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Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation

Authors :
Guglielmo Mantica
Nazareno Suardi
Salvatore Smelzo
Francesco Esperto
Francesco Chierigo
Stefano Tappero
Marco Borghesi
Roberto La Rocca
Marco Oderda
Marco Ennas
Armando Stabile
Francesco De Cobelli
Luigi Napolitano
Rocco Papalia
Paolo Gontero
Carlo Introini
Alberto Briganti
Roberto M. Scarpa
Vincenzo Mirone
Francesco Montorsi
Franco Gaboardi
Carlo Terrone
Gianpiero Cardone
Source :
Diagnostics, Vol 12, Iss 11, p 2656 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

Aim: To assess urologists’ proficiency in the interpretation of multiparametric magnetic resonance imaging (mpMRI). Materials and Methods: Twelve mpMRIs were shown to 73 urologists from seven Italian institutions. Responders were asked to identify the site of the suspicious nodule (SN) but not to assign a PIRADS score. We set an a priori cut-off of 75% correct identification of SN as a threshold for proficiency in mpMRI reading. Data were analyzed according to urologists’ hierarchy (UH; resident vs. consultant) and previous experience in fusion prostate biopsies (E-fPB, defined as Results: The median (IQR) number of correct identifications was 8 (6–8). Anterior nodules (number 3, 4 and 6) represented the most likely prone to misinterpretation. Overall, 34 (47%) participants achieved the 75% cut-off. When comparing consultants vs. residents, we found no differences in terms of E-fPB (p = 0.9) or in correct identification rates (p = 0.6). We recorded higher identification rates in urologists with E-fBP vs. their no E-fBP counterparts (75% vs. 67%, p = 0.004). At MVLRA, only E- fPB reached the status of independent predictor of proficiency in mpMRI reading (OR: 3.4, 95% CI 1.2–9.9, p = 0.02) after adjusting for UH and type of institution. Conclusions: Despite urologists becoming more familiar with interpretation of mpMRI, their results are still far from proficient. E-fPB enhances the proficiency in mpMRI interpretation.

Details

Language :
English
ISSN :
20754418
Volume :
12
Issue :
11
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.7f44da9ec8814f38bf560224b28f3293
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics12112656