A pictorial essay of PI-RADS pearls and pitfalls: toward less ambiguity and better practice.
Sung Yoon ParkSungmin WooKye Jin ParkAntonio C WestphalenPublished in: Abdominal radiology (New York) (2024)
Prostate Imaging Reporting and Data System (PI-RADS) was designed to standardize the interpretation of multiparametric magnetic resonance imaging (MRI) of the prostate, aiding in assessing the probability of clinically significant prostate cancer. By providing a structured scoring system, it enables better risk stratification, guiding decisions regarding the need for biopsy and subsequent treatment options. In this article, we explore both the strengths and weaknesses of PI-RADS, offering insights into its updated diagnostic performance and clinical applications, while also addressing potential pitfalls using diverse, representative MRI cases.
Keyphrases
- prostate cancer
- magnetic resonance imaging
- contrast enhanced
- radical prostatectomy
- diffusion weighted imaging
- computed tomography
- high resolution
- healthcare
- benign prostatic hyperplasia
- primary care
- magnetic resonance
- big data
- ultrasound guided
- mass spectrometry
- machine learning
- quality improvement
- cross sectional
- risk assessment