Prostate MRI: who, when, and how? Report from a UK consensus meeting.

Authors :: Kirkham AP
Haslam P
Keanie JY
McCafferty I
Padhani AR
Punwani S
Richenberg J
Rottenberg G
Sohaib A
Thompson P
Turnbull LW
Kurban L
Sahdev A
Clements R
Carey BM
Allen C
Source :: Clinical radiology [Clin Radiol] 2013 Oct; Vol. 68 (10), pp. 1016-23. Date of Electronic Publication: 2013 Jul 01.
Publication Year :: 2013
Abstract: The current pathway for men suspected of having prostate cancer [transrectal biopsy, followed in some cases by magnetic resonance imaging (MRI) for staging] results in over-diagnosis of insignificant tumours, and systematically misses disease in the anterior prostate. Multiparametric MRI has the potential to change this pathway, and if performed before biopsy, might enable the exclusion of significant disease in some men without biopsy, targeted biopsy in others, and improvements in the performance of active surveillance. For the potential benefits to be realized, the setting of standards is vital. This article summarizes the outcome of a meeting of UK radiologists, at which a consensus was achieved on (1) the indications for MRI, (2) the conduct of the scan, (3) a method and template for reporting, and (4) minimum standards for radiologists.<br /> (Copyright © 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)