Perspective: a critical assessment of PI-RADS 2.1

Perspective: a critical assessment of PI-RADS 2.1
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DOI:
10.1007/s00261-020-02424-7
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发表时间:
2020-02-03
影响因子:
2.4
通讯作者:
Schimmoeller, L.
Schimmoeller, L.
中科院分区:
医学3区
文献类型:
--
作者:
Ullrich, T.;Schimmoeller, L.

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目的在本文中,我们对前列腺成像报告和数据系统(PI-RADS)版本2. 1(v2. 1)的最新版本的主要变化进行了批判性研究,并指出了该系统进一步发展的未来方向。结论PI-RADS v2.1解决了其广泛接受的前体版本2的一些缺点,主要是为了简化解释和提高观察者之间的一致性,而不改变基本的采集和评分指南。在最新版本中确认了双参数MRI,但在大多数情况下仍推荐使用包括动态对比增强成像在内的多参数MRI。该系统中仍未纳入关于随访MRI评价的管理建议和指南。
Purpose In this article we take a critical look at the key changes of the newest edition of the Prostate Imaging Reporting and Data System (PI-RADS) version 2.1 (v2.1) and indicate future directions for further development of the system. Conclusion PI-RADS v2.1 addresses some of the shortcomings of its widely embraced precursor version 2, largely to simplify interpretation and improve interobserver agreement without changing the fundamental acquisition and scoring guidelines. Biparametric MRI is acknowledged in the newest version, but multiparametric MRI including dynamic contrast-enhanced imaging is still recommended for most scenarios. Management recommendations and guidance on evaluation of follow-up MRI's are still not included in the system.