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

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 as...

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Autores principales: Mantica, Guglielmo, Suardi, Nazareno, Smelzo, Salvatore, Esperto, Francesco, Chierigo, Francesco, Tappero, Stefano, Borghesi, Marco, La Rocca, Roberto, Oderda, Marco, Ennas, Marco, Stabile, Armando, De Cobelli, Francesco, Napolitano, Luigi, Papalia, Rocco, Gontero, Paolo, Introini, Carlo, Briganti, Alberto, Scarpa, Roberto M., Mirone, Vincenzo, Montorsi, Francesco, Gaboardi, Franco, Terrone, Carlo, Cardone, Gianpiero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689928/
https://www.ncbi.nlm.nih.gov/pubmed/36359499
http://dx.doi.org/10.3390/diagnostics12112656
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author Mantica, Guglielmo
Suardi, Nazareno
Smelzo, Salvatore
Esperto, Francesco
Chierigo, Francesco
Tappero, Stefano
Borghesi, Marco
La Rocca, Roberto
Oderda, Marco
Ennas, Marco
Stabile, Armando
De Cobelli, Francesco
Napolitano, Luigi
Papalia, Rocco
Gontero, Paolo
Introini, Carlo
Briganti, Alberto
Scarpa, Roberto M.
Mirone, Vincenzo
Montorsi, Francesco
Gaboardi, Franco
Terrone, Carlo
Cardone, Gianpiero
author_facet Mantica, Guglielmo
Suardi, Nazareno
Smelzo, Salvatore
Esperto, Francesco
Chierigo, Francesco
Tappero, Stefano
Borghesi, Marco
La Rocca, Roberto
Oderda, Marco
Ennas, Marco
Stabile, Armando
De Cobelli, Francesco
Napolitano, Luigi
Papalia, Rocco
Gontero, Paolo
Introini, Carlo
Briganti, Alberto
Scarpa, Roberto M.
Mirone, Vincenzo
Montorsi, Francesco
Gaboardi, Franco
Terrone, Carlo
Cardone, Gianpiero
author_sort Mantica, Guglielmo
collection PubMed
description 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 <125 vs. ≥125). Additionally, we tested for differences between non-proficient vs. proficient mpMRI readers. Multivariable logistic regression analyses (MVLRA) tested potential predictors of proficiency in mpMRI reading. 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.
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spelling pubmed-96899282022-11-25 Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation Mantica, Guglielmo Suardi, Nazareno Smelzo, Salvatore Esperto, Francesco Chierigo, Francesco Tappero, Stefano Borghesi, Marco La Rocca, Roberto Oderda, Marco Ennas, Marco Stabile, Armando De Cobelli, Francesco Napolitano, Luigi Papalia, Rocco Gontero, Paolo Introini, Carlo Briganti, Alberto Scarpa, Roberto M. Mirone, Vincenzo Montorsi, Francesco Gaboardi, Franco Terrone, Carlo Cardone, Gianpiero Diagnostics (Basel) Article 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 <125 vs. ≥125). Additionally, we tested for differences between non-proficient vs. proficient mpMRI readers. Multivariable logistic regression analyses (MVLRA) tested potential predictors of proficiency in mpMRI reading. 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. MDPI 2022-11-01 /pmc/articles/PMC9689928/ /pubmed/36359499 http://dx.doi.org/10.3390/diagnostics12112656 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mantica, Guglielmo
Suardi, Nazareno
Smelzo, Salvatore
Esperto, Francesco
Chierigo, Francesco
Tappero, Stefano
Borghesi, Marco
La Rocca, Roberto
Oderda, Marco
Ennas, Marco
Stabile, Armando
De Cobelli, Francesco
Napolitano, Luigi
Papalia, Rocco
Gontero, Paolo
Introini, Carlo
Briganti, Alberto
Scarpa, Roberto M.
Mirone, Vincenzo
Montorsi, Francesco
Gaboardi, Franco
Terrone, Carlo
Cardone, Gianpiero
Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title_full Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title_fullStr Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title_full_unstemmed Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title_short Are Urologists Ready for Interpretation of Multiparametric MRI Findings? A Prospective Multicentric Evaluation
title_sort are urologists ready for interpretation of multiparametric mri findings? a prospective multicentric evaluation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689928/
https://www.ncbi.nlm.nih.gov/pubmed/36359499
http://dx.doi.org/10.3390/diagnostics12112656
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