and intra-prostatic target lesions, performing the biopsy and assessing the cores. Each component of this pathway requires experienced clinicians, optimized equipment, good inter-disciplinary communication between specialists, and standardized workflows in order to achieve the expected outcomes. Assessment of quality and mitigation measures are essential for the success of the MRI-directed prostate cancer diagnostic pathway. Quality assurance processes including Prostate Imaging-Reporting and Data System, template biopsy, and pathology guidelines help to minimize variation and ensure optimization of the diagnostic pathway. Quality control systems including the Prostate Imaging Quality scoring system, patient-level outcomes (such as Prostate Imaging-Reporting and Data System MRI score assignment and cancer detection rates), multidisciplinary meeting review and audits might also be used to provide consistency of outcomes and ensure that all the benefits of the MRI-directed pathway are achieved.

Type: Article
Title: Quality checkpoints in the MRI-directed prostate cancer diagnostic pathway
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41585-022-00648-4
Publisher version: https://doi.org/10.1038/s41585-022-00648-4
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Prostate, Prostate cancer
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10157030
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