ESUR prostate MR guidelines 2012

Department of Radiology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
European Radiology (Impact Factor: 4.01). 04/2012; 22(4):746-57. DOI: 10.1007/s00330-011-2377-y
Source: PubMed


The aim was to develop clinical guidelines for multi-parametric MRI of the prostate by a group of prostate MRI experts from the European Society of Urogenital Radiology (ESUR), based on literature evidence and consensus expert opinion. True evidence-based guidelines could not be formulated, but a compromise, reflected by “minimal” and “optimal” requirements has been made. The scope of these ESUR guidelines is to promulgate high quality MRI in acquisition and evaluation with the correct indications for prostate cancer across the whole of Europe and eventually outside Europe. The guidelines for the optimal technique and three protocols for “detection”, “staging” and “node and bone” are presented. The use of endorectal coil vs. pelvic phased array coil and 1.5 vs. 3 T is discussed. Clinical indications and a PI-RADS classification for structured reporting are presented.

Key Points

• This report provides guidelines for magnetic resonance imaging (MRI) in prostate cancer.
• Clinical indications, and minimal and optimal imaging acquisition protocols are provided.
• A structured reporting system (PI-RADS) is described.

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    • "Radiology (ESUR) anhand der PI-RADS- Skala (engl. " prostate imaging reporting and data system " ) befundet[6]. Die PI- RADS-Klassifikation stuft auffällige Befunde auf einer Likert-Skala ([7]. "
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    • "The results of a retrospective study[18]and one meta-analysis[19]have suggested a higher sensitivity of the choline PET-CT to identify cancer relapse after radical prostatectomy in patients with PSADT ≤ 6. Our incidence of nearly 50 % supports the ESUR recommendation[6]to use mp-MRI to evaluate men with biochemical failure prior to salvage radiotherapy. Regarding location, our results are in line with earlier reports that found that most local recurrences occurred in the perianastomotic area and the retrovesical region[20]. "
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